Contraceptive choice and power amongst women receiving opioid replacement therapy: qualitative study
Affiliation
King’s College LondonUniversity of New South Wales
University of Bristol
University of Bedfordshire
University of Bath
Issue Date
2021-07-26
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ABSTRACT Background: Women receiving treatment for opioid use disorder have low levels of contraception use and high rates of unintended pregnancies, abortion and children being adopted or fostered. This paper aims to understand the relationship between contraceptive choice and power amongst women receiving Opioid Replacement Therapy (ORT). Methods: During 2016/17, semi-structured interviews were undertaken with 40 women (aged 22–49 years) receiving ORT in the South of England. Data relating to the latent concept of power were inductively coded and analysed via Iterative Categorisation. Findings: The power manifested itself through six interconnected ‘fields’: i. ‘information about fertility and contraception’; ii. ‘access to contraception’; iii. ‘relationships with professionals and services’; iv. ‘relationships with male partners’; v. ‘relationships with sex work clients’; and vi. ‘life priorities and preferences’. Each field comprised examples of women’s powerlessness and empowerment. Even whenwomen appeared to have limited power or control, they sometimes managed to assert themselves. Conclusions: Power in relation to contraceptive choice is multi-faceted and multi-directional, operating at both individual and structural levels. Informed decision-making depends on the provision of clear, non-judgemental information and advice alongside easy access to contraceptive options. Additional strategies to empower women to make contraceptive choices and prevent unplanned pregnancies are recommended.Citation
Neale J, Werthern H, Alhusein N, Chater A, Scott J, Family H (2021) 'Contraceptive choice and power amongst women receiving opioid replacement therapy: qualitative study', Drugs: Education, Prevention, and Policy, 29 (6), pp.655-666.Publisher
Taylor & FrancisAdditional Links
https://www.tandfonline.com/doi/abs/10.1080/09687637.2021.1954599Type
ArticleLanguage
enISSN
0968-7637ae974a485f413a2113503eed53cd6c53
10.1080/09687637.2021.1954599
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