Evidence map›Paper›PMID 30400951›Full record

ArticleHarm reduction journal2018

Study of human rights violations faced by women who use drugs in Estonia.

Arune Kontautaite, Daria Matyushina-Ocheret, Maria Plotko, Mikhail Golichenko, Mart Kalvet, Lena Antonova

Abstract read
In one paragraph

Article in Harm reduction journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. People who use drugs and the right to health.Harm reduction journal · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Arune KontautaiteEurasian Harm Reduction Association (EHRA), Verkiu St. 34b, 7 Fl., LT-09108, Vilnius, Lithuania. karunek@gmail.com.
Daria Matyushina-OcheretEurasian Harm Reduction Association (EHRA), Verkiu St. 34b, 7 Fl., LT-09108, Vilnius, Lithuania.
Maria PlotkoEurasian Harm Reduction Association (EHRA), Verkiu St. 34b, 7 Fl., LT-09108, Vilnius, Lithuania.
Mikhail GolichenkoCanadian HIV/AIDS Legal Network, 40 Bay Street, Suite 600, Toronto, Ontario, M5R 2A7, Canada.
Mart KalvetEstonian Association of People Who Use Psychotropic Substances (LUNEST), Pärnu Maantee 130-25, 11317, Tallinn, Estonia.
Lena AntonovaEstonian Association of People Who Use Psychotropic Substances (LUNEST), Pärnu Maantee 130-25, 11317, Tallinn, Estonia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEstonia continues to have the highest prevalence of HIV among people who inject drugs, and the highest overdose mortality, in the European Union. In August 2017, the Eurasian Harm Reduction Association (EHRA), the Canadian HIV/AIDS Legal Network (CHALN), and the Estonian Association of People Who Use Psychotropic Substances (LUNEST) conducted a study in Estonia to assess the situation regarding the human rights of women who use drugs and/or living with HIV.

methodsThe research methodology, developed by EHRA and CHALN, comprised in-depth interviews with 38 drug-dependent women conducted between August 8 and 14, 2017, in Tallinn and Ida-Viru county. The interviews were transcribed, and 37 were analyzed using thematic content analysis.

resultsThe study has documented widespread violations of parental rights (removal of children because of their mother's inability to cease drug use and barriers to regaining custody), violations of the right to health (the failure to provide quality drug and HIV treatment, and the disclosure of medical data, including HIV status and opioid substitution treatment (OST) records), the violation of labor rights due to drug use, arbitrary arrest, street drug testing, and violations of the right to a fair trial. A number of women have experienced repeated cases of gender-based violence but have had no access to psychosocial support, shelters, or other protection or rehabilitation measures.

conclusionsOur findings suggest that punitive drug laws and their enforcement practices, the lack of gender-specific drug treatment facilities, combined with stigma related to drugs and HIV, are the main drivers of systematic and serious violations of the human rights of women who use drugs or who are drug dependent. Stigma and human rights violations undermine Estonia's efforts in HIV prevention, care, and treatment, and its overall efforts to respect, protect, and fulfill the right to health of women who use drugs or who are drug dependent. For these reasons, the Government of Estonia should address a variety of issues related to the protection of human rights of this vulnerable population group.

Indexed as

AdultAge DistributionEstoniaFemaleHIV InfectionsHuman Rights AbusesHumansInterpersonal RelationsMiddle AgedParentsPolicePrisonsSubstance Abuse, IntravenousWomen's RightsDrug policyEstoniaGender-based violenceGender-sensitive servicesHarm reductionHIVHuman rightsParental rightsWomen who use drugs

Identifiers

PMID30400951
PMCPMC6220502

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.