{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T00:09:43Z","timestamp":1793232583390,"version":"4.5.0"},"reference-count":20,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2012,12,17]]},"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Evidence suggests substance-misusing women (SMW) experience disproportionate sexual health morbidity and poor uptake of interventions including contraception and cervical screening, yet there has been little investigation of sexual health service access issues for this population.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Twenty women with problem drug use in Hastings in South East England, UK participated in a one-to-one interview with a researcher to explore experiences and beliefs surrounding access to a range of sexual health service interventions. Transcripts were open-coded and themes were elicited and organised concerning barriers to access.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Drug-use lifestyles, trauma and low self-worth framed the lives of SMW and hindered sexual health service access through: depleted practical and emotional resources to enable attendance; high perceived emotional cost of discussing sexual histories, and coping with tests and unfavourable results; and low anticipated value of sexual health interventions due to low perception and minimisation of risk and perceived incompatibility between drug use and sexual well-being.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>A range of practical, social and emotional barriers to sexual health service access exist for this population, presenting a context from within which use of services may come at considerable personal cost to SMW. Interventions addressing anticipated stigma and emotional, hygiene and fiscal concerns are warranted for this population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2012-100507","type":"journal-article","created":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T20:53:18Z","timestamp":1359060798000},"page":"258-263","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":32,"title":["Understanding barriers to sexual health service access among substance-misusing women on the South East coast of England"],"prefix":"10.1136","volume":"39","author":[{"given":"Natalie Lois","family":"Edelman","sequence":"first","affiliation":[{"name":"Senior Research Fellow, Centre for Health Research, University of Brighton, Falmer, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harish","family":"Patel","sequence":"additional","affiliation":[{"name":"Consultant in Genitourinary Medicine, Hastings Sexual Health Clinic, Hastings & Rother Primary Care Trust, Hastings, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Glasper","sequence":"additional","affiliation":[{"name":"Clinical Director for Substance Misuse Services, Hastings Substance Misuse Service, Sussex Partnership NHS Foundation Trust, Hastings, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne","family":"Bogen-Johnston","sequence":"additional","affiliation":[{"name":"Research Fellow, Research and Development, Sussex Partnership NHS Foundation Trust, Brighton and Hove, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,1,24]]},"reference":[{"key":"2025090510165534000_39.4.258.1","unstructured":"Department of Health. The National Strategy for Sexual Health and HIV. London, UK: Department of Health, 2001."},{"key":"2025090510165534000_39.4.258.2","unstructured":"Christophers H Mann S Lowbury R . Progress & Priorities \u2013 Working Together for High Quality Sexual Health: Review of the National Strategy for Sexual Health and HIV. London, UK: MedFASH, 2006."},{"key":"2025090510165534000_39.4.258.3","unstructured":"National Treatment Agency for Substance Misuse. General Healthcare Assessment Guidance. 2006. http:\/\/www.nta.nhs.uk\/uploads\/nta_general_healthcare_assessment_guidance.pdf[accessed 6 October 2012]."},{"key":"2025090510165534000_39.4.258.4","doi-asserted-by":"publisher","DOI":"10.1086\/318131"},{"key":"2025090510165534000_39.4.258.5","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2004.009423"},{"key":"2025090510165534000_39.4.258.6","doi-asserted-by":"crossref","unstructured":"Black KI Stephens C Haber PS . Unplanned pregnancy and contraceptive use in women attending drug treatment services. Aust N Z J Obstet Gynaecol 2012; 52:146\u2013150.","DOI":"10.1111\/j.1479-828X.2012.01413.x"},{"key":"2025090510165534000_39.4.258.7","doi-asserted-by":"publisher","DOI":"10.1080\/00952990802585406"},{"key":"2025090510165534000_39.4.258.8","first-page":"614","article-title":"The intersection of violence, substance use, depression, and STDs: testing of a syndemic pattern among patients attending an urban STD clinic","volume":"102","author":"Senn","year":"2010","journal-title":"J Natl Med Assoc"},{"key":"2025090510165534000_39.4.258.9","doi-asserted-by":"crossref","unstructured":"Lincoln AK Liebschutz JM Chernoff M . Brief screening for co-occurring disorders among women entering substance abuse treatment. Subst Abuse Treatm Prev Policy 2006. http:\/\/www.substanceabusepolicy.com\/content\/1\/1\/26 [accessed 6 October 2012].","DOI":"10.1186\/1747-597X-1-26"},{"key":"2025090510165534000_39.4.258.10","first-page":"201","article-title":"Female sexual health problems in a drug dependency unit","volume":"6","author":"Morrison","year":"1995","journal-title":"Int J Sex Trans Dis AIDS"},{"key":"2025090510165534000_39.4.258.11","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2009.1670"},{"key":"2025090510165534000_39.4.258.12","first-page":"20","article-title":"The health and social needs of women who use illicit drugs","volume":"19","author":"Bate","year":"2005","journal-title":"J Community Nurs"},{"key":"2025090510165534000_39.4.258.13","unstructured":"Center for Substance Abuse Treatment. Substance Abuse Treatment: Addressing the Specific Needs of Women [Treatment Improvement Protocol (TIP) Series, No. 51]. Rockville, MD: Substance Abuse and Mental Health Services Administration (US), 2009."},{"key":"2025090510165534000_39.4.258.14","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1080\/09595230701247731","article-title":"The gendered context of initiation to injecting drug use: evidence for women as active initiates","volume":"26","author":"Bryant","year":"2007","journal-title":"Drug Alcohol Rev"},{"key":"2025090510165534000_39.4.258.15","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.drugpo.2007.11.021","article-title":"Different needs: women's drug use and treatment in the UK","volume":"19","author":"Simpson","year":"2008","journal-title":"Int J Drug Policy"},{"key":"2025090510165534000_39.4.258.16","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1080\/10826080601096665","article-title":"Gender differences in drug misuse and related problem behaviours among arrestees in the UK","volume":"42","author":"Holloway","year":"2007","journal-title":"Subst Use Misuse"},{"key":"2025090510165534000_39.4.258.17","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.176.3.285"},{"key":"2025090510165534000_39.4.258.18","unstructured":"Burgess RG . In the Field: An Introduction to Field Research. New York, NY: Routledge, 1984."},{"key":"2025090510165534000_39.4.258.19","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1046\/j.1440-1584.2003.00477.x","article-title":"Contraception practice of women with opiate addiction in a rural setting","volume":"11","author":"Harding","year":"2003","journal-title":"Aust J Rural Health"},{"key":"2025090510165534000_39.4.258.20","doi-asserted-by":"publisher","DOI":"10.1037\/0022-0167.52.2.137"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2012-100507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T17:25:01Z","timestamp":1757093101000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2012-100507"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,24]]},"references-count":20,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2013,9,23]]},"published-print":{"date-parts":[[2013,10]]}},"alternative-id":["10.1136\/jfprhc-2012-100507"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2012-100507","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,24]]}}}