scholarly journals Women who inject drugs: barriers to their access of Needle Exchange services, and gendered experiences

2021 ◽  
Author(s):  
◽  
Kirsten Mary Gibson

<p>This thesis examines the gendered experiences of women who inject drugs, and barriers they face when accessing needle exchange services. Globally, studies suggest women access needle exchange services less than men. In New Zealand, the evidence suggests a similar situation. From the little that is known about women’s experiences in this context, studies are often quantitative, medically-based, or lack the voices of women who inject. This thesis aims to understand the gendered factors affecting the experiences of women who inject drugs. This study is a feminist, qualitative study, and employed semi-structured interviews as the data collection method. Five key participants who had injected drugs and four key informants who work with people who inject drugs were interviewed. The data from the interviews were analysed using thematic analysis.  This study found that stigma presented as an overwhelming, pervasive barrier to the participants, not only in their access to needle exchange services, but also as a harm in other facets of their lives. Additionally, other barriers such as location also affected their access. The data confirms the significance of gender in their experiences and how, within a drugs context, gendered issues mirror wider society. The findings provide a platform for further research in this field and contribute to the academic understanding of a marginalised and stereotyped population. They also support the implementation of women-sensitive initiatives within needle exchange services.</p>

2021 ◽  
Author(s):  
◽  
Kirsten Mary Gibson

<p>This thesis examines the gendered experiences of women who inject drugs, and barriers they face when accessing needle exchange services. Globally, studies suggest women access needle exchange services less than men. In New Zealand, the evidence suggests a similar situation. From the little that is known about women’s experiences in this context, studies are often quantitative, medically-based, or lack the voices of women who inject. This thesis aims to understand the gendered factors affecting the experiences of women who inject drugs. This study is a feminist, qualitative study, and employed semi-structured interviews as the data collection method. Five key participants who had injected drugs and four key informants who work with people who inject drugs were interviewed. The data from the interviews were analysed using thematic analysis.  This study found that stigma presented as an overwhelming, pervasive barrier to the participants, not only in their access to needle exchange services, but also as a harm in other facets of their lives. Additionally, other barriers such as location also affected their access. The data confirms the significance of gender in their experiences and how, within a drugs context, gendered issues mirror wider society. The findings provide a platform for further research in this field and contribute to the academic understanding of a marginalised and stereotyped population. They also support the implementation of women-sensitive initiatives within needle exchange services.</p>


Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2299
Author(s):  
Rachael M. McLean ◽  
Zhengxiu Xie ◽  
Vicky Nelson ◽  
Vili Nosa ◽  
Hla Thein ◽  
...  

People receiving haemodialysis have considerable and complex dietary and healthcare needs, including co-morbidities. A recent New Zealand study has shown that few patients on haemodialysis are able to meet nutritional requirements for haemodialysis. This study aims to describe the perspectives and experiences of dietary management among patients on haemodialysis in New Zealand. This exploratory qualitative study used in-depth semi-structured interviews. Purposive sampling was used to recruit participants from different ethnic groups. Forty interviews were conducted, audio-recorded and transcribed verbatim. An inductive approach was taken using thematic analysis. Forty participants were interviewed. Participants spoke of major disruption to their lives as a result of their chronic kidney disease and being on haemodialysis, including loss of employment, financial challenges, loss of independence, social isolation and increased reliance on extended family. Most had received adequate dietary information, although some felt that more culturally appropriate support would have enabled a healthier diet. These findings show that further support to make the recommended dietary changes while on haemodialysis should focus on socio-cultural factors, in addition to the information already provided.


Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1256
Author(s):  
Kasumi Nishikawa ◽  
Ryuichi Ohta ◽  
Chiaki Sano

Although the demand for general physicians has increased in Japan because of its aging population, medical universities primarily provide organ-based education; thus, medical students do not receive sufficient general medical education. The number of residents focusing on general medicine remains low; therefore, to understand the present situation regarding general medicine education, we attempted to clarify the views of medical students and the factors influencing them. In this qualitative study, semi-structured interviews were conducted in 12 medical students at Shimane University, and the results were analyzed through thematic analysis. The results indicated the emergence of three themes and 14 concepts. The three overarching themes were as follows: hopes for the field of general medicine, gaps between ideal and reality of general medicine, and factors affecting students’ motivation for specialization in general medicine. Medical students had a positive impression of general medicine and believed that it has potential for further development; however, they felt a gap between their ideals and reality (i.e., unclear expertise). Factors creating this gap included poorly developed education and medical policies. We need to restructure general medicine education based on the participants’ perceptions by establishing collaborative curricula between universities and community hospitals and by increasing students’ exposure to general medicine.


2020 ◽  
Vol 30 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Kerri Haggart ◽  
Lindsay Robertson ◽  
Mei-Ling Blank ◽  
Lucy Popova ◽  
Janet Hoek

IntroductionMany smokers who begin using electronic nicotine delivery systems (ENDS) report vaping in settings where they would not have smoked and believe secondhand aerosol (SHA) is simply steam. However, current understanding of how ENDS users differentiate between secondhand smoke and SHA, or how vaping norms develop, is limited.MethodsWe conducted in-depth, semi-structured interviews with 39 current ENDS users (dual users and former smokers, now exclusive ENDS users) from New Zealand to explore participants’ perceptions of SHA. We probed how these perceptions arose and examined implications for vaping practices and policy. We managed the data using NVivo V.11 and used a thematic analysis approach to interpret the transcripts.ResultsParticipants had limited understanding of SHA, its constituents or its possible effects on others. They drew on the absence of harm information, and their sensory experiences and perceptions of others’ views of vaping, to support the conclusion that SHA posed few, if any, risks to bystanders. Yet despite this perception, some felt they should recognise others’ rights to clean air and most would not vape around children to avoid setting an example.ConclusionsIn the absence of trusted information, participants used sensory heuristics to rationalise their ENDS practices. Policy-makers face the challenge of correcting misperceptions about SHA without deterring full transition from smoking to ENDS use. They could consider including vaping in current smoke-free area policies; this measure would signal that SHA is not harmless, and could protect clean-air settings and reduce potential normalisation of vaping among non-smokers.


2011 ◽  
Vol 21 (4) ◽  
pp. 477-495 ◽  
Author(s):  
Gareth Terry ◽  
Virginia Braun

This article examines vasectomy as a gendered practice of (non)reproductive masculinity. Reporting on interview-based data, in which a number of New Zealand men made sense of the operation, this article used critical thematic analysis to extract themes from semi-structured interviews with participants who had vasectomies in ‘typical’ circumstances. Primary themes of ‘taking responsibility’ and ‘vasectomy as an act of minor heroism’ were extracted from the data. We will argue that men constructed their ‘new found’ responsibility (and the heroic slant they added to it) within an ‘economy of gratitude’, meaning any involvement by men in the reproductive/contraceptive sphere is worthy of particular praise and value. While there may be some strategic value in these ideas, they draw upon existing discourses of orthodox masculinities and in this way may perpetuate (rather than challenge) the notion that men are doing something ‘special’ by having a vasectomy. This ‘specialness’ has the potential to ratify ongoing male privilege within heterosexual relationships, rather than the disruption that (at face value) it appears to be generating.


2021 ◽  
Author(s):  
◽  
Julia Mary Thompson

<p>This study explored the factors affecting the nature and extent of the collection of   born digital materials for long-term retention by collecting repositories in New Zealand cultural  heritage institutions, below the national level. This included exploration of selection factors,  limiting and enabling factors affecting activities, preservation and acquisition policies for born  digital materials, preservation procedures, and perceptions of roles and responsibilities. This two  phase, mixed methods study consisted of a broad web survey followed by semi-structured  interviews. The collecting repositories studied hold a range of born digital materials, but in  small quantities. The collection of born digital heritage seems to be a new activity that requires  additional resourcing and skills that are lacking in many of these collecting repositories. Levels  of policy development are low and there is generally a lack of procedures for preserving born  digital materials. However respondents generally perceived that collecting and preserving born  digital materials was part of their role. The study concludes that the  traditionally passive approach to acquisition of many of the collecting archives   studied, combined with a lack of resourcing and expertise, pose a threat to the long term  accessibility of local and regional born digital heritage. Some recommendations for action are  provided.</p>


Author(s):  
Samantha Tang ◽  
Natalie E Anderson ◽  
Kate Faasse ◽  
William P Adams ◽  
Jill M Newby

Abstract Background Breast Implant Illness (BII) is a term used to describe physical and psychological symptoms experienced by some women following breast implant surgery. Few studies have examined the experiences of women with BII – a poorly understood condition with no clear cause or treatment. Objectives To explore women’s experiences of BII, including symptoms, healthcare encounters, social media and explant surgery. Methods Using an exploratory qualitative methodology, researchers undertook semi-structured interviews with twenty-nine women who self-identified as having BII. Interviews were audio-recorded and transcribed verbatim. Data were analyzed using inductive thematic analysis. Results Thematic analysis of the interviews identified six themes: 1. Symptoms without explanation; 2. Invalidation and invisibility; 3. Making the BII connection; 4. Implant toxicity; 5. Explant surgery: solution to suffering?; and 6. Concealed information. BII was described as distressing and debilitating across multiple domains including relationships, work, identity, physical and mental health, and symptoms were attributed to implant toxicity and immune system rejecting foreign objects. When their experience was not validated by health care professionals, many looked to social media for information, support and understanding, and explant as their only chance at recovery. Conclusions BII is disabling mentally and physically. Women with BII require support, understanding, and validation, and proactive treatment to prevent disability. With unclear pathophysiology, future research should examine how biopsychosocial approaches can be used to guide treatment, and how to best support women with BII, focusing on early detection and evidence-based education and intervention.


2021 ◽  
Author(s):  
◽  
Leah Johnston

<p>Research problem: The purpose of this case study was to identify the attitudes of reference archivists at Archives New Zealand towards the use of social media. Analysis of the results aimed to determine whether attitudes expressed were affecting the organization’s current use of social media. Methodology: Thematic analysis was employed to identify themes of attitudes expressed by the archivists during semi-structured interviews. In turn content analysis was undertaken to determine Archives New Zealand’s current use of social media. Results: Analysis of the data showed that archivists were able to see the opportunities that the use of social media could bring. Although some concerns were expressed the overall impression given that it would be used in future but first a strategic plan need be put in place. Implications: Although results provide some insight, as a relatively small study it would be beneficial for further research to be undertaken. Additionally, a similar study of user attitudes would provide a more balanced view of the use of social media at Archives New Zealand.</p>


2021 ◽  
Author(s):  
◽  
Lucy Moss-Mason

<p>This thesis explores the experiences of New Zealanders who order illicit drugs from cryptomarkets, with particular attention to their perspectives on New Zealand’s conventional illicit drug market, the negatives and positives of drug cryptomarkets, and their notable insights and features. Internationally, research on engagement with drug cryptomarkets is emergent. However, peer-reviewed research on New Zealand drug cryptomarket users remains absent. This thesis attempts to begin to fill this gap, exploring the experiences and viewpoints of New Zealand drug cryptomarket users within the context of existing international literature. The study utilised qualitative, semi-structured interviews with 12 New Zealanders who have accessed drug cryptomarkets. The data from the interviews were interpreted through thematic analysis using constructivist grounded theory.  The research found that the constraints of New Zealand’s conventional drug market push some drug consumers to use cryptomarkets to access illicit drugs. Although drug cryptomarkets have various pull factors that attract participants to them, they also have negative aspects which influence participants’ choices and behaviours when accessing cryptomarkets. The findings that are presented give voice to the lived experiences of New Zealanders who access drug cryptomarkets, extend scholarly knowledge of cryptomarket users, and highlight further avenues for research.</p>


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