General Beliefs and Stigma Regarding Illicit Drug Use: Perspectives of Family Members and Significant Others of Drug Users in an Inner City in Brazil

Ventura, Carla Aparecida Arena; Carrara, Bruna Sordi; Bobbili, Sireesha J.; Vedana, Kelly Graziani Giacchero; Khenti, Akwatu; Hayashida, Miyeko; Ferreira, Paulo Sérgio

doi:10.1080/01612840.2017.1335362

Cited by 5 publications

(5 citation statements)

References 38 publications

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“…Accordingly, harm reduction interventions based on peer support have a key role in building a therapeutic alliance with people who use drugs [ 54 , 55 ], promoting treatment engagement [ 56 – 58 ], and providing quality care for minority groups [ 59 , 60 ], as harm reduction workers have lived experiences similar to the service users and high levels of empathy. This approach is fundamental since [ 61 ] people who use AOD experience a high level of stigma [ 62 , 63 ] and, as a result, have lower access to treatment in low- and middle-income countries [ 50 , 54 , 57 , 64 ]. A study conducted in 20 countries showed that people from countries with prohibitionist drug policies had lower help-seeking rates compared to countries with relatively liberal drug policy regimes [ 65 ].…”

Section: Discussionmentioning

confidence: 99%

The joy and pain of being a harm reduction worker: a qualitative study of the meanings about harm reduction in Brazil

Pedroso,

Araujo,

Corradi-Webster

2024

Harm Reduct J

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Background Although harm reduction is highlighted as an effective intervention for alcohol and drug use, a funding gap for harm reduction interventions has been identified, mainly in low- and middle-income countries. In these countries, tensions between abstinence and harm reduction models have impaired the shift from punitive practices to evidence-based interventions committed to guaranteeing the human rights of people who use drugs. Since 2015, the Brazilian government has adopted a more punitive and abstinence-focused drug policy that jeopardizes the care of people who use alcohol and other drugs and the comprehension of the harm reduction workers' perspective in relation to their practice. Therefore, this study aimed to comprehend the meanings constructed by Brazilian harm reduction workers regarding their practices with vulnerable populations amidst a context of political tension. Methods We conducted 15 in-depth semi-structured qualitative interviews with harm reduction workers employed in public health services for at least 6 months. Data were analyzed using thematic analysis. Results The thematic axis "The joy and pain of being a harm reduction worker in Brazil" was constructed and divided into four major themes: (1) Invisibility of harm reduction work; (2) Black, poor, and people who use drugs: identification with the service users; (3) Between advocacy and profession: harm reduction as a political act; (4) Small achievements matter. Despite the perceived invisibility of harm reduction workers in the public health and alcohol and drug fields, valuing small achievements and advocacy were important resources to deal with political tension and punitive strategies in Brazil. The findings also highlight the important role of harm reduction workers due to their personal characteristics and understanding of drug use behavior, which bring the target audience closer to actions within the public health system. Conclusion There is an urgent need to acknowledge harm reduction based on peer support as a professional category that deserves adequate financial support and workplace benefits. Additionally, expanding evidence-based harm reduction interventions and community-based voluntary drug use treatment centers should be prioritized by public policies to address the human rights violations experienced by people who use drugs.

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Section: Discussionmentioning

confidence: 99%

The joy and pain of being a harm reduction worker: a qualitative study of the meanings about harm reduction in Brazil

Pedroso,

Araujo,

Corradi-Webster

2024

Harm Reduct J

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“…O preconceito e o estigma referente aos usuários, e aos seus familiares, acentuam a vulnerabilidade das pessoas. Nessa perspectiva, são as populações empobrecidas que vivenciam mais intensamente os problema associados ao contexto de consumo das drogas, como a violência e o tráfico (17) . A assistência social precária e a dificuldade no acesso aos serviços públicos favorecem a ruptura dos laços entre as pessoas e a sociedade.…”

Section: Discussionunclassified

“…Caracterizado pelo processo acumulativo e multidimensional que separa e inferioriza as pessoas, os grupos, as comunidades e os territórios (4,12,15) . A exclusão social coexiste em vários tipos de fenômenos sociais, tais como o desemprego, a marginalidade, o preconceito e o pauperismo (17)(18) .…”

Section: Discussionunclassified

Exclusão social vivenciada por pessoas dependentes de drogas e seus familiares: revisão integrativa da literature

Rodrigues¹,

Cardoso²,

Rêgo³

et al. 2020

SaudColetiv (Barueri)

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Objetivo: investigar a percepção de exclusão social de famílias de usuários de drogas descritos na literatura. Método: Trata-se de uma revisão integrativa da literatura, realizada com base no Protocolo Prisma, nas estratégias de busca Pubmed e BVS, a partir da seguinte questão norteadora: “Quais aspectos da exclusão social são vivenciados por usuários de drogas e seus familiares?”. Os dados foram organizados pelo software Iramuteq®. Resultados: analisaram-se 14 artigos dos quais emergiram duas classes: Relações permeadas pelo estigma e a desconfiança e Estratégias que contribuem para a redução da discriminação e do estigma. Conclusão: os principais aspectos de exclusão vivenciados por usuários de drogas e seus familiares foram: a dificuldade em ter acesso à educação e à cultura, conviver com o desemprego, violência e preconceito, os quais influenciaram negativamente a qualidade de vida desta população.

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“…[4][5][6][7] For the wives of drug addicts, mental health is a major issue. [8][9][10][11][12][13][14][15][16] Wives of drug addicts also often have problems with their social networks, like not being able to get help from others and not being able to keep in touch with family and friends, 10,13,[16][17][18] experiencing violence and persecution, 10,12,17,[19][20][21] experiencing issues related to marital conflict 8, 10,18,22 and experiencing economic strain. 12,[14][15][16][17][22][23][24][25] It is predicted that the wives of drug users will have a negative impact on their overall wellbeing as a result of having to deal with a large number of negative situations.…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional study of Malaysian low-income drug addict wives: Relationship between family impact, coping and mental wellbeing

2022

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Background: The involvement of the husbands in the issue of drug addiction has impacted the wives’ livelihoods. Due to drug addiction amongst husbands, the wives experience stress and strain. The Stress Strain Coping Support Model (SSCS) was established to better comprehend how coping influences stress and strain. Thus, the purpose of this study was to determine the relationship between the stress which refers to family impact experienced by the wives of drug addicts, in terms of economic difficulties and marital conflict, and mental wellbeing. Furthermore, this study examines the role of coping as a mediating factor between family impact and mental wellbeing. Methods: This study involved 132 wives of low-income drug addicts in Malaysia, who were selected using a purposive sampling method. Economic Strain Scale (ESS) and Braiker-Kelly Marital Conflict Scale (BKMCS) were used to measure family impact. Coping and Adaptation Processing Scale Short Form (CAPS-SF) and Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS) were used to measure coping and mental wellbeing of the respective respondents. Results: Path analysis using SmartPLS software version 3.3.7 showed that there is a direct association between family impact and coping, and between coping and mental wellbeing. The results also showed that family impact was associated indirectly with mental wellbeing through coping. Conclusions: The findings benefited drug addict wives and practitioners related to this field in terms of enhancing the use of coping mechanisms in managing family impact and improving mental wellbeing, specifically amongst low-income drug addict wives.

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General Beliefs and Stigma Regarding Illicit Drug Use: Perspectives of Family Members and Significant Others of Drug Users in an Inner City in Brazil

Cited by 5 publications

References 38 publications

The joy and pain of being a harm reduction worker: a qualitative study of the meanings about harm reduction in Brazil

The joy and pain of being a harm reduction worker: a qualitative study of the meanings about harm reduction in Brazil

Exclusão social vivenciada por pessoas dependentes de drogas e seus familiares: revisão integrativa da literature

A cross-sectional study of Malaysian low-income drug addict wives: Relationship between family impact, coping and mental wellbeing

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