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"Like a lots happened with my whole childhood": Violence, trauma, and addiction in pregnant and postpartum women from Vancouver's Downtown Eastside

Overview of attention for article published in Harm Reduction Journal, January 2014
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About this Attention Score

  • Good Attention Score compared to outputs of the same age (74th percentile)

Mentioned by

5 tweeters


36 Dimensions

Readers on

222 Mendeley
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"Like a lots happened with my whole childhood": Violence, trauma, and addiction in pregnant and postpartum women from Vancouver's Downtown Eastside
Published in
Harm Reduction Journal, January 2014
DOI 10.1186/1477-7517-11-34
Pubmed ID

Iris Torchalla, Isabelle A. Linden, Verena Strehlau, Erika Neilson, Michael Krausz


Women living in poor and vulnerable neighbourhoods like Vancouver's Downtown Eastside (DTES) face multiple burdens related to the social determinants of health. Many of them struggle with addiction, are involved in the sex trade and experience homelessness and gender-based violence. Such evidence suggests that psychological trauma is also a common experience for these women. The purpose of this qualitative study was to explore themes and subjective perspectives of trauma and gender-based violence in women who lived in an impoverished neighbourhood and struggled with substance use during pregnancy and early motherhood. We interviewed 27 individuals accessing harm reduction services for pregnant and postpartum women in Vancouver, Canada. Key themes that emerged from these women's narratives highlighted the ubiquity of multiple and continuing forms of adversities and trauma from childhood to adulthood, in a variety of contexts, through a variety of offenders and on multiple levels. Both individual and environmental/structural conditions mutually intensified each other, interfering with a natural resolution of trauma-related symptoms and substance use. Women were also concerned that trauma could be passed on from one generation to the next, yet expressed hesitation when asked about their interest in trauma-specific counselling. In offering harm reduction services for poor and marginalized women, it is clear that an understanding of trauma must be integrated. It is recommended that service providers integrate trauma-informed care into their programme in order to offer this service in a trusted environment. However, it is also necessary to shift the focus from the individual to include environmental, social, economic and policy interventions on multiple levels and from issues of drug use and reduction of drug-related harms to include issues of gendered vulnerabilities and human rights.

Twitter Demographics

The data shown below were collected from the profiles of 5 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 222 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Mexico 1 <1%
Unknown 221 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 38 17%
Student > Bachelor 30 14%
Researcher 27 12%
Student > Ph. D. Student 23 10%
Student > Doctoral Student 22 10%
Other 25 11%
Unknown 57 26%
Readers by discipline Count As %
Psychology 47 21%
Social Sciences 37 17%
Medicine and Dentistry 37 17%
Nursing and Health Professions 22 10%
Arts and Humanities 6 3%
Other 9 4%
Unknown 64 29%

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 October 2017.
All research outputs
of 12,083,330 outputs
Outputs from Harm Reduction Journal
of 448 outputs
Outputs of similar age
of 277,054 outputs
Outputs of similar age from Harm Reduction Journal
of 5 outputs
Altmetric has tracked 12,083,330 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 448 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 18.4. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 277,054 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 74% of its contemporaries.
We're also able to compare this research output to 5 others from the same source and published within six weeks on either side of this one.