Sociocultural aspects of drug dependency during early pregnancy and considerations for screening: Case studies of social networks and structural violence

Sánchez-Sauco, Miguel F.; Villalona, Seiichi; Ortega-García, Juan A.

Publication:
Sociocultural aspects of drug dependency during early pregnancy and considerations for screening: Case studies of social networks and structural violence

dc.contributor.author	Sánchez-Sauco, Miguel F.
dc.contributor.author	Villalona, Seiichi
dc.contributor.author	Ortega-García, Juan A.
dc.contributor.department	Cirugía, Pediatría y Obstetricia y Ginecología
dc.coverage.spatial	Spain	es
dc.coverage.temporal	2015-2016	es
dc.date.accessioned	2024-02-02T08:19:45Z
dc.date.available	2024-02-02T08:19:45Z
dc.date.issued	2019
dc.description	© 2019 Elsevier Ltd. All rights reserved.	es
dc.description.abstract	Objective To contribute in closing the current gap in literature that holistically examines sociocultural influences on perinatal drug dependency. This article draws from social network theory and structural violence to qualitatively consider the contextual components of addiction and substance use during pregnancy, which purposefully moves away from situating this issue from solely being within the contexts of pathologized disorders or products of social inequalities. Design Face-to-face semi-structured interviews with drug-dependent pregnant women identified during a reproductive environmental health consultation. Setting Interviews were conducted at a university hospital in southeastern Spain between October 2015 and June 2016. Participants 10 pregnant women with confirmed perinatal substance use and/or drug dependency. Findings The sociocultural perspective offers a useful lens by which providers can understand the reasons for initial substance use and progress of multi-drug dependency as way of individually tailoring intervention strategies for expecting mothers. This perspective draws from the frameworks of social network analysis (SNA) and structural violence to dialectically examine drug dependency in this unique patient population not to be solely an individual occurrence, but rather a combination of macro and micro-level factors at play. Key Conclusions The sociocultural approach in examining maternal health allows for the holistic exploration of the already taboo and symbolically paradoxical phenomenon of drug dependency in pregnant women. Implications for Practice The “Hoja Verde” and similar perinatal screening methods that comprehensively assess for the potential of environmental risks can be a key instrument in the practice of preventing developmental issues of children as early as pregnancy and into adolescence.	es
dc.format	application/pdf	es
dc.format.extent	8	es
dc.identifier.citation	Midwifery 78 (2019), 123–130
dc.identifier.doi	https://doi.org/10.1016/j.midw.2019.07.017
dc.identifier.issn	0266-6138
dc.identifier.uri	http://hdl.handle.net/10201/138512
dc.language	eng	es
dc.relation	Nacer & Crecer sin OH Project, Spanish National Plan on Drugs, Ministry of Health, Social Services and Equality, Madrid, Spain. The grant MD001452 from the National Center on Minority Health and Health Disparities of the National Institutes of Health	es
dc.relation.publisherversion	https://www.sciencedirect.com/science/article/pii/S0266613819301949#abs0002	es
dc.rights.accessRights	info:eu-repo/semantics/restrictedAccess
dc.subject	Pregnancy	es
dc.subject	Substance use	es
dc.subject	Drug dependency	es
dc.subject	Structural violence	es
dc.subject	Social networks	es
dc.title	Sociocultural aspects of drug dependency during early pregnancy and considerations for screening: Case studies of social networks and structural violence	es
dc.type	info:eu-repo/semantics/article	es
dspace.entity.type	Publication	es