The hope well : the lived treatment experiences of African American women with substance misuse issues and their perceptions of culturally competent treatment

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Michelle Chambers (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:
Jay Poole

Abstract: Research suggests that African American Women experience substance use disorders as a result of various social determinants of health which are direct results of historical oppression and structural racism. As a consequence, they do not have successful outcomes compared to their White and/or male counterparts with substance misuse issues. It has been theorized that culturally competent treatment is lacking in this population, perpetuating negative treatment outcomes and chronic health conditions. The purpose of this study was to explore the treatment experiences of African American Women who misuse substances and their perceptions of culturally competent treatment. The research questions that will guide this study are (a) How do structural factors and implicit biases affect the cultural relevance of substance use treatment programs designed for African American Women?; (b) What are the social/well-being needs of African American Women that should be included in substance use treatment Programs?; and (c) How do social determinants of health influence substance use treatment outcomes for African American Women with a substance use disorder? The aim of this study was to explore the lived experiences of African American Women with substance misuse issues and how they viewed culturally competent treatment. The study participants were screened and met the study criteria. They were then interviewed using a structured interview guide, which encompassed the research questions, to explore this phenomenon. The study helps us to better understand what African American Women need in order to have better treatment experiences and identified culturally competent treatment components that were invaluable to all the participants after the data was clustered.

Additional Information

Language: English
Date: 2023
African American, Black, Substance Abuse, Substance Misuse, Treatment, Women
African American women $x Substance use
African American women $x Medical care
Cultural competence

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