Sociocultural aspects of drug dependency during early pregnancy and considerations for screening: Case studies of social networks and structural violence

Sánchez-Sauco, Miguel Felipe; Villalona, Seiichi; Ortega-García, Juan Antonio

doi:10.1016/j.midw.2019.07.017

Cited by 5 publications

(6 citation statements)

References 30 publications

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“…The eight studies that met the inclusion criteria were published between 2010 and 2021. Two were from Spain [ 30 , 31 ] and two from France [ 32 , 33 ], and one each was from Ukraine [ 34 ], Russia [ 35 ], the three countries Sweden, Portugal, and Germany [ 36 ], and the UK [ 37 ]. Seven studies used a qualitative method design; one study used a mixed (qualitative and quantitative) design.…”

Section: Resultsmentioning

confidence: 99%

“…The Sánchez-Sauco et al study ( n = 10) used a socio-cultural approach (including socio-economic status) to examine socio-cultural influences on perinatal drug dependency among pregnant women. The results indicate that there was criminalization and stigmatization associated with addiction, and that the women experienced multi-layered social barriers when seeking rehabilitation services [ 31 ]. Similarly in Spain, the study by Rodríguez-Martínez and Cuenca-Piqueras ( n = 32) investigated how sexual harassment in the workplace intersected with other forms of direct and indirect violence among undocumented migrant women who were domestic and sex workers.…”

Section: Resultsmentioning

confidence: 99%

“…The review findings reported here also indicate that there was no uniformity in the theorization of SV, which in itself is why the studies in the review mostly used a qualitative design. The majority of studies conceptualized SV in terms of discrimination and racism [ 32 , 33 , 34 , 36 ] but socio-cultural status and community deprivation [ 31 , 37 ], power relations in violent victimization [ 30 ] and policing strategies [ 35 ] were also part of the conceptualization.…”

Section: Discussionmentioning

confidence: 99%

“…Sanchéz-Sauco et al conceptualized SV in socio-cultural terms [ 31 ] and it was argued that, from a socio-cultural perspective, some individuals or groups are likely to face additional health risks on account of cultural values set by the dominant majority. In such contexts, there is a risk of potential perpetuation of stigmatization, marginalization, loss or devaluation of language and cultural practices, as well as less accessibility to culturally appropriate services including health care [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…In such contexts, there is a risk of potential perpetuation of stigmatization, marginalization, loss or devaluation of language and cultural practices, as well as less accessibility to culturally appropriate services including health care [ 42 ]. Sanchez-Sauco and colleagues found that criminalization and stigmatization of addiction were social barriers experienced by drug-dependent women when seeking rehabilitation services [ 31 ]. According to some, cultural inequality does not create economic inequality but rather, widens and legitimizes it [ 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

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Structural Violence and Health-Related Outcomes in Europe: A Descriptive Systematic Review

Macassa

McGrath

Rashid

et al. 2021

IJERPH

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In recent years, there has been a revival of the term “structural violence (SV)” which was coined by Johan Galtung in the 1960s in the context of Peace Studies. “Structural violence” refers to social structures—economic, legal, political, religious, and cultural—that prevent individuals, groups and societies from reaching their full potential. In the European context, very few studies have investigated health and well-being using an SV perspective. Therefore, this paper sought to systematically and descriptively review studies that used an SV framework to examine health-related outcomes across European countries. The review included two studies each from Spain and France, one each from the UK, Ukraine and Russia, and another study including the three countries Sweden, Portugal and Germany. With the exception of one mixed-method study, the studies used a qualitative design. Furthermore, the eight studies in the review used different conceptualizations of SV, which indicates the complexity of using SV as a concept in public health in the European context. Future research that attempts to identify and standardize measures of SV is needed; the knowledge gained is hoped to inform appropriate interventions aiming to reduce the effects of SV on population health.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Structural Violence and Health-Related Outcomes in Europe: A Descriptive Systematic Review

Macassa

McGrath

Rashid

et al. 2021

IJERPH

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The social support systems of mothers with problematic substance use in their infant's first year

Tsantefski

Briggs

Griffiths³

2023

Child & Family Social Work

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The infants of women with histories of problematic alcohol and other drug use are among the most vulnerable children known to statutory child protection services, which they enter at a younger age, and in which they remain longer. The net results include overwhelmed child protection systems and the birth of subsequent children conceived to ease women's grief at the loss their infants. Without adequate and appropriate support to the mother and her family, the pattern repeats. Obstetric services have an important role to play in the assessment of risk and protective factors in the perinatal period and in determining pathways to service provision. A comprehensive assessment considers the availability and quality of informal support prior to activation of formal systems of support, both statutory, where engagement is mandated, and non‐statutory, where support is offered on a voluntary basis. This paper uses quantitative methods to explore the social networks of women with problematic substance use in the transition to motherhood and the relationship between formal and informal support systems and infant outcomes. Surveys were held with two counsellors from the Women's Alcohol and Drug Service (WADS), a specialist obstetric clinic in Melbourne, Australia, and with 18 child protection workers. In addition, the Norbeck Social Support Questionnaire (Norbeck, 1984; Norbeck et al., 1983) was administered with 20 participating mothers to measure levels of formal and informal support, as well as the type and quality of support available to mothers over a 12‐month period, and to consider the provision of social support against known outcomes for infants. The findings demonstrate that WADS counsellors made several referrals for most women but that there was little in the way of long‐term follow‐up by non‐statutory service providers, with most women experiencing a dramatic drop in support over the 12‐month period. Women whose main informal support was from a domestically violent partner, and those who had been in out‐of‐home care in their own childhood, were particularly vulnerable to losing the care of their infant. The role of child protection varied markedly across the 12‐month period, particularly in relation to the extent that a relationship between formal and informal systems of support for mothers and their infants could be established. Overall, the study findings demonstrate that mothers experienced diminishing formal and informal support over time and that the quality of social support available to the mother was more important in terms of outcomes for women and their infants than the quantity.

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Subjective well-being, happiness, and environmental health factors related to women planning a pregnancy or pregnant, using mobile health intervention

Ortega-García,

Sánchez-Sauco,

Zafra-Rodríguez

et al. 2023

DIGITAL HEALTH

Self Cite

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Objectives To compare the environmental health results in women trying to get pregnant or pregnant using a mobile health application (Green Page) through healthcare professionals or self-completed by women, and to explore the relationship between the subjective well-being of these women with their lifestyles and environmental factors. Methods A descriptive study with mixed methods was conducted in 2018. A mobile health survey was used in two phases. Phase 1 was a cross-sectional study through professionals ( n = 1100) followed by phase 2, a convenience sampling through women's self-reporting ( n = 3425). A personalized report was downloadable with health recommendations for the well-being of the mother and child. Results Of the 3205 participants (mean age = 33 years, SD = 0.2 years), 1840 were planning a pregnancy and 1365 were pregnant. One in five pregnant women had a low level of happiness. Globally, subjective well-being and happiness were found to be negatively associated with lack of contact with nature, sedentary lifestyle, excess weight, environmental exposure, and older age in pregnancy. Precisely 45%, 60%, and 14% of women were exposed to tobacco, alcohol, and illegal drugs, respectively. The women self-reported levels of risk factors higher than when the tool was used by or through professionals. Conclusions The use of mobile health interventions focused on environmental health during planning or pregnancy periods could help improve the quality of healthcare and foster greater involvement of women in their self-care process, thus promoting empowerment, healthier environments, and lifestyles. Ensuring equity of access and data protection are global challenges to be addressed.

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Sociocultural aspects of drug dependency during early pregnancy and considerations for screening: Case studies of social networks and structural violence

Cited by 5 publications

References 30 publications

Structural Violence and Health-Related Outcomes in Europe: A Descriptive Systematic Review

Structural Violence and Health-Related Outcomes in Europe: A Descriptive Systematic Review

The social support systems of mothers with problematic substance use in their infant's first year

Subjective well-being, happiness, and environmental health factors related to women planning a pregnancy or pregnant, using mobile health intervention

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