Shaw April, Reith Gerda, Pickering Lucy
National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
School of Social and Political Sciences, College of Social Sciences, University of Glasgow, Glasgow, United Kingdom.
Front Psychiatry. 2022 May 17;13:890784. doi: 10.3389/fpsyt.2022.890784. eCollection 2022.
Health-related research on women who use drugs (WWUD) tends to focus on reproductive and sexual health and treatment. Missing from the picture is an exploration of mid-life and older women's bodily experiences of transitioning from long-term substance use into recovery. While there are a growing number of studies that explore the intersection of drug use and ageing, the gaps in analysis lie in the intersections between drug use, recovery, ageing, gender, and the body.
In-depth qualitative interviews were undertaken with 19 women in the UK who self-identified as "in recovery" from illicit drug use. The interviews were transcribed verbatim and analysed using Braun and Clarke's thematic analysis techniques. The study received ethical approval from the University of Glasgow.
Key findings from the interviews relate to the women's personal sense of power in relation to current and future health status, the challenges they endured in terms of ageing in recovery and transitioning through the reproductive life cycle, and the somatic effects of trauma on women's recovery. The findings demonstrate that health in recovery involves more than abstinence from drugs.
Moving from the body in active drug use to the body in recovery is not without its challenges for mid-life and older women. New sensations and feelings-physical and mental-must be re-interpreted in light of their ageing and drug-free bodies. This study reveals some of the substantive sex-based differences that older women in active drug use and recovery experience. This has important implications for healthcare and treatment for women in drug services and women with histories of drug use more generally.
针对吸毒女性的健康相关研究往往聚焦于生殖与性健康及治疗。而对于中年及老年女性从长期吸毒过渡到戒毒康复阶段的身体体验,却鲜有探索。尽管越来越多的研究探讨了吸毒与衰老的交叉问题,但分析中的空白在于吸毒、康复、衰老、性别与身体之间的交叉点。
对英国19名自认为已从非法吸毒中“康复”的女性进行了深入的定性访谈。访谈内容逐字转录,并采用布劳恩和克拉克的主题分析技术进行分析。该研究获得了格拉斯哥大学的伦理批准。
访谈的主要发现涉及女性对当前和未来健康状况的个人权力感、她们在康复过程中面对衰老以及经历生殖生命周期转变时所承受的挑战,以及创伤对女性康复的身体影响。研究结果表明,康复过程中的健康不仅仅意味着戒毒。
从中年及老年女性的角度来看,从吸毒时的身体状态转变为康复状态并非毫无挑战。鉴于她们逐渐衰老且不再吸毒的身体状况,必须重新解读新出现的身体和心理上的感觉与情绪。本研究揭示了正在吸毒及处于康复过程中的老年女性所经历的一些基于性别的实质性差异。这对于吸毒女性群体的医疗保健和治疗,以及更广泛的有吸毒史的女性具有重要意义。