最近和一生中母亲吸毒:农村和经济困境
Jennifer S Miller1,2, Henrietta Bada1, Caitlin Dunworth3
1College of Medicine, University of Kentucky, Lexington, Kentucky, USA.
Research in nursing & health
|July 29, 2023
概括
在肯塔基州农村和城市的孕妇患有阿片类药物使用障碍 (OUD) 的研究发现差异很小. 与假设相反,农村妇女的结果更好,这表明干预措施需要的不仅仅是地理位置.
科学领域:
- 孕产妇健康 孕产妇健康
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 在怀孕期间的阿片类药物使用障碍 (OUD) 研究主要集中在城市人口中.
- 关于农村环境中OUD孕妇的人口统计和物质使用特征的数据有限.
- 肯塔基州的农村县面临经济挑战,可能会影响孕产妇的健康状况.
研究的目的:
- 描述肯塔基州OUD孕妇的人口统计和物质使用特征.
- 为了比较农村和城市的孕妇与OUD关于逆境和健康领域.
- 测试农村孕妇OUD经历更大的物质使用相关的逆境的假设.
主要方法:
- 分析了2017-2020年间93名OUD (59名农村,34名城市) 怀孕妇女的数据.
- 检查医疗,就业,法律,家庭,关系和精神健康数据.
- 农村 (人口<5万) 和城市 (人口≥5万) 层之间的特征比较.
主要成果:
- 农村和城市地区的OUD孕妇在大多数属性上是相似的.
- 城市妇女报告了更高的感知不充分的产前护理 (30% vs. 11%) 和安非他胺/甲胺使用 (21% vs. 0%).
- 农村妇女最近戒毒时间较长 (中位数为7.0个月与2.8个月).
结论:
- 结果与假设相矛盾,表明只有少数显著差异有利于农村妇女.
- 对OUD孕妇的干预策略可能需要超越地理考虑的方法.
- 患者数据为这项针对接受OUD治疗的孕妇的研究做出了贡献.
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