美国各州的生殖权利以及阿片类药物使用的孕妇获得药物的权利
Josh Aleksanyan1, Ichiro Kawachi2, Sugy Choi1
1Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States.
Social science & medicine (1982)
|December 25, 2024
概括
对于孕妇来说,治疗阿片类药物使用障碍 (MOUD) 的药物获取仍然很低,特别是在限制性州. 生殖权利政策对MOUD获取有重大影响,突出了严重的健康差异.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 成 药物 药物 药物 药物
背景情况:
- 怀孕妇女的阿片类药物使用障碍 (OUD) 越来越令人担忧,但自20世纪90年代以来,获得阿片类药物使用障碍 (MOUD) 药物的机会并没有得到改善.
- 基于人口统计,转诊来源,多重物质使用和治疗环境,MOUD获取存在差异.
研究的目的:
- 检查2015-2019年美国各州孕妇成年人获得MOUD的机会.
- 调查州级生殖权利政策对孕妇MOUD获得权的影响.
主要方法:
- 对美国48个州的物质使用治疗入院数据 (2015-2019) 的回顾性横截面分析.
- 多层次分析,包括国家一级的生殖权利政策.
- 调整了反事实预测,以估计在不同政策背景下对MOUD的访问.
主要成果:
- 年轻的孕妇,黑人,被刑事司法指导,报告使用多种物质或接受住院治疗的孕妇不太可能接受MOUD.
- 在严重限制生殖权利政策的州接受治疗,MOUD的可能性显著降低 (67%至29%).
- 据估计,如果限制性州与支持性州的访问率相匹配,可能会有12609名额外的孕妇获得MOUD.
结论:
- 生殖权利政策是影响孕妇获得基本MOUD的结构性决定因素.
- 扭转生殖权利政策可能会加剧孕妇过量服用的风险,因为过量服用死亡人数不断增加,药物使用模式也在变化.
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