Abstract
Background: In the Republic of Georgia, women comprise under 2% of patients in substance use treatment and to date there has been no empirical research to investigate what factors may facilitate or hinder their help-seeking behaviour or access to treatment services. Methods: This study included secondary analysis of in-depth interviews with 55 substance-using women and 34 providers of health-related services. Results: The roles and norms of women in Georgian society were identified as major factors influencing their help-seeking behaviour. Factors that had a negative impact on use of drug treatment services included an absence of gender-specific services, judgmental attitudes of service providers, the cost of treatment and a punitive legal position in regard to substance use. Having a substance-using partner served as an additional factor inhibiting a woman's willingness to seek assistance. Conclusion: Within the context of orthodox Georgian society, low self-esteem, combined with severe family and social stigma play a critical role in creating barriers to the use of both general health and substance-use-treatment services for women. Education of the public, including policy makers and health care providers is urgently needed to focus on addiction as a treatable medical illness. The need for more women centred services is also critical to the provision of effective treatment for substance-using women.
Original language | English (US) |
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Pages (from-to) | 566-572 |
Number of pages | 7 |
Journal | International Journal of Drug Policy |
Volume | 24 |
Issue number | 6 |
DOIs | |
State | Published - Nov 2013 |
Externally published | Yes |
Keywords
- Barriers
- Republic of Georgia
- Substance abuse
- Treatment policies
- Women
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Health Policy