Substance Abuse Among Homeless Women: A Case Study

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Substance abuse is a wide-reaching issue affecting millions of people worldwide. It is an issue particularly troublesome for members of an oppressed class, in this case homeless women, as examined by the authors (Wenzel et al, 2009) in the article. Nearly 50% of homeless women reported drug use, and 32% of them reported binge drinking in Los Angeles, compared to 16% and 17% for drug use and binge drinking among women occupying a low-income house (p. 16). When examining the nature of the substance abuse among homeless women, the authors (2009) approach the matter using the ecological perspective. This method allows them to examine the substance abusers within their own social context. They specifically target the homeless women’s social networks, defined in the article as naturally occurring groups within which members may influence each other’s behavior through social comparison, social sanction and rewards, and information exchange (p. 17). The authors cite the important connection between social networks and substance abuse, and give an example where association with employed persons seems to be a protective factor against drug use, among African-Americans in Baltimore (p. 17). This concept can work both ways however, as a negative association—such as an abusive sexual partner—can be a risk factor, encouraging further drug and alcohol use (p. 17). It is with this ecological context-based approach that the authors conduct their study. The program consisted of 445 randomly selected homeless women (p. 17). The women were considered eligible if they were at least 18, had sex with a male partner in the last six months, spoke and understood English, and did not have significant cognitive impairments (p. 17). The women... ... middle of paper ... ...ers came from the women and not the alters themselves. This could be a problem because the responses could possibly be biased towards the expectations of the respondent (p. 22). Even with the study’s shortcomings, it illuminates an important need to not only focus on the individual when dealing with substance abuse, but to take a more holistic approach and deal with many different factors. The environment around the individual plays an important role in whether he—or in this case, she—will abuse substances. While the study specifically focuses on the effects of a woman’s social network, it notes the importance of positive ancillary support such as stable housing and enhanced employment opportunities (p. 21). These supportive factors increase the odds of forging stronger positive and healthier relationships, and thus reducing the probability of substance abuse.

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