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

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...

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Autores principales:	Karina Beltrán-Arzate, Kevin Hodson, Haley K Tes, Sarah-Anne H Bowyer, Hollis C Ratliff, Michael M Abraham, Elizabeth Johnson, Malinda Harris, Julia Jaekel
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/b00c1b543d0b443a8d224243ceb2d0d6
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spelling	oai:doaj.org-article:b00c1b543d0b443a8d224243ceb2d0d62021-11-25T22:33:23ZContextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study1745-506510.1177/17455065211060624https://doaj.org/article/b00c1b543d0b443a8d224243ceb2d0d62021-11-01T00:00:00Zhttps://doi.org/10.1177/17455065211060624https://doaj.org/toc/1745-5065Introduction: 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.Karina Beltrán-ArzateKevin HodsonHaley K TesSarah-Anne H BowyerHollis C RatliffMichael M AbrahamElizabeth JohnsonMalinda HarrisJulia JaekelSAGE PublishingarticleMedicineRENWomen's Health, Vol 17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Karina Beltrán-Arzate Kevin Hodson Haley K Tes Sarah-Anne H Bowyer Hollis C Ratliff Michael M Abraham Elizabeth Johnson Malinda Harris Julia Jaekel Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study
description	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.
format	article
author	Karina Beltrán-Arzate Kevin Hodson Haley K Tes Sarah-Anne H Bowyer Hollis C Ratliff Michael M Abraham Elizabeth Johnson Malinda Harris Julia Jaekel
author_facet	Karina Beltrán-Arzate Kevin Hodson Haley K Tes Sarah-Anne H Bowyer Hollis C Ratliff Michael M Abraham Elizabeth Johnson Malinda Harris Julia Jaekel
author_sort	Karina Beltrán-Arzate
title	Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study
title_short	Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study
title_full	Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study
title_fullStr	Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study
title_full_unstemmed	Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study
title_sort	contextual risk and psychosocial profiles of opioid-using mothers: a mixed-methods study
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/b00c1b543d0b443a8d224243ceb2d0d6
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Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study

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