Gendered Experiences of Ontological Insecurity Among Women Who Use Drugs and Experience Housing Insecurity: A Critical Narrative Analysis

Introduction: Research has established that experiences of substance use and housing insecurity leads to violence, alienation, and health deterioration for women. However, no literature has assessed how the gendered nature of substance use and housing insecurity influence the ontological insecurity of women. This paper examines the relationship between ontological insecurity, substance use, and housing insecurity for women. We provide considerations for the theorization of ontological (in)security to account for gender. Methods: Feminist-informed interviews were conducted with 20 women who were clients of a safer supply program located in Kitchener-Waterloo, Ontario. Interviews took place in person, were audio-recorded, and transcribed. Interviews focused on women's experiences of substance use and housing insecurity across their lives. Data analysis was guided by a feminist re-reading of the theory of ontological security. All women completed a socio-demographic questionnaire. Results: Most women were aged between 22 and 43 (n = 11), with nine being over the age of 44. Fifteen women identified as white, with five identifying as First Nation, Indigenous, or Metis. Ten women resided in supportive housing units, five resided in transitional housing units, social service agency run motels, or in the private rental market, and five resided in tents or encampments. Women shared how gendered experiences of substance use and housing insecurity, which were associated with trauma and violence, contributed to perceptions of ontological insecurity. Dimensions of ontological insecurity which were discussed by women included a disrupted sense of self, instability, and a loss of autonomy. Conclusion: Our results demonstrate how mechanisms of ontological insecurity for women who use drugs and experience housing insecurity are engrained in the gendered structuring of society. These findings suggest that the current theorization of ontological (in)security is insufficient in examining complete mechanisms which promote ontological security or insecurity for women. Future work which explores ontological (in)security must consider the gendered ordering of society.