title: Social support and recovery among Mexican female sex workers who inject drugs.
abstract: This qualitative study describes social support that female sex workers who inject drugs (FSW-IDUs) receive and recovery efforts in the context of relationships with family and intimate partners. We conducted thematic analysis of in-depth interviews with 47 FSW-IDUs enrolled in an intervention study to reduce injection/sexual risk behaviors in Tijuana, Mexico. FSW-IDUs received instrumental and emotional social support, which positively and negatively influenced recovery efforts. Participants reported how some intimate partners provided conflicting positive and negative support during recovery attempts. Problematic support (i.e., well-intended support with unintended consequences) occurred in strained family relationships, limiting the positive effects of support. Mexican drug treatment programs should consider addressing social support in recovery curricula through evidence-based interventions that engage intimate partners, children and family to better reflect socio-cultural and contextual determinants of substance abuse.
authors: Division of Global Public Health, Department of Medicine, University of California, San Diego School of Medicine, Institute of the Americas, La Jolla, CA 92093-0507, USA.
authors: Sarah P
authors: SP
authors: Hiller
authors: Jennifer L
authors: JL
authors: Syvertsen
authors: Remedios
authors: R
authors: Lozada
authors: Victoria D
authors: VD
authors: Ojeda
mesh_terms: D000328:Adult; D003625:Data Collection; D055317:Evidence-Based Practice; D005195:Family Relations; D005260:Female; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012309:Risk-Taking; D011477:Sex Work / Q000523:psychology*; D060386:Sex Workers / Q000523:psychology*; D012725:Sexual Behavior; D012747:Sexual Partners; D012944:Social Support; D015819:Substance Abuse, Intravenous / Q000453:epidemiology / Q000534:rehabilitation*; D055815:Young Adult
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