Treatment for substance use disorders in pregnant women: Motivators and barriers
Treatment for substance use disorders in pregnant women: Motivators and barriers
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DOI：
10.1016/j.drugalcdep.2019.107652
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发表时间：
2019-12-01
影响因子：
4.2
通讯作者：
Jansson, Lauren M.
中科院分区：
文献类型：
--
作者：
Frazer, Zane;McConnell, Krystle;Jansson, Lauren M.
背景资料：怀孕是一个独特的机会，为妇女提供广泛和必要的医疗保健-包括治疗物质使用障碍（SUD）。孕妇SUD的护理标准是在综合护理机构接受治疗。几乎没有现有的定性研究探索是什么使SUD孕妇接受治疗，以及这一人群存在哪些治疗障碍。本研究探讨妇女的自我报告的原因追求治疗或犹豫does.Methods：本定性研究采用访谈，探讨共同的因素，激励孕妇SUD寻求全面的护理在怀孕期间和常见的犹豫/障碍治疗。研究人群包括20名在约翰霍普金斯的孕妇和育儿妇女综合护理机构接受治疗的妇女。参与者自愿做访谈记录和转录的analysis.Results：访谈揭示了几个主要的主题，在动机寻求治疗：准备停止使用，关心婴儿的健康，关心监护权的婴儿或其他儿童，想要逃离暴力的环境或无家可归，并寻求结构。治疗的障碍包括担心失去监护权，不想远离孩子/合作伙伴，关注耻辱或隐私，缺乏托儿和transportation.Conclusions：这项研究揭示了共同的动机，寻求治疗和障碍，治疗孕妇SUD。这些主题可能有助于指导未来的研究，并指导努力增加这一弱势群体获得关键护理的机会。
Background: Pregnancy is a unique opportunity to provide broad and necessary medical care for women- including treatment for Substance Use Disorders (SUD). The standard of care for SUD in pregnant women is treatment at a comprehensive care facility. There is little existing qualitative research exploring what brings pregnant women with SUD to treatment and what barriers to treatment exist for this population. This study explored women's self-reported reasons for pursuing treatment or hesitating to do so.Methods: This qualitative study used interviews to explore common factors that motivate pregnant women with SUD to seek comprehensive care during pregnancy and common hesitations/ barriers to treatment. The study population included 20 women in treatment at a comprehensive care facility for pregnant and parenting women at Johns Hopkins. Participants volunteered to do interviews which were recorded and transcribed for analysis.Results: Interviews revealed several major themes in motivators to seek treatment: readiness to stop using, concern for the baby's health, concern about custody of the baby or other children, wanting to escape violent environments or homelessness, and seeking structure. Barriers to treatment included fear of loss of custody, not wanting to be away from children/partner, concern about stigma or privacy, and lack of childcare and transportation.Conclusions: This study revealed common motivators to seek treatment and barriers to treatment for pregnant women with SUD. These themes may help direct future studies and guide efforts to increase access to crucial care in this vulnerable population.