Sexual Health

Women's Sexual Health in the Context of Spousal Substance Use Disorder: A Qualitative Study.

TL;DR

Living with a partner with substance use disorder 'threatens women's sexual health and causes multifaceted physical, psychological, and social difficulties.'

Key Findings

Women with partners with SUD experience detrimental impacts on their sexual health across multiple dimensions.

  • Study used a phenomenological qualitative design with in-depth interviews
  • Sample consisted of 15 women whose partners had substance use disorder
  • Data were analyzed using thematic analysis
  • Research was conducted between December 2024 and February 2025
  • Impacts were described as 'multifaceted physical, psychological, and social difficulties'

Thematic analysis identified four overarching themes related to how SUD affects women's sexual health.

  • The four primary themes were: Effects of Addiction on Family Life, Violence, Effects of Addiction on Male Sexuality, and Effects of Addiction on Female Sexuality
  • A total of eight subthemes were also identified beneath these four primary themes
  • Themes collectively reflect the complex interplay among SUD, intimate relationships, and sexual well-being

Violence emerged as a distinct overarching theme in the experiences of women with partners with SUD.

  • Violence was identified as one of four primary themes in the thematic analysis
  • Its inclusion as a standalone theme indicates it was a prominent and recurring element in participants' accounts
  • The study framed violence as part of the broader threat to women's sexual health in this context

SUD in male partners was found to affect both male and female sexuality, each constituting a separate theme.

  • Separate themes for 'Effects of Addiction on Male Sexuality' and 'Effects of Addiction on Female Sexuality' were identified
  • This distinction suggests participants reported observable changes in their partners' sexual behavior as well as their own
  • The separation of these themes highlights bidirectional sexual health consequences within the relationship

The authors concluded that healthcare professionals and policymakers should develop holistic support and intervention programs for women with partners with SUD.

  • The recommendation arose from findings showing widespread physical, psychological, and social difficulties
  • The call for 'holistic' programs reflects the multidimensional nature of the identified harms
  • Both health care professionals and policymakers were specifically identified as responsible parties for action

What This Means

This research suggests that women who live with a partner who has a substance use disorder face serious and wide-ranging harm to their sexual health. Through in-depth interviews with 15 women, researchers identified four major areas of impact: how addiction disrupts family life, exposure to violence, changes in their partner's sexuality, and changes in their own sexuality. The findings paint a picture of relationships where addiction creates an environment that is physically unsafe, emotionally damaging, and sexually harmful for women. The study is notable for highlighting violence as a central and distinct experience for these women, not merely a side issue. It also recognizes that the sexual health consequences flow in multiple directions — affecting both the women themselves and their partners' sexual functioning — suggesting that addiction reshapes the entire intimate dynamic of the relationship. This research suggests that healthcare providers and policymakers need to create comprehensive support programs specifically designed for women in these situations. Because the harms span physical, psychological, and social dimensions, addressing any single aspect in isolation is unlikely to be sufficient. The study points to a gap in current care, where the sexual health needs of women affected by a partner's addiction may be overlooked or inadequately addressed.

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Citation

Tandoğan &, Ak E, Karagözlü B. (2026). Women's Sexual Health in the Context of Spousal Substance Use Disorder: A Qualitative Study.. Journal of psychosocial nursing and mental health services. https://doi.org/10.3928/02793695-20250708-03