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居住在豪登省茨瓦内市注射恩亚佩的女性的经历。

Experiences of women who inject Nyaope residing in the City of Tshwane Municipality, Gauteng.

作者信息

Lefoka Moganki H, Netangaheni Robert T

机构信息

Department of Family Medicine, Faculty of Health Sciences, University of Pretoria, Tshwane, South Africa.

Department of Health Studies, Faculty of Human Sciences, University of South Africa, Tshwane, South Africa.

出版信息

Health SA. 2025 May 22;30:2760. doi: 10.4102/hsag.v30i0.2760. eCollection 2025.

Abstract

BACKGROUND

Substance use disorder (SUD) is a serious public health concern in South Africa and throughout the world. Substance use disorder manifests itself as repeated use of a substance causes health problems and social dysfunction, such as health issues, impairment and failure to meet obligations. People who inject drugs (PWIDs) are a particularly vulnerable population with high rates of illness and early deaths. The experiences of women who inject Nyaope (WWIN) are not well understood because they are not often the subject of studies. Therefore, it is important to understand the experience of WWIN in order to understand their needs.

AIM

This study explored the experiences of WWIN who reside in the City of Tshwane Municipality, Gauteng.

SETTING

The study was conducted in the Community-Oriented Substance Use Programme.

METHODS

A qualitative research method using exploratory and descriptive designs was employed. Twenty-four women, ages from 19 years - 35 years, with a history of injecting Nyaope were interviewed using a semi-structured interview guide. Data were analysed thematically.

RESULTS

Women who inject Nyaope engage in high-risk behaviours such as sex work, transactional sex, inconsistent condom use and sharing of needles. They further experience stigma in different social settings, like family, community, health settings and with the police, and they also self-stigmatise. They experience a variety of unmet needs.

CONCLUSION

Women who inject Nyaope engage in high-risk behaviour and experience stigma across social settings, including self-stigma, and because of their lifestyle, they have a variety of unmet needs.

CONTRIBUTION

There is a scarcity of literature on WWIN in a South African context. The findings add to the existing literature on WWIN.

摘要

背景

物质使用障碍(SUD)是南非乃至全球严重的公共卫生问题。物质使用障碍表现为反复使用某种物质导致健康问题和社会功能障碍,如健康问题、功能受损及无法履行义务。注射毒品者(PWIDs)是特别脆弱的人群,疾病发生率和早亡率很高。注射“尼亚奥佩”毒品的女性(WWIN)的经历尚未得到充分了解,因为她们不常成为研究对象。因此,了解WWIN的经历对于了解她们的需求很重要。

目的

本研究探讨了居住在豪登省茨瓦内市的WWIN的经历。

背景

该研究在社区导向型物质使用项目中开展。

方法

采用探索性和描述性设计的定性研究方法。使用半结构化访谈指南对24名年龄在19岁至35岁之间、有注射“尼亚奥佩”毒品史的女性进行了访谈。对数据进行了主题分析。

结果

注射“尼亚奥佩”毒品的女性从事高风险行为,如性工作、交易性行为、不坚持使用避孕套和共用针头。她们在不同社会环境中,如家庭、社区、医疗机构和面对警察时,还会遭受耻辱感,并且她们也会自我污名化。她们有各种各样未得到满足的需求。

结论

注射“尼亚奥佩”毒品的女性从事高风险行为,在包括自我污名化在内的各种社会环境中都遭受耻辱感,并且由于她们的生活方式,她们有各种各样未得到满足的需求。

贡献

在南非背景下,关于WWIN的文献匮乏。这些研究结果丰富了关于WWIN的现有文献。

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