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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">“Not on the agenda”: A qualitative study of influences on health services use among poor young women who use drugs in Cape Town, South Africa</title><author><name sortKey="Myers, Bronwyn" sort="Myers, Bronwyn" uniqKey="Myers B" first="Bronwyn" last="Myers">Bronwyn Myers</name><affiliation><nlm:aff id="A1">Alcohol, Tobacco and Other Research Unit, South African Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town 7505, South Africa</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Psychiatry and Mental Health, University of Cape Town, Anzio Road, Observatory, 7900, South Africa</nlm:aff></affiliation></author><author><name sortKey="Carney, Tara" sort="Carney, Tara" uniqKey="Carney T" first="Tara" last="Carney">Tara Carney</name><affiliation><nlm:aff id="A3">Alcohol, Tobacco and Other Research Unit, South African Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town 7505, South Africa</nlm:aff></affiliation></author><author><name sortKey="Wechsberg, Wendee M" sort="Wechsberg, Wendee M" uniqKey="Wechsberg W" first="Wendee M." last="Wechsberg">Wendee M. Wechsberg</name><affiliation><nlm:aff id="A4">RTI International, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Gillings Global School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A6">Psychology in the Public Interest, North Carolina State University, Raleigh, North Carolina, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A7">Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26797188</idno><idno type="pmc">4829448</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4829448</idno><idno type="RBID">PMC:4829448</idno><idno type="doi">10.1016/j.drugpo.2015.12.019</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001E57</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E57</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">“Not on the agenda”: A qualitative study of influences on health services use among poor young women who use drugs in Cape Town, South Africa</title><author><name sortKey="Myers, Bronwyn" sort="Myers, Bronwyn" uniqKey="Myers B" first="Bronwyn" last="Myers">Bronwyn Myers</name><affiliation><nlm:aff id="A1">Alcohol, Tobacco and Other Research Unit, South African Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town 7505, South Africa</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Psychiatry and Mental Health, University of Cape Town, Anzio Road, Observatory, 7900, South Africa</nlm:aff></affiliation></author><author><name sortKey="Carney, Tara" sort="Carney, Tara" uniqKey="Carney T" first="Tara" last="Carney">Tara Carney</name><affiliation><nlm:aff id="A3">Alcohol, Tobacco and Other Research Unit, South African Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town 7505, South Africa</nlm:aff></affiliation></author><author><name sortKey="Wechsberg, Wendee M" sort="Wechsberg, Wendee M" uniqKey="Wechsberg W" first="Wendee M." last="Wechsberg">Wendee M. Wechsberg</name><affiliation><nlm:aff id="A4">RTI International, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709</nlm:aff></affiliation><affiliation><nlm:aff id="A5">Gillings Global School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A6">Psychology in the Public Interest, North Carolina State University, Raleigh, North Carolina, USA</nlm:aff></affiliation><affiliation><nlm:aff id="A7">Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA</nlm:aff></affiliation></author></analytic><series><title level="j">The International journal on drug policy</title><idno type="ISSN">0955-3959</idno><idno type="eISSN">1873-4758</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P2">Poor young women who use alcohol and other drugs (AODs) in Cape Town, South Africa, need access to health services to prevent HIV. Efforts to link young women to services are hampered by limited information on what influences service initiation. We explored perceptions of factors that influence poor AOD-using young women’s use of health services.</p></sec><sec id="S2"><title>Methods</title><p id="P3">We conducted four focus groups with young women (aged 16 to 21) who used AODs and were recruited from two township communities in Cape Town. We also conducted 14 in-depth interviews with health and social welfare service planners and providers. Discussion topics included young women’s use of health services and perceived influences on service use. Qualitative data were analysed using a framework approach.</p></sec><sec id="S3"><title>Results</title><p id="P4">The findings highlighted structural, contextual, and systemic influences on the use of health services by young women who use AODs. First, young women were absent from the health agenda, which had an impact on the provision of women-specific services. Resource constraints and gender inequality were thought to contribute to this absence. Second, gender inequality and stigma toward young women who used AODs led to their social exclusion from education and employment opportunities and health care. Third, community poverty resulted in the emergence of perverse social capital and social disorder that limited social support for treatment. Fourth, the health care system was unresponsive to the multiple service needs of these young women.</p></sec><sec id="S4"><title>Conclusion</title><p id="P5">To reach young women who use AODs, interventions need to take cognisance of young women’s risk environment and health systems need to adapt to respond better to their needs. For these interventions to be effective, gender must be placed on the policy agenda.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9014759</journal-id><journal-id journal-id-type="pubmed-jr-id">21498</journal-id><journal-id journal-id-type="nlm-ta">Int J Drug Policy</journal-id><journal-id journal-id-type="iso-abbrev">Int. J. Drug Policy</journal-id><journal-title-group><journal-title>The International journal on drug policy</journal-title></journal-title-group><issn pub-type="ppub">0955-3959</issn><issn pub-type="epub">1873-4758</issn></journal-meta><article-meta><article-id pub-id-type="pmid">26797188</article-id><article-id pub-id-type="pmc">4829448</article-id><article-id pub-id-type="doi">10.1016/j.drugpo.2015.12.019</article-id><article-id pub-id-type="manuscript">NIHMS752901</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>“Not on the agenda”: A qualitative study of influences on health services use among poor young women who use drugs in Cape Town, South Africa</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Myers</surname><given-names>Bronwyn</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="aff" rid="A2">b</xref><email>bronwyn.myers@mrc.ac.za</email></contrib><contrib contrib-type="author"><name><surname>Carney</surname><given-names>Tara</given-names></name><xref ref-type="aff" rid="A3">c</xref><email>tara.carney@mrc.ac.za</email></contrib><contrib contrib-type="author"><name><surname>Wechsberg</surname><given-names>Wendee M.</given-names></name><xref ref-type="aff" rid="A4">d</xref><xref ref-type="aff" rid="A5">e</xref><xref ref-type="aff" rid="A6">f</xref><xref ref-type="aff" rid="A7">g</xref><email>wmw@rti.org</email></contrib></contrib-group><aff id="A1"><label>a</label>Alcohol, Tobacco and Other Research Unit, South African Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town 7505, South Africa</aff><aff id="A2"><label>b</label>Department of Psychiatry and Mental Health, University of Cape Town, Anzio Road, Observatory, 7900, South Africa</aff><aff id="A3"><label>c</label>Alcohol, Tobacco and Other Research Unit, South African Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town 7505, South Africa</aff><aff id="A4"><label>d</label>RTI International, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC 27709</aff><aff id="A5"><label>e</label>Gillings Global School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA</aff><aff id="A6"><label>f</label>Psychology in the Public Interest, North Carolina State University, Raleigh, North Carolina, USA</aff><aff id="A7"><label>g</label>Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA</aff><author-notes><corresp id="FN1">Corresponding author at: Bronwyn Myers, Alcohol, Tobacco and Other Research Unit, South African Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town 7505, South Africa. <email>bmyers@mrc.ac.za</email>. Telephone: 27-21-938 0993</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>26</day><month>1</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>29</day><month>12</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>4</month><year>2017</year></pub-date><volume>30</volume><fpage>52</fpage><lpage>58</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.drugpo.2015.12.019</pmc-comment>
<abstract><sec id="S1"><title>Background</title><p id="P2">Poor young women who use alcohol and other drugs (AODs) in Cape Town, South Africa, need access to health services to prevent HIV. Efforts to link young women to services are hampered by limited information on what influences service initiation. We explored perceptions of factors that influence poor AOD-using young women’s use of health services.</p></sec><sec id="S2"><title>Methods</title><p id="P3">We conducted four focus groups with young women (aged 16 to 21) who used AODs and were recruited from two township communities in Cape Town. We also conducted 14 in-depth interviews with health and social welfare service planners and providers. Discussion topics included young women’s use of health services and perceived influences on service use. Qualitative data were analysed using a framework approach.</p></sec><sec id="S3"><title>Results</title><p id="P4">The findings highlighted structural, contextual, and systemic influences on the use of health services by young women who use AODs. First, young women were absent from the health agenda, which had an impact on the provision of women-specific services. Resource constraints and gender inequality were thought to contribute to this absence. Second, gender inequality and stigma toward young women who used AODs led to their social exclusion from education and employment opportunities and health care. Third, community poverty resulted in the emergence of perverse social capital and social disorder that limited social support for treatment. Fourth, the health care system was unresponsive to the multiple service needs of these young women.</p></sec><sec id="S4"><title>Conclusion</title><p id="P5">To reach young women who use AODs, interventions need to take cognisance of young women’s risk environment and health systems need to adapt to respond better to their needs. For these interventions to be effective, gender must be placed on the policy agenda.</p></sec></abstract><kwd-group><kwd>young women</kwd><kwd>HIV</kwd><kwd>risk environment</kwd><kwd>structural context</kwd><kwd>substance abuse treatment need</kwd><kwd>gender</kwd><kwd>health services</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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