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Suburban Poverty: Barriers to Services and Injury Prevention among Marginalized Women who Use Methamphetamine.

Boeri MW, Tyndall BD, Woodall DR - West J Emerg Med (2011)

Bottom Line: Our findings add to the literature on how healthcare and social services are related to injury prevention.Social service providers in the suburbs were often indifferent to the needs of drug-using women.For these women, health services were accessed primarily at emergency departments (ED).

View Article: PubMed Central - PubMed

Affiliation: Kennesaw State University, Department of Sociology, Kennesaw, GA.

ABSTRACT

Objective: This paper aims to identify the needed healthcare and social services barriers for women living in suburban communities who are using or have used methamphetamine. Drug users are vulnerable to injury, violence and transmission of infectious diseases, and having access to healthcare has been shown to positively influence prevention and intervention among this population. Yet little is known regarding the social context of suburban drug users, their risks behaviors, and their access to healthcare.

Methods: The data collection involved participant observation in the field, face-to-face interviews and focus groups. Audio-recorded in-depth life histories, drug use histories, and resource needs were collected from 31 suburban women who were former or current users of methamphetamine. The majority was drawn from marginalized communities and highly vulnerable to risk for injury and violence. We provided these women with healthcare and social service information and conducted follow-up interviews to identify barriers to these services.

Results: Barriers included (1) restrictions imposed by the services and (2) limitations inherent in the women's social, economic, or legal situations. We found that the barriers increased the women's risk for further injury, violence and transmission of infectious diseases. Women who could not access needed healthcare and social resources typically used street drugs that were accessible and affordable to self-medicate their untreated emotional and physical pain.

Conclusion: Our findings add to the literature on how healthcare and social services are related to injury prevention. Social service providers in the suburbs were often indifferent to the needs of drug-using women. For these women, health services were accessed primarily at emergency departments (ED). To break the cycle of continued drug use, violence and injury, we suggest that ED staff be trained to perform substance abuse assessments and provide immediate referral to detoxification and treatment facilities. Policy change is needed for EDs to provide the care and linkages to treatment that can prevent future injuries and the spread of infectious diseases.

No MeSH data available.


Related in: MedlinePlus

Cycles of barriers to social services and drug use.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC3117602&req=5

f1-wjem12_3p0284: Cycles of barriers to social services and drug use.

Mentions: The stories of these women revealed a cycle of drug use followed by barriers encountered while attempting to access needed social services, followed by more drug use to ease their now increasing pain and suffering. Figure 1 depicts this cycle of barriers to needed services and the drug use that are both causes and consequences of each other in a recursive process.


Suburban Poverty: Barriers to Services and Injury Prevention among Marginalized Women who Use Methamphetamine.

Boeri MW, Tyndall BD, Woodall DR - West J Emerg Med (2011)

Cycles of barriers to social services and drug use.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3117602&req=5

f1-wjem12_3p0284: Cycles of barriers to social services and drug use.
Mentions: The stories of these women revealed a cycle of drug use followed by barriers encountered while attempting to access needed social services, followed by more drug use to ease their now increasing pain and suffering. Figure 1 depicts this cycle of barriers to needed services and the drug use that are both causes and consequences of each other in a recursive process.

Bottom Line: Our findings add to the literature on how healthcare and social services are related to injury prevention.Social service providers in the suburbs were often indifferent to the needs of drug-using women.For these women, health services were accessed primarily at emergency departments (ED).

View Article: PubMed Central - PubMed

Affiliation: Kennesaw State University, Department of Sociology, Kennesaw, GA.

ABSTRACT

Objective: This paper aims to identify the needed healthcare and social services barriers for women living in suburban communities who are using or have used methamphetamine. Drug users are vulnerable to injury, violence and transmission of infectious diseases, and having access to healthcare has been shown to positively influence prevention and intervention among this population. Yet little is known regarding the social context of suburban drug users, their risks behaviors, and their access to healthcare.

Methods: The data collection involved participant observation in the field, face-to-face interviews and focus groups. Audio-recorded in-depth life histories, drug use histories, and resource needs were collected from 31 suburban women who were former or current users of methamphetamine. The majority was drawn from marginalized communities and highly vulnerable to risk for injury and violence. We provided these women with healthcare and social service information and conducted follow-up interviews to identify barriers to these services.

Results: Barriers included (1) restrictions imposed by the services and (2) limitations inherent in the women's social, economic, or legal situations. We found that the barriers increased the women's risk for further injury, violence and transmission of infectious diseases. Women who could not access needed healthcare and social resources typically used street drugs that were accessible and affordable to self-medicate their untreated emotional and physical pain.

Conclusion: Our findings add to the literature on how healthcare and social services are related to injury prevention. Social service providers in the suburbs were often indifferent to the needs of drug-using women. For these women, health services were accessed primarily at emergency departments (ED). To break the cycle of continued drug use, violence and injury, we suggest that ED staff be trained to perform substance abuse assessments and provide immediate referral to detoxification and treatment facilities. Policy change is needed for EDs to provide the care and linkages to treatment that can prevent future injuries and the spread of infectious diseases.

No MeSH data available.


Related in: MedlinePlus