Contextual risk and psychosocial profiles of opioid-using mothers : a mixed-methods study
Beltrán-Arzate, Karina; Hodson, Kevin; Tes, Haley K.; Bowyer, Sarah-Anne H.; Ratliff, Hollis C.; Abraham, Michael M.; Johnson, Elizabeth; Harris, Malinda; Jaekel, Julia (2021-11-24)
Beltrán-Arzate, K., Hodson, K., Tes, H. K., Bowyer, S.-A. H., Ratliff, H. C., Abraham, M. M., Johnson, E., Harris, M., & Jaekel, J. (2021). Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study. Women’s Health. https://doi.org/10.1177/17455065211060624
© The Author(s) 2021. Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/17455065211060624. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
https://creativecommons.org/licenses/by-nc/4.0/
https://urn.fi/URN:NBN:fi-fe2022020217364
Tiivistelmä
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.
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