Abstract

The present study examines how substance-using women in the street sex trade formulate understandings of pregnancy at the intersections of healthcare, social services, and family systems in ways that reflect internalized dominant cultural assumptions about substance use, motherhood, and the street sex trade. Three primary frameworks emerged with respect to pregnancy-related decision-making as prompted by heightened scrutiny, intensified stigma, and prioritization of fetal over maternal wellbeing. Healthcare, social services, and family systems can improve care for pregnant substance-using women in the street sex trade by acknowledging the dynamic interplay between women’s substance use, relationships, and pregnancy-related decision-making as well as the intersectional harms compounded by child custody loss and persistent lack of support to low-income women.

摘要

本研究研究了在街头性交易中使用毒品的妇女如何在医疗保健，社会服务和家庭系统的交汇处形成对怀孕的理解，以反映关于毒品使用，母性和街头性交易的内在主导文化假设。随着严格的审查，加剧的污名化以及胎儿优先于孕产妇福祉的推动，出现了三个与怀孕有关的决策方面的主要框架。医疗保健，社会服务和家庭系统可以通过承认女性吸毒，关系，