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Contextual risk and psychosocial profiles of opioid-using mothers : a mixed-methods study
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Beltrán-Arzate, Karina, Hodson, Kevin, Tes, Haley K., Bowyer, Sarah-Anne H., Ratliff, Hollis C, Abraham, Michael M., Johnson, Elizabeth, Harris, Malinda and Jaekel, Julia (2021) Contextual risk and psychosocial profiles of opioid-using mothers : a mixed-methods study. Women’s Health, 17 . doi:10.1177/17455065211060624 ISSN 1745-5065.
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WRAP-contextual-risk-psychosocial-profiles-opioid-using-mothers-Jaekel-2021.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons: Attribution-No Derivative Works 4.0. Download (290Kb) | Preview |
Official URL: https://doi.org/10.1177/17455065211060624
Abstract
Introduction:
There is an increase in cases of mothers using opioids during pregnancy in the United States but research investigating mothers’ psychosocial environments along with individual variability among this high-risk group of women is scarce.
Methods:
This mixed-methods study aims to examine the complex interplay of contextual risks and experiences of opioid-using mothers. A sample of 50 opioid-using biological mothers of infants diagnosed with neonatal opioid withdrawal syndrome (NOWS) were studied using a set of standardized and open-ended questions, along with medical records extraction.
Results:
A high-risk subgroup of 36 mothers was identified using cluster analysis, characterized by a distinct profile of psychosocial risk. Thematic content analysis revealed four themes: (1) barriers to communication and mistrust of health professionals, (2) limitations of access to health care and the amplification of disadvantages related to COVID-19, (3) lifelong consequences of adverse childhood experiences (ACEs), and (4) intimate partner violence and its influence on drug use.
Conclusion:
Our findings highlight important information toward health services provision for opioid-using women of childbearing age. Efforts to reduce opioid usage in mothers need to consider psychosocial and contextual risks.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RC Internal medicine R Medicine > RG Gynecology and obstetrics R Medicine > RJ Pediatrics |
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Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | ||||||||
SWORD Depositor: | Library Publications Router | ||||||||
Library of Congress Subject Headings (LCSH): | Substance abuse in pregnancy, Pregnant women -- Drug use, Opioid abuse, Pregnant women -- Psychology, Pregnancy -- Complications, Children of prenatal substance abuse | ||||||||
Journal or Publication Title: | Women’s Health | ||||||||
Publisher: | SAGE Publications | ||||||||
ISSN: | 1745-5065 | ||||||||
Official Date: | 1 January 2021 | ||||||||
Dates: |
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Volume: | 17 | ||||||||
DOI: | 10.1177/17455065211060624 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 21 December 2021 | ||||||||
Date of first compliant Open Access: | 23 December 2021 | ||||||||
RIOXX Funder/Project Grant: |
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