产前阿片类药物使用障碍和儿童保护服务参与:一致的治疗是否重要?
Yi Wang1, Deborah Ehrenthal2, Ai Bo3
1Silberman School of Social Work, Hunter College, City University of New York, New York City, NY, United States of America; Social Science Research Institute, The Pennsylvania State University, University Park, PA, United States of America.
Journal of substance use and addiction treatment
|March 22, 2025
概括
对于患有阿片类药物使用障碍 (OUD) 的孕妇,持续的阿片类药物使用障碍 (MOUD) 治疗与分娩后儿童保护服务 (CPS) 参与的风险较低有关. 高一致性MOUD治疗显示出最低的转诊和移除率.
科学领域:
- 围产期健康 围产期健康
- 公共卫生政策 公共卫生政策
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 父母患有阿片类药物使用障碍 (OUD) 的婴儿面临着儿童保护服务 (CPS) 的更多审查,特别是在强制报告的州.
- 对阿片类药物使用障碍 (MOUD) 的药物建议用于产前稳定性,但报告政策可能会阻止寻求治疗.
研究的目的:
- 检查产前OUD诊断与CPS参与之间的关联.
- 调查MOUD治疗的一致性如何影响OUD孕妇的CPS参与.
主要方法:
- 利用了威斯康星州2010-2019年间的链接行政数据.
- 分析了产前OUD诊断与产后30天内CPS转诊/移除之间的关联.
- 按MOUD治疗一致性进行分层分析 (高,中等,间歇,未经治疗).
主要成果:
- OUD诊断与CPS转诊和移除的风险更高有关.
- 同时出现的物质使用和心理健康障碍加剧了这些风险.
- 高一致性MOUD治疗 (≥5个月) 与其他治疗组和未接受治疗的个体相比,与最低的转诊和移除率有关.
结论:
- 促进高一致性MOUD治疗对于OUD的孕妇至关重要.
- 澄清MOUD的好处和解决CPS参与问题可以改善治疗参与度.
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