Motivation for Health Behavior in Women’s Addiction Undergoing Rehabilitation Treatment: A Qualitative Study

Abstract

Background: The number of women addicted to drugs in Thailand has been steadily increasing. Data from 2021 to 2023 indicates an 8% rise in the number of women undergoing drug treatment and rehabilitation. Additionally, last year recorded the highest volume of drug seizures in Southeast Asia, highlighting a significant challenge for coordinated efforts between government agencies and the private sector in addressing the drug crisis. Objectives: To identify positive health behaviors influenced by internal and external factors associated with sexual objectification among women who use drugs. Patients and Methods: This qualitative research explored the experiences of women who use drugs through in-depth interviews with 3 women with substance abuse issues, 3 former addicts working as staff, and 4 healthcare professionals aged 26 to 51 years. The data were thematically analyzed using the health empowerment model and the concept of gender objectification as analytical frameworks. Content analysis was conducted to examine the data. Results: The most important intrinsic motivations influencing the health behaviors of women who used drugs were positive life goals, self-worth, awareness of drug addiction, self-confidence in body appearance, knowledge of nutrition and foods, and prioritizing quality sleep. The most important extrinsic motivations were strong connections with family and society, cultural beauty norms, group exercise, support from family and friends regarding nutrition, medication to aid sleep, and consistent sleep schedules. Conclusions: The integration of the health empowerment model and the objectification awareness model can empower women who use drugs to take ownership of and manage their health. This approach can be translated into improved treatment and care for drug users, ultimately contributing to the development of policies that promote the health and well-being of women who use drugs.