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dc.contributor.authorWerthern, Helena
dc.contributor.authorAlhusein, Nour
dc.contributor.authorChater, Angel M.
dc.contributor.authorScott, Jenny
dc.contributor.authorFamily, Hannah
dc.contributor.authorNeale, Joanne
dc.identifier.citationNeale J, Werthern H, Alhusein N, Chater A, Scott J, Family H (2021) 'Contraceptive choice and power amongst women receiving opioid replacement therapy: qualitative study', Drugs: Education, Prevention, and Policy, (), pp.-.en_US
dc.description.abstractABSTRACT Background: Women receiving treatment for opioid use disorder have low levels of contraception use and high rates of unintended pregnancies, abortion and children being adopted or fostered. This paper aims to understand the relationship between contraceptive choice and power amongst women receiving Opioid Replacement Therapy (ORT). Methods: During 2016/17, semi-structured interviews were undertaken with 40 women (aged 22–49 years) receiving ORT in the South of England. Data relating to the latent concept of power were inductively coded and analysed via Iterative Categorisation. Findings: The power manifested itself through six interconnected ‘fields’: i. ‘information about fertility and contraception’; ii. ‘access to contraception’; iii. ‘relationships with professionals and services’; iv. ‘relationships with male partners’; v. ‘relationships with sex work clients’; and vi. ‘life priorities and preferences’. Each field comprised examples of women’s powerlessness and empowerment. Even whenwomen appeared to have limited power or control, they sometimes managed to assert themselves. Conclusions: Power in relation to contraceptive choice is multi-faceted and multi-directional, operating at both individual and structural levels. Informed decision-making depends on the provision of clear, non-judgemental information and advice alongside easy access to contraceptive options. Additional strategies to empower women to make contraceptive choices and prevent unplanned pregnancies are recommended.en_US
dc.publisherTaylor & Francisen_US
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.subjectdrug useen_US
dc.subjectSubject Categories::L510 Health & Welfareen_US
dc.titleContraceptive choice and power amongst women receiving opioid replacement therapy: qualitative studyen_US
dc.contributor.departmentKing’s College Londonen_US
dc.contributor.departmentUniversity of New South Walesen_US
dc.contributor.departmentUniversity of Bristolen_US
dc.contributor.departmentUniversity of Bedfordshireen_US
dc.contributor.departmentUniversity of Bathen_US
dc.identifier.journalDrugs: Education, Prevention, and Policyen_US
dc.description.note12m embargo from pub date when known

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