Neonatal Opioid Withdrawal Syndrome Is Associated With Infant Foster Care Entry At The County Level.
Neonatal Opioid Withdrawal Syndrome Is Associated With Infant Foster Care Entry At The County Level.
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DOI：
10.1377/hlthaff.2021.00460
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Patrick SW
中科院分区：
文献类型：
--
作者：
Loch SF;Stein BD;Ghertner R;McNeer E;Dupont WD;Smart R;Patrick SW
尽管自2009年以来，美国诊断为新生儿阿片类药物戒断综合征（NOWS）的婴儿数量和进入寄养的婴儿数量大幅增加，但缺乏对其关系的分析。利用2009年至2017年期间美国8个州580个县的数据，我们研究了县NOWS率和县级特征与婴儿寄养入境的关系。在调整后的分析中，每10个新生儿中每一个NOWS的诊断与41%的婴儿寄养率高相关，而农村县居住与19%的婴儿寄养率高相关。当我们按农村分层时，较高的就业率与较低的婴儿寄养率相关，无论是在总体上还是在城市县。这些发现表明，政策制定者可以利用有关县特征的信息，更好地为有寄养参与风险的阿片类药物影响家庭提供资金支持。
Although the number of infants diagnosed with neonatal opioid withdrawal syndrome (NOWS) and the number of infants entering foster care have increased substantially in the US since 2009, analyses exploring their relationship are lacking. Using data from 580 US counties in eight US states from the period 2009–17, we examined the association of county rates of NOWS and county-level characteristics with infant foster care entries. In adjusted analyses, every one diagnosis of NOWS per ten births was associated with a 41 percent higher rate of infant foster care entry, and rural county residence was associated with a 19 percent higher rate of infant foster entry. A higher employment rate was associated with lower rates of infant foster care entry both overall and in urban counties when we stratified by rurality. These findings suggest that policy makers could use information about county characteristics to better target funding to support opioid-affected families at risk for foster care involvement.
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3.3
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通讯作者：
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