Nowhere to go: How stigma limits the options of female drug users after release from jail

Olphen, Juliana van; Eliason, Michèle J.; Freudenberg, Nicholas; Barnes, Marilyn

doi:10.1186/1747-597x-4-10

Cited by 191 publications

(179 citation statements)

References 31 publications

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“…Empirical research on lay judgments of addictions typically emphasizes public views of alcohol problems or other substance misuse relative to conditions such as schizophrenia, cancer, or AIDS (Corrigan, Kuwabara, & O'Shaughnessy, 2009;Crisp, Gelder, Goddard, & Meltzer, 2005;Switzer & Boysen, 2009). These studies consistently show that greater stigmatization and larger social distance are associated with substance-related addictions compared to other physical or mental diseases (Deng, Li, Sringernyuang, & Zhang, 2007;Link, Phelan, Bresnahan, Stueve, & Pescosolido, 1999;Livingston, Milne, Fang, & Amari, 2012;Lloyd, 2013;Pescosolido et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Social judgments of behavioral versus substance-related addictions: A population-based study

Thege

Colman

el‐Guebaly

et al. 2015

Addictive Behaviors

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Section: Introductionmentioning

confidence: 99%

Social judgments of behavioral versus substance-related addictions: A population-based study

Thege

Colman

el‐Guebaly

et al. 2015

Addictive Behaviors

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“…Formerly incarcerated individuals, who are disproportionately poor compared to the general population, can face additional barriers to securing food stamps, public housing, and employment upon release, 15 which may increase their risk for buprenorphine/naloxone diversion or medication misuse, as a means of generating income. Provider concerns about diversion coupled with the stigma of incarceration 16,17 could promote discriminative practices among health care providers. 18,19 The purpose of this study is to determine whether having a history of incarceration affects primary care based buprenorphine/naloxone treatment response.…”

mentioning

confidence: 99%

Effect of Incarceration History on Outcomes of Primary Care Office-based Buprenorphine/Naloxone

et al. 2010

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BACKGROUND: Behaviors associated with opioid dependence often involve criminal activity, which can lead to incarceration. The impact of a history of incarceration on outcomes in primary care office-based buprenorphine/ naloxone is not known. OBJECTIVE:The purpose of this study is to determine whether having a history of incarceration affects response to primary care office-based buprenorphine/naloxone treatment. DESIGN:In this post hoc secondary analysis of a randomized clinical trial, we compared demographic, clinical characteristics, and treatment outcomes among 166 participants receiving primary care office-based buprenorphine/naloxone treatment stratifying on history of incarceration. MAIN RESULTS:Participants with a history of incarceration have similar treatment outcomes with primary care office-based buprenorphine/naloxone than those without a history of incarceration (consecutive weeks of opioid-negative urine samples, 6.2 vs. 5.9, p=0.43; treatment retention, 38% vs. 46%, p=0.28).CONCLUSIONS: Prior history of incarceration does not appear to impact primary care office-based treatment of opioid dependence with buprenorphine/naloxone. Community health care providers can be reassured that initiating buprenorphine/naloxone in opioid dependent individuals with a history of incarceration will have similar outcomes as those without this history.

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“…These behaviors and conditions were observed in our participants' narratives. Participants engaging in undesirable activities (e.g., drug use, deportation) are often punished, 60 which may increase the risk of victimization or exploitation or may force individuals to return to dangerous situations. 61 Stigmatizing experiences were reported by all participants and have been previously documented in Tijuana.…”

Section: Discussionmentioning

confidence: 99%

Acculturative trajectories descriptions and implications for health among 12 Mexican deported women who inject drugs

Rodriguez-Montejano¹,

Ojeda

Valles-Medina³

et al. 2015

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Introduction. Between 1999-2007, the U.S. deported 4.8 million migrants to Mexico; of these, 1.1 million migrants were deported to the border city of Tijuana, Baja California. Deportees are often returned to unfamiliar communities where they may experience emotional and socioeconomic stressors that may raise their risk for engaging in unsafe behaviors. Objective. This exploratory study describes adaptation to the post-deportation environment among Mexican-born injection drug-using women. Method. In 2008, we conducted qualitative interviews in Tijuana with 12 women reporting U.S. deportation. Our analytic framework focused on acculturation stress, adaptation and social capital in relation to HIV risk, considering a gender perspective. Results. We found that the stress caused by the deportation experience and acclimating to the post-deportation community may have contributed to the women’s participation in high-risk HIV behaviors (e.g., unprotected sex, sex work). Female deportees reported limited access to post-deportation social capital resources (e.g., social support, healthy social networks). Social factors (e.g., discrimination, lack of a government identification) challenged women’s resettlement and likely contributed to economic and health vulnerabilities. Discussion and conclusion. These preliminary findings suggest that deportees may benefit from organized services at repatriation, including mental health screening. Macro-level interventions that address stigma and facilitate deportees’ economic integration may help stem engagement in risk behaviors.

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Nowhere to go: How stigma limits the options of female drug users after release from jail

Abstract: Background: Drug and alcohol using women leaving prison or jail face many challenges to successful re-integration in the community and are severely hampered in their efforts by the stigma of drug or alcohol use compounded by the stigma of incarceration.

Cited by 191 publications

References 31 publications

Social judgments of behavioral versus substance-related addictions: A population-based study

Social judgments of behavioral versus substance-related addictions: A population-based study

Effect of Incarceration History on Outcomes of Primary Care Office-based Buprenorphine/Naloxone

Acculturative trajectories descriptions and implications for health among 12 Mexican deported women who inject drugs

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