TY - JOUR
T1 - Access to treatment for substance-using women in the Republic of Georgia
T2 - Socio-cultural and structural barriers
AU - Otiashvili, David
AU - Kirtadze, Irma
AU - O'Grady, Kevin E.
AU - Zule, William
AU - Krupitsky, Evgeny
AU - Wechsberg, Wendee M.
AU - Jones, Hendrée E.
PY - 2013/11/1
Y1 - 2013/11/1
N2 - 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.
AB - 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.
KW - Barriers
KW - Republic of Georgia
KW - Substance abuse
KW - Treatment policies
KW - Women
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U2 - 10.1016/j.drugpo.2013.05.004
DO - 10.1016/j.drugpo.2013.05.004
M3 - Article
C2 - 23756037
AN - SCOPUS:84890429955
VL - 24
SP - 566
EP - 572
JO - International Journal of Drug Policy
JF - International Journal of Drug Policy
SN - 0955-3959
IS - 6
ER -