Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study
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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.
In: Women's Health, Vol. 17, 11.2021.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Contextual risk and psychosocial profiles of opioid-using mothers
T2 - A mixed-methods study
AU - Beltrán-Arzate, Karina
AU - Hodson, Kevin
AU - Tes, Haley K.
AU - Bowyer, Sarah Anne H.
AU - Ratliff, Hollis C.
AU - Abraham, Michael M.
AU - Johnson, Elizabeth
AU - Harris, Malinda
AU - Jaekel, Julia
N1 - Publisher Copyright: © The Author(s) 2021.
PY - 2021/11
Y1 - 2021/11
N2 - 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.
AB - 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.
KW - adverse experiences
KW - contextual and psychosocial risk
KW - in-utero opioid use
KW - poverty
UR - http://www.scopus.com/inward/record.url?scp=85120165176&partnerID=8YFLogxK
U2 - 10.1177/17455065211060624
DO - 10.1177/17455065211060624
M3 - Journal article
C2 - 34818934
AN - SCOPUS:85120165176
VL - 17
JO - Women's Health
JF - Women's Health
SN - 1745-5057
ER -
ID: 393152813