Reducing Stigma: Lessons from Opioid-Dependent Women

Howard, Heather

doi:10.1080/1533256x.2015.1091003

Cited by 42 publications

(68 citation statements)

References 21 publications

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“…Stigma. Pregnant and postpartum women with SUDs experience stigma in their encounters with health care providers (Cleveland & Bonguli, 2014;Cleveland & Gill, 2013;Gilchrist et al, 2012;Hall & van Teijlingen, 2006;Howard, 2015;Leppo, 2012;McGlothen et al, 2018;Paterno et al, 2018). Sociologist Erving Goffman (1963), a leading theorist on stigma, defined stigma as "an attribute that is deeply discrediting" (p.…”

Section: Substance Use and Health Care Experiences In Pregnancy And Pmentioning

confidence: 99%

Health Care Encounters of Pregnant and Postpartum Women with Substance Use Disorders

et al. 2019

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The purpose of this review is to describe how pregnant and postpartum women with substance use disorders (SUDs) experience health care encounters in prenatal care, labor and delivery, postpartum, and nursery/neonatal intensive care unit (NICU) settings. Findings from 23 qualitative studies on the topic were synthesized using a metasummary approach. The majority of the studies revealed that pregnant and postpartum women with SUDs tend to experience their health care encounters as conflictual, although some studies revealed that some women experience their health care encounters as supportive. The results of metasummary included a taxonomy of health care encounters. Five types of adverse encounters were identified: judgmental, disparaging, scrutinizing, disempowering, and deficient-care. Three types of beneficial encounters were identified: recovery-based, accepting, and effective-care. The findings suggest the importance of stigma awareness, therapeutic patient-provider communication, patient activation, and integrated care.

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Section: Substance Use and Health Care Experiences In Pregnancy And Pmentioning

confidence: 99%

Health Care Encounters of Pregnant and Postpartum Women with Substance Use Disorders

et al. 2019

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“…Research suggests that many pregnant women with OUD do not seek prenatal health care due to many barriers to care-including stigmatisation by health care providers, fear of prosecution, fear of state child welfare services and loss of custody and/or parental rights, negative health behaviours and poor access to financial resources and transportation [36][37][38]. Previous studies have found that health care provider cultural attitudes and beliefs influence their opinions of, as well as interactions and relationships with, patients with substance use disorders [16,36,[39][40][41]. Feeling dismissed or judged by health care providers discourages women from seeking health care and social services.…”

Section: Relevant Literaturementioning

confidence: 99%

Research and policy priorities for addressing prenatal exposure to opioids in Alaska

Singleton

Slaunwhite

Herrick

et al. 2019

International Journal of Circumpolar Health

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The current opioid crisis in Alaska and the USA will negatively affect the health and wellbeing of future generations. The increasing number of infants born with neonatal opioid withdrawal syndrome (NOWS) has had a profound impact on families, health care providers and the child welfare system. This manuscript summarises the main themes of a Symposium held in Anchorage, Alaska with health care providers, researchers, elders and public health officials that focused on identifying emerging challenges, trends and potential solutions to address the increasing number of infants and children affected by maternal opioid use. Five areas of importance for research and policy development that would direct improvement in the care of infants with NOWS in Alaska are outlined with the goal of supporting a research agenda on opioid misuse and child health across the circumpolar north.

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“…Pregnant women and mothers with substance use problems are even further stigmatized due to the socially sanctioned notion that "good mothers" do not use substances (Reid, Greaves, & Poole, 2008 (Jacobs & Jacobs, 2014), and opioid use (Howard, 2015). Due to the risks associated with prenatal alcohol exposure (i.e., Fetal Alcohol Spectrum Disorders), this stigma may be magnified for women who consume alcohol during pregnancy (Corrigan et al, 2017).…”

Section: Theoretical Perspectives On Women's Substance Usementioning

confidence: 99%

“…Due to the risks associated with prenatal alcohol exposure (i.e., Fetal Alcohol Spectrum Disorders), this stigma may be magnified for women who consume alcohol during pregnancy (Corrigan et al, 2017). Similarly, the stigma attached to women who used prescription opioids during pregnancy may be heightened due to the risk of Neonatal Abstinence Syndrome (Howard, 2015). A series of interviews with women who used opioids during pregnancy revealed that these women encountered strong negative reactions and stigmatization from medical providers during their postpartum care (Howard, 2015).…”

Section: Theoretical Perspectives On Women's Substance Usementioning

confidence: 99%

“…Similarly, the stigma attached to women who used prescription opioids during pregnancy may be heightened due to the risk of Neonatal Abstinence Syndrome (Howard, 2015). A series of interviews with women who used opioids during pregnancy revealed that these women encountered strong negative reactions and stigmatization from medical providers during their postpartum care (Howard, 2015).…”

Section: Theoretical Perspectives On Women's Substance Usementioning

confidence: 99%

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Examining Gendered Treatment Barriers Among People With Substance Use and Co-Occurring Mental Health Problems

Agterberg¹

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Despite the increasing rates of substance use by women, they continue to be underreported in substance use services. Factors related to women's relationships, family responsibilities, and stigma may provide insight into some of the barriers encountered by women. This study compared men and women on general and women-predominant barriers. In addition, this study investigated whether these barriers differed among individuals who use opioids compared to those who use other substances only. In total, 100 self-identifying men and women were recruited from a substance use service in Ontario. Participants completed a questionnaire package which measured demographic information, substance use, mental health and barriers. Although men and women encountered similar general barriers, women experienced significantly more womenpredominant barriers. In addition, women reported higher levels of perceived stigmatization compared to men. Barriers did not differ among individuals who used opioids compared to other substances.

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Reducing Stigma: Lessons from Opioid-Dependent Women

Cited by 42 publications

References 21 publications

Health Care Encounters of Pregnant and Postpartum Women with Substance Use Disorders

Health Care Encounters of Pregnant and Postpartum Women with Substance Use Disorders

Research and policy priorities for addressing prenatal exposure to opioids in Alaska

Examining Gendered Treatment Barriers Among People With Substance Use and Co-Occurring Mental Health Problems

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