Cover Image
QR Code

Structural violence and barriers to pain management during an opioid crisis: accounts of women who use drugs in Nigeria.

Chronic pain management among marginalised populations have been extensively researched in North America, particularly amidst the opioid crisis. But little published research exists on this subject from Africa. This study explored experiences and management of chronic pain among marginalised women i...

Full description

Published in:Health Sociology Review Vol. 31; no. 3; pp. 232 - 247
Main Author: Nelson, Ediomo-Ubong Ekpo
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Nov2022
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159604926&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 159604926
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        14461242
        1H4V
      jtl: Health Sociology Review
      issn: 14461242
      maglogo: N
    pubinfo:
      dt: Nov2022
      vid: 31
      iid: 3
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        159604926
        151294938
        159604926
        159604926
        10.1080/14461242.2021.1950024
        159604926
      ppf: 232
      ppct: 15
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Structural violence and barriers to pain management during an opioid crisis: accounts of women who use drugs in Nigeria.
      aug:
        au: Nelson, Ediomo-Ubong Ekpo
        affil: Centre for Research and Information on Substance Abuse, University Post Office, Uyo, Nigeria
      sug:
        subj:
          Violence
          Pain Management
          Health Services Accessibility
          Opioid Epidemic
          Women Nigeria
          Substance Use Disorders Nigeria
          Chronic Pain Drug Therapy
          Nigeria
          Human
          Health Care Costs
          Stigma
          Communication
          Support, Psychosocial
          Support, Social
          Socioeconomic Factors
          Female
          Qualitative Studies
          Interviews
          Female
      ab: Chronic pain management among marginalised populations have been extensively researched in North America, particularly amidst the opioid crisis. But little published research exists on this subject from Africa. This study explored experiences and management of chronic pain among marginalised women in the context of regulation of opioid prescribing using data from 16 qualitative interviews with women who use drugs (WWUD) in Uyo, Nigeria. Chronic pain was exacerbated by structural and everyday violence that acted to marginalise women and create a context of risk for inadequately managed pain. Participants experienced difficulty accessing biomedical pain management due to structural and systemic barriers, including cost, restrictions on opioid prescribing, stigma and other discriminatory practices, communication barriers and lack of social support. Restrictions on opioid prescribing and systemic discriminations against marginalised WWUD encouraged reliance on informal sources for falsified and substandard medications for pain treatment, which increased the risk of harm. Findings highlight a need for multi-component responses that address structural and systemic barriers to pain management, including improving access to opioid medications.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N