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The risk of being ‘too honest’: drug use, stigma and pregnancy

The risk of being ‘too honest’: drug use, stigma and pregnancy

Stengel, Camille ORCID: 0000-0002-8812-7932 (2013) The risk of being ‘too honest’: drug use, stigma and pregnancy. Health, Risk & Society, 16 (1). pp. 36-50. ISSN 1369-8575 (Print), 1469-8331 (Online) (doi:

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In this article, I examine the ways in which risk is constructed and managed by those involved in the pregnancy and childbirth of women who use drugs, including the women themselves. I discuss how constructions of risk influence maternal care outcomes and the understanding of choice, often in the form of stigmatisation. In this article, I draw on data from a qualitative research study that I conducted in 2011 in a western Canada city in which I interviewed 13 pregnant and parenting women who had used drugs during their pregnancy. In this article, I show how the everyday risk construction of pregnancy, labour and delivery is compounded significantly by drug use and the stigmatisation associated with this perceived risk-taking behaviour. The participants in the study often internalised this understanding of risk and this manifested itself in delays in accessing maternal health and social care services. The women in the study had different understandings of risk and these were structured by the women’s own understanding of general risk factors during their pregnancy, as well as their experiences of the constructions of risk and risk management by health and social care professionals. While structural life chances can constrain women’s feelings of self-efficacy, services that promote clients’ ability to make choices can facilitate reduced stigmatisation and facilitate the development of more compassionate and autonomous approaches to risk management.

Item Type: Article
Uncontrolled Keywords: risk; drug use; pregnancy; maternal health and social care; stigma; risk management
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Faculty / School / Research Centre / Research Group: Faculty of Liberal Arts & Sciences
Faculty of Liberal Arts & Sciences > School of Law & Criminology (LAC)
Last Modified: 16 May 2019 11:01

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