title: Struggling to survive: the experiences of women sexually assaulted while intoxicated.
abstract: Approximately half of all sexual assault cases involve substance abuse or misuse, yet no studies have focused specifically on women who were under the influence of a substance when assaulted. The aim of this study was to explore the experiences of women who were sexually assault while under the influence of a substance. A phenomenological approach was used to gather data using individual, in-depth interviews with women following a sexual assault while intoxicated. Interviews were conducted using open-ended and probing questions to explore participants' life experiences from childhood to the present. The study uncovered a continuous struggle to survive among the participants. Five themes including previous victimization, substance misuse, struggling with feelings, finding support, and struggling to break the cycle were found. This research revealed lives complicated by substance misuse and histories of victimization. Intoxication raises vulnerability and risk for sexual assault. Effective nursing interventions designed to address the women's history of victimization and substance misuse may benefit women sexually assaulted while intoxicated.
authors.affiliation: Assistant Professor, University of Massachusetts, Amherst, USA. kalmakis@nursing.umass.edu
authors.forename: Karen A
authors.initials: KA
authors.lastname: Kalmakis
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000435:Alcoholic Intoxication / Q000451:nursing / Q000523:psychology; D019548:Crime Victims / Q000523:psychology*; D004644:Emotions; D005260:Female; D053604:Forensic Nursing; D006801:Humans; D008875:Middle Aged; D009511:New England; D011902:Rape / Q000523:psychology*; D012944:Social Support; D019966:Substance-Related Disorders / Q000451:nursing / Q000523:psychology