Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study.

Autor:	Beltrán-Arzate K; Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA., Hodson K; Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA., Tes HK; Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA., Bowyer SH; Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA., Ratliff HC; Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA., Abraham MM; Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA., Johnson E; Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA., Harris M; Department of Neonatology, East Tennessee Children's Hospital, Knoxville, TN, USA., Jaekel J; Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.; Department of Psychology, University of Oulu, Oulu, Finland.; Department of Psychology, University of Warwick, Coventry, UK.
Jazyk:	angličtina
Zdroj:	Women's health (London, England) [Womens Health (Lond)] 2021 Jan-Dec; Vol. 17, pp. 17455065211060624.
DOI:	10.1177/17455065211060624
Abstrakt:	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.
Databáze:	MEDLINE
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