ABSTRACT

Women engaged in street-level prostitution (SLP) report high treatment recidivism rates and worse substance use treatment outcomes compared to other treatment-seeking women. Even so, few efforts have been made to understand or address the treatment needs of this population. This qualitative study recruited 15 women with histories of SLP, who have sought substance use treatment previously to directly explore their prior treatment experiences, barriers, and desires. An Inductive Content Analysis was utilized to interpret qualitative data and identify emergent themes within respondent’s accounts. Participants experienced significant barriers to substance use treatment including judgment, stigma and limitations of treatment at supporting their salient treatment desires. Social connection that can be facilitated through substance use treatment appeared to be uniquely valuable, possibly related to social isolation commonly reported among this population. Current findings offer initial guidance toward future research questions and intervention development efforts.

摘要

与其他寻求治疗的妇女相比，从事街头卖淫 (SLP) 的妇女报告了较高的治疗再犯率和较差的药物滥用治疗结果。即便如此，很少有人努力了解或解决这一人群的治疗需求。这项定性研究招募了 15 名有 SLP 病史的女性，她们之前曾寻求过药物滥用治疗，以直接探索她们之前的治疗经历、障碍和愿望。归纳内容分析用于解释定性数据并确定受访者帐户中的新兴主题。参与者在物质使用治疗方面遇到了重大障碍，包括判断、耻辱和治疗在支持他们突出的治疗愿望方面的局限性。可以通过物质使用治疗促进的社会联系似乎具有独特的价值，可能与该人群中普遍报道的社会孤立有关。当前的研究结果为未来的研究问题和干预开发工作提供了初步指导。