Navigating addiction and management: the experience of women with alcohol and other drug use in Assam, North-East India

Background Substance use research in India has traditionally focused on men, leaving women’s experiences underexplored. Women face unique socio-cultural and economic pressures contributing to addiction. In Assam, where alcohol use is integrated into cultural practices and cannabis use rates are high, examining female addiction patterns, impact on their lives and path to recovery is crucial.Methods A qualitative, exploratory study was conducted using in-depth interviews using a semi-structured interview guide with eight women aged 20 to 27 undergoing treatment for alcohol and drug dependency at the New Life Foundation Rehabilitation Center in Margherita, Assam. Purposive sampling was employed, focusing on women aged 15 to 30. Thematic analysis was used to interpret qualitative data.Results The study revealed that addiction among women often stemmed from familial influences, curiosity, and peer pressure. Many participants were unaware of the dangers of substance use before and during use. Community responses were largely negative, offering criticism rather than support.Conclusion Addressing female addiction requires a gender-neutral perspective, targeted policies, and holistic approaches such as family therapy, counseling, and support services like childcare and occupational training. Efforts should focus on education, reducing stigma, and fostering open dialogs to create a more supportive environment for women’s recovery.