It has also been noticed that it is perhaps the stereotype associated with the use ofcondoms as a clandest<strong>in</strong>e or sporadic sexual activity s<strong>in</strong>ce frequently female <strong>drug</strong>addicts use condoms when prostitut<strong>in</strong>g themselves but do not use the same precautionwhen with their <strong>drug</strong> addicted partner(s).However, prostitution, frequent <strong>in</strong> female <strong>drug</strong> addicts, represents another specificrisk factor both because it is often the ma<strong>in</strong> source of <strong>in</strong>come for the women and alsobecause it is a means to ma<strong>in</strong>ta<strong>in</strong> their <strong>drug</strong> addicted partner economically (Serre,1994).A specific aspect reported <strong>in</strong> the literature <strong>in</strong> an attempt to confirm the diversedevelopment of <strong>drug</strong> addicts accord<strong>in</strong>g to their sex is that of the problem of physicaland sexual violence and, <strong>in</strong> general, the distortion of the relationships with<strong>in</strong> theorig<strong>in</strong>al family, factors which are reported as true factors of specific risk (Malagoli,Togliatti, 1993).The characteristics of the multiple problems frequently found <strong>in</strong> the family arehighlighted. Frequently, <strong>in</strong> addition to the problems of <strong>drug</strong> addiction of a parent orbrother/sister, there is also violence and ill-treatment at home, very often at the hand ofthe father figure (Guasti Piovanelli, 1995).Furthermore, nearly all the countries that participated <strong>in</strong> the study reported anoticeable percentage of ill-treatment and sexual <strong>abuse</strong> <strong>in</strong> the case histories of many ofthe <strong>drug</strong> addicted women. The same factor does not seem to apply <strong>in</strong> relation to themale subjects.<strong>Europe</strong>an literature also reports a much higher percentage of suicide attemptsamongst the female <strong>drug</strong> addicts than amongst females of the same age <strong>in</strong> the generalpopulation (Coluccia, Traverso, Ferretti, 1997; Llopis, 1998).One very important detail <strong>in</strong> the comparison of gender is obviously that ofpregnancy and maternity which, not surpris<strong>in</strong>gly, revealed itself to be one of the mostdiscussed subjects <strong>in</strong> the literature of all countries. The depth of reflection, however,was not always satisfactory and it would be hoped that the subject will be dealt with <strong>in</strong>more detail.Tak<strong>in</strong>g <strong>in</strong>to consideration only the respective national health structures, the<strong>Europe</strong>an literature under exam<strong>in</strong>ation underl<strong>in</strong>ed the higher frequency of miscarriagesand abortions amongst female <strong>drug</strong> addicts when compared to the general population.Overall, any <strong>drug</strong> addict is considered to be at high risk, not only regard<strong>in</strong>g the healthof the mother but also that of the foetus (Amar, 1998).The problems related to maternity, whether gynaecological or obstetrical due to thepregnancy or to a desired pregnancy or to the child’s health, help sensitise the womanto problems of a sanitary or social typology more often than the man so that she seeksthe aid of these services more frequently.A bibliographic review has highlighted a specific <strong>in</strong>terest which was noticeable to agreater degree <strong>in</strong> the French contributions regard<strong>in</strong>g the cl<strong>in</strong>ical aspects related to49
pregnancy and the ensu<strong>in</strong>g consequences for the child of the <strong>drug</strong> addict (VennerFourest, 1998).In Germany it has been estimated that there are approximately 40,000 – 50,000children of female <strong>drug</strong> addicts. If, however, the figure is considered <strong>in</strong> relationship tothe presence of <strong>drug</strong> addiction of not only the woman but also of the father, the figurerises to approximately 2,000,000 children with a <strong>drug</strong> addicted parent (Leopold Steffan,1997).International literature has repeatedly reported the negative effects that the <strong>abuse</strong> of<strong>drug</strong>s, alcohol, pharmaceuticals and nicot<strong>in</strong>e have on the foetus – above all,dependence, slower growth, a higher frequency of premature births and a highermortality rate (Enrion, 1995).In particular, tak<strong>in</strong>g <strong>in</strong>to consideration the heavy use of psycho-pharmaceuticals bythe <strong>Europe</strong>an female population, the necessity of a more adequate programme ofsensitization and prevention on the subject is underl<strong>in</strong>ed s<strong>in</strong>ce it is generally not wellknown (Venner, Fourest, 1998).Furthermore, the analysis of the empirical research available on this subject alsohighlights how the major problems reported by the women are not so much related tothe pregnancy but rather to the consequences for the child. This is, above all, because<strong>in</strong> pregnant <strong>drug</strong> addicts it is alarm<strong>in</strong>g to note that they lack a realistic perception of thehigher risks related to pregnancy and the consequences for their child.Although there is a lack of up-to-date and thorough studies analys<strong>in</strong>g thedevelopment of the child of a <strong>drug</strong> addicted mother, the differences that have beennoted concern ma<strong>in</strong>ly the language, the body growth and motility. Nevertheless, theyall seem to agree that there is a normal physical development after the first year of life.It is, however, of <strong>in</strong>terest to note, as corroborated by certa<strong>in</strong> French studies, theimportance of also tak<strong>in</strong>g <strong>in</strong>to consideration the middle – and long-term risks, that is,those related to the environment and life-style beyond and rather than those derived bythe use of the substance (Benassouli, 1993).There is a higher risk, also of consumption, for children com<strong>in</strong>g from families withproblems of dependence between the different generations and the importance ofform<strong>in</strong>g a correct relationship between mother and child is highlighted to favour thesocial and affective development of the child.Thus, <strong>in</strong> this context, the importance of an adequate and more <strong>in</strong>cisive <strong>in</strong>terventionon behalf of the Services should be underl<strong>in</strong>ed. This should be aimed not only at thewell-be<strong>in</strong>g of the child but should also try to sensitise the parents to the possibledamage that <strong>drug</strong> <strong>abuse</strong> has on the child.The problem of maternity is dealt with <strong>in</strong> more or less the same depth <strong>in</strong> all<strong>Europe</strong>an countries concern<strong>in</strong>g the implications for treatment. Indeed, pregnancyfrequently represents a moment <strong>in</strong> which there is a reduction <strong>in</strong> risk behaviour so that50
- Page 1: Women drug abuse in Europe:gender i
- Page 5 and 6: © IREFREA & European CommissionI.S
- Page 7 and 8: ORGANIZATIONS AND NATIONAL RESEARCH
- Page 10 and 11: INDEXPagePreface(by P. Stocco, A. C
- Page 12 and 13: PREFACEThis book presents a series
- Page 14 and 15: female exposes herself to the risk
- Page 16 and 17: DRUG ADDICTION AND MATERNITYActive
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- Page 30 and 31: Thom 1995, Nelson-Zlupko et al, Ett
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- Page 34 and 35: problem. The use of benzodiazepines
- Page 36 and 37: THERAPYThe effectiveness of the dif
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- Page 48 and 49: of female drug addiction with respe
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- Page 59 and 60: (11.7%), or due to indifference (10
- Page 61 and 62: drugs (9.1%). The same two typologi
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- Page 70 and 71: BEST PRACTICES(*)The aim of this pa
- Page 72 and 73: Intervention methods:Network struct
- Page 74 and 75: SPAIN1. Treatment centre for drug a
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- Page 80 and 81: Network contacts:Close co-operation
- Page 82 and 83: For whom:Women with babies.Interven
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- Page 86 and 87: tel.+49 30 6921782fax.+49 30 695061
- Page 88 and 89: 2. Programme for sero-positive drug
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11) Improving the activity of infor
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34) During pregnancy addicted women
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IREFREA:Drug-addiction and gender i
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9) If no, why? (multiple choices)1:
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19) What was the result? (multiple
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• Could you explain the reason of
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38) If your partner used to take dr
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5: danger of diseases ❒ 48.56: ba
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60) Present relationship: (only 1 a
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75) Which were your worries? (multi
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6: drug-addiction ❒ 86.67: prejud
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• How did doctors and the staff b
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LEGAL DIMENSION113) Have you actual
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• Have you ever felt discriminate
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137) How old were you when you real
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BIBLIOGRAPHYAgnoletto V., Cesarani
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Booth, R. et al. (1991) “Intraven
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Cuskey, W (1982) “Female Addictio
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Gatti U., Marugo M. I., Malfatti D.
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Lejeun-E C. (1997) “Prise en char
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Modonutti G.B. (1996) “ Modelli d
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Ravenna M. (1993) Adolescenti e dro
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Swift, W., Copeland, J. Y Hall, W.
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I R E F R E AIREFREA is a european