{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T20:24:22Z","timestamp":1775420662081,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,5,7]],"date-time":"2014-05-07T00:00:00Z","timestamp":1399420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000272","name":"NIHR","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100009128","name":"Research for Patient Benefit Programme","doi-asserted-by":"crossref","award":["PB-PG-0407-13149"],"award-info":[{"award-number":["PB-PG-0407-13149"]}],"id":[{"id":"10.13039\/501100009128","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To report on a survey of sexual health service needs among substance\u2010misusing women attending a substance misuse service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Substance\u2010misusing women carry a disproportionate burden of sexual ill health, yet the range and frequency of their sexual health risks, morbidities and service engagement are poorly understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional survey of a convenience sample of substance\u2010misusing women attending a substance misuse service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From 4 April 2010\u201317 September 2010, substance\u2010misusing women in Hastings &amp; Ore, <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>, were invited to complete a paper questionnaire addressing: drug use; cervical cytology, sexually transmitted infection and <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> screening history; pregnancy history, perceived pregnancy risk and contraceptive advice and supply; sexual activity and assault. Of 91 respondents, 77 attended local drug treatment services \u2013 results comprise analysis of this sub\u2010sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study sample was characterized by long\u2010term opioid and crack cocaine use. Of 53% sexually active in the previous 4\u00a0weeks, 66% perceived they had experienced sexual intercourse that could lead to pregnancy during that time. Fifty\u2010five per cent had been forced to have sex against their will during their lifetime. High rates of sexually transmitted infections, pregnancy termination, miscarriage and abnormal cervical cytology were reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Findings indicate the need to recognize the breadth of elevated sexual health risks and morbidities experienced by substance\u2010misusing women with long\u2010term opioid\/crack use, including those not identifying as intravenous drug users. Poor recall of drop\u2010in and appointment times, reluctance to disclose substance misuse and likelihood of previous sexual assault present significant challenges to nurses, who must take a sensitive, opportunistic approach to referral and provision of sexual health interventions to substance\u2010misusing women.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12442","type":"journal-article","created":{"date-parts":[[2014,5,8]],"date-time":"2014-05-08T02:16:29Z","timestamp":1399515389000},"page":"2861-2870","source":"Crossref","is-referenced-by-count":27,"title":["Sexual health risks and health\u2010seeking behaviours among substance\u2010misusing women"],"prefix":"10.1111","volume":"70","author":[{"given":"Natalie Lois","family":"Edelman","sequence":"first","affiliation":[{"name":"Centre for Health Research University of Brighton Falmer UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harish","family":"Patel","sequence":"additional","affiliation":[{"name":"Hastings Sexual Health Clinic Hastings &amp; 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