Centre for Research and Information on Substance Abuse , Uyo , Nigeria.
Department of Psychology, University of Uyo , Uyo , Nigeria.
J Psychoactive Drugs. 2019 Sep-Oct;51(4):383-390. doi: 10.1080/02791072.2019.1605103. Epub 2019 Apr 29.
This study investigates barriers to utilization of drug abuse treatment by female street sex workers in Nigeria. Twenty-seven (n = 27) street sex workers were recruited through venue-based snow-ball sampling. In-depth, individual interviews were conducted, and transcripts were subjected to thematic, inductive and data-driven analysis. Sex workers use psychoactive drugs to manage the hazards of street sex work, including guilt, stigma, and violence. While a few denied drug-related harms, doubted treatment efficacy and evinced self-efficacy in managing drug problems, the majority of sex workers recognized drug-related harms and the need for treatment. Inadequate information on services, financial and time cost of treatment, fear of police arrest, stigma and lack of male partner support posed as barriers to drug abuse treatment. Social and structural barriers to treatment utilization violate sex workers' rights to health and exacerbate drug-related harms. Findings highlight the need for changes in policy and societal perceptions of sex work, and multi-level, rights-based interventions to remove barriers to drug abuse treatment for female street sex workers.
本研究调查了在尼日利亚，女性街头性工作者在利用药物滥用治疗方面存在的障碍。通过基于地点的滚雪球抽样方法，招募了 27 名（n = 27）街头性工作者。对她们进行了深入的个人访谈，并对访谈记录进行了主题、归纳和数据驱动的分析。性工作者使用精神活性药物来应对街头性工作的危害，包括内疚、耻辱和暴力。尽管少数人否认药物相关的危害，怀疑治疗效果，并表现出自我管理药物问题的能力，但大多数性工作者都认识到药物相关的危害和治疗的必要性。关于服务的信息不足、治疗的经济和时间成本、对警察逮捕的恐惧、耻辱感和缺乏男性伴侣的支持，这些都构成了药物滥用治疗的障碍。治疗利用方面的社会和结构性障碍侵犯了性工作者的健康权利，加剧了药物相关的危害。研究结果强调需要改变政策和社会对性工作的看法，并采取多层次的基于权利的干预措施，以消除女性街头性工作者药物滥用治疗的障碍。
