Reproductive Health Knowledge, Attitudes, and Behaviors Among Women Enrolled in Medication-Assisted Treatment for Opioid Use Disorder
| Autor: | Clea McNeely, J Mark Prather, Kathleen C. Brown, Laurie L. Meschke |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Health Knowledge Attitudes Practice medicine.medical_specialty Lifetime prevalence Sex Education 03 medical and health sciences 0302 clinical medicine Pregnancy Humans Medicine 030212 general & internal medicine Contraception Behavior Demography Reproductive health 030219 obstetrics & reproductive medicine business.industry Opioid use Communication Barriers Pregnancy Unplanned Opioid use disorder General Medicine Opioid-Related Disorders medicine.disease United States Reproductive Health Socioeconomic Factors Family medicine Female business |
| Zdroj: | Journal of Women's Health. 27:1215-1224 |
| ISSN: | 1931-843X 1540-9996 |
| DOI: | 10.1089/jwh.2017.6564 |
| Popis: | The lifetime prevalence of unintentional pregnancy among women enrolled in medically assisted treatment (MAT) for opioid use disorder (OUD) has been reported to exceed 80%. Consistent voluntary contraception use by women enrolled in MAT programs can reduce their risk of unintended pregnancies and increase their opportunity to plan the family size they want, yet little is understood about past and current contraception use or associated barriers and facilitators for this population of women.Women enrolled in treatment for OUD at two MAT clinics in East Tennessee were invited to participate in an anonymous survey about contraception. We describe the sociodemographic and health characteristics of the women (N = 287; estimated response rate of 81.0%), report on their contraception knowledge and attitudes, and assess how these characteristics are associated with current contraception use.Most of the 287 women had been sexually active in the past 12 months (88%), were pregnant at least once (98%), and were insured (58%). Women having undergone bilateral tubal ligation had a greater average number of pregnancies (including those while on birth control), lower mean levels of depressed mood, and higher mean level of agreement that avoiding pregnancy now was important and that pregnant women should not use painkillers, compared to the women not using contraception.Strategies to ensure all women enrolled in MAT for OUD have knowledge of effective contraception and affordable, quality contraception care that is responsive to their complicated and oftentimes traumatic histories are necessary to enhance the women's reproductive health. |
| Databáze: | OpenAIRE |
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