Access to Services for Pregnant People With Opioid Use Disorder in Jails in the United States.
Access to Services for Pregnant People With Opioid Use Disorder in Jails in the United States.
复制标题
为美国监狱中患有阿片类药物使用障碍的孕妇提供服务。
DOI：
10.1089/jchc.22.03.0023
复制
发表时间：
2023
期刊：
影响因子：
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通讯作者：
LaVallee,RobinA
中科院分区：
文献类型：
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作者：
Grella,ChristineE;Scott,ChristyK;Dennis,MichaelL;LaVallee,RobinA
本研究的目的是评估美国受阿片类药物过量严重影响的县监狱中孕妇的阿片类药物使用障碍（mod）药物和其他服务的可获得性。根据阿片类药物过量死亡的绝对数量和人口比率选择县。对174所收容孕妇的监狱的代表进行了结构化访谈。描述性统计检查mod的可用性以及基于mod可用性的服务提供和社区级别特征的差异。研究样本中的大多数监狱（84.5%）为孕妇提供了mod；然而，这些监狱中只有不到一半的监狱确保了持续的护理。没有mod的监狱更有可能提供非mod物质使用服务。这些监狱通常位于中西部较小的农村县，白人囚犯比例较高，西班牙裔和非裔美国人囚犯比例较低。监狱中mod供应和护理连续性方面的差距违反了治疗阿片类药物使用障碍孕妇的医疗准则，并增加了她们过量服用的风险。此外，各社区在监狱孕妇获得mod方面也存在差异。
The aim of this study was to assess the availability of medications for opioid use disorder (MOUD) and other services for pregnant people in jails in counties heavily impacted by opioid overdose in the United States. Counties were selected based on absolute number and population rate of opioid-overdose fatalities. Structured interviews were completed with representatives from 174 jails that house pregnant women. Descriptive statistics examine MOUD availability and differences in service provision and community-level characteristics based on MOUD availability. Most jails in the study sample (84.5%) had MOUD available for pregnant people; however, less than half of these jails ensured continuity of care. Jails without MOUD available are more likely to provide non-MOUD substance use services. These jails are more often located in smaller, rural counties in the Midwest and have higher rates of White residents and lower rates of Hispanic and African American residents. Gaps in MOUD availability in jails and continuity of care violate medical guidelines for treatment of pregnant patients with opioid use disorder and increase their risk of overdose. In addition, there are disparities across communities in access to MOUD for pregnant people in jails.