J Addict Nurs. 2023;34(2):121-130. doi: 10.1097/JAN.0000000000000524.
Traditional substance misuse treatments have not always taken women or marginalized populations into consideration. A holistic approach that addresses how drugs may be used to cope with trauma caused by violence, poverty, and neglect as well as employment of engagement strategies that connect populations with culturally relevant support systems are key, especially in treating African American women. As substance misuse rates rise among African American women, characterizing how this may influence or be influenced by relationships (such as with children, intimate partners, and social relations) is especially important in the context of effective treatment. The purpose of this qualitative study was to examine the themes surrounding substance misuse and close relationships among women previously enrolled in a transitional housing treatment program grounded in social support. Many women discussed how the program itself was an impetus in addressing not only their own substance use but also intergenerational substance use within their families. Women also noted how relationships with their children were vastly different pretreatment compared with during and after treatment, specifically emphasizing a positive improvement. Regarding intimate relationships, African American women learned to establish assertiveness and navigate healthier social relationships, all while sustaining drug abstinence. It is important to acknowledge the role of the healthcare professional in ensuring effective and culturally relevant treatment for African American women; nursing curricula should include evidence-based practice education and training on mental health and substance misuse specific to marginalized communities to more deeply understand the complex intersections of substance misuse, poverty, and social relationships in the lives of women.
传统的药物滥用治疗方法并不总是考虑到女性或边缘化人群。一种整体方法，解决药物如何被用来应对暴力、贫困和忽视造成的创伤，以及采用与文化相关的支持系统联系人群的参与策略，是关键，特别是在治疗非裔美国女性时。随着非裔美国女性药物滥用率的上升，描述这种情况如何影响或受（如与儿童、亲密伴侣和社会关系）的影响，在有效的治疗背景下尤为重要。这项定性研究的目的是探讨以前参加过基于社会支持的过渡性住房治疗计划的女性中与药物滥用和亲密关系有关的主题。许多女性讨论了该计划本身如何不仅促使她们解决自己的药物使用问题，而且还促使她们解决家庭中的代际药物使用问题。女性还指出，与子女的关系在治疗前与治疗期间和治疗后有很大的不同，特别是强调了积极的改善。关于亲密关系，非裔美国女性学会了建立自信并驾驭更健康的社会关系，同时保持药物戒除。重要的是要承认医疗保健专业人员在确保非裔美国女性获得有效和文化相关的治疗方面的作用；护理课程应包括针对边缘化社区的心理健康和药物滥用的循证实践教育和培训，以更深入地了解药物滥用、贫困和社会关系在女性生活中的复杂交叉点。
