Perinatal Opioid Use Disorder Research, Race, and Racism: A Scoping Review.
Perinatal Opioid Use Disorder Research, Race, and Racism: A Scoping Review.
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DOI：
10.1542/peds.2021-052368
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发表时间：
2022-03-01
期刊：
影响因子：
8
通讯作者：
Bryant, Allison S.
中科院分区：
文献类型：
--
作者：
Schiff, Davida M.;Work, Erin C.;Foley, Bridget;Applewhite, Rachel;Diop, Hafsatou;Goullaud, Latisha;Gupta, Munish;Hoeppner, Bettina B.;Peacock-Chambers, Elizabeth;Vilsaint, Corrie L.;Bernstein, Judith A.;Bryant, Allison S.
种族/族裔不平等在母婴健康和药物使用障碍治疗结果方面都有很好的记录。系统回顾受阿片类药物使用障碍（OUD）影响的母婴二对研究，以评价健康利用或结局的种族/民族差异，并严格评估种族/民族数据的报告和纳入。2000年至2020年MEDLINE、Embase和Web of Science中的同行评审文献。研究报告的健康利用和结果数据的二对夫妇影响的OUD在怀孕期间通过婴儿的第一个生日。我们提取了关于种族/民族、研究暴露/结局、如何分析种族/民族数据、作者如何讨论与种族/民族相关的发现以及是否提到种族主义作为对发现的解释的数据。在2023篇文献中，纳入了152项定量研究和17项定性研究。在定量研究中，66%检查了婴儿结局（n = 101）。3篇文章明确重点评价了二人组之间的种族/民族差异。在定量研究中，112项提及人种/种族，63项进行了暴露组间差异评估分析，27项确定了人种/种族差异，22项在多变量分析中调整了人种/种族结局，11项提供了按人种/种族分层的调整模型。没有一项定性研究涉及种族、族裔或种族主义对所提出的主题可能发挥的作用。很少有研究被设计来评估受OUD影响的母婴二元组之间的种族/民族不平等。该文献中关于人种/种族的数据报告较少。为了实现围产期OUD的健康公平，研究人员应优先考虑纳入边缘化群体，以更好地解决结构性种族主义所起的作用。
Racial/ethnic inequities are well documented in both maternal-infant health and substance use disorder treatment outcomes. To systematically review research on maternal-infant dyads affected by opioid use disorder (OUD) to evaluate for racial/ethnic disparities in health utilization or outcomes and critically assess the reporting and inclusion of race/ethnicity data. Peer-reviewed literature in MEDLINE, Embase, and Web of Science from 2000 to 2020. Research reporting health utilization and outcomes data on dyads affected by OUD during pregnancy through the infant’s first birthday. We extracted data on race/ethnicity, study exposures/outcomes, how race/ethnicity data were analyzed, how authors discussed findings associated with race/ethnicity, and whether racism was mentioned as an explanation for findings. Of 2023 articles reviewed, 152 quantitative and 17 qualitative studies were included. Among quantitative studies, 66% examined infant outcomes (n = 101). Three articles explicitly focused on evaluating racial/ethnic differences among dyads. Among quantitative studies, 112 mentioned race/ethnicity, 63 performed analyses assessing for differences between exposure groups, 27 identified racial/ethnic differences, 22 adjusted outcomes for race/ethnicity in multivariable analyses, and 11 presented adjusted models stratified by race/ethnicity. None of the qualitative studies addressed the role that race, ethnicity, or racism may have had on the presented themes. Few studies were designed to evaluate racial/ethnic inequities among maternal-infant dyads affected by OUD. Data on race/ethnicity have been poorly reported in this literature. To achieve health equity across perinatal OUD, researchers should prioritize the inclusion of marginalized groups to better address the role that structural racism plays.
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