Social Ecological Contexts of Opioid Overdose and Hospital Readmission in the Postpartum Period
阿片类药物过量和产后再入院的社会生态背景
基本信息
- 批准号:10066577
- 负责人:
- 金额:$ 4.38万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-07-01 至 2023-06-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAdmission activityAdverse eventAlcohol or Other Drugs useAreaAttentionBirthCensusesCharacteristicsChild RearingChildbirthClinicalClinical DistributionCodeCommunitiesComplementComplexCost ControlDataData SourcesDevelopmentEnvironmentFaceFellowshipGoalsHIVHarm ReductionHealthHealth Care CostsHealth ServicesHealth Services ResearchHepatitis C virusHigh Risk WomanHospitalizationHospitalsIncomeIndividualInformation DistributionInpatientsInterventionJournalsKnowledgeLocationMental HealthMental Health ServicesMentorsMentorshipNeonatal Abstinence SyndromeOpioidOutcomeOverdosePennsylvaniaPharmacotherapyPopulationPopulation DensityPostpartum PeriodPostpartum WomenPovertyPredispositionPregnancyPregnant WomenPreventionProviderPublic Health SchoolsReadingReproductive HealthResearchResearch PersonnelResearch TrainingResourcesRiskRoleSocial ConditionsSocial WorkSpatial DistributionSpecial Supplemental Nutrition Program for Women, Infants, and ChildrenStatistical MethodsStructureSubgroupTimeTrainingUnited StatesUniversitiesWomanWomen&aposs Healthadverse outcomebasebehavioral healthcommunity interventioncomorbiditycontextual factorsdensitydesignepidemiologic dataexperiencefetal opioid exposurehigh riskhospital readmissionmultilevel analysisopioid epidemicopioid overdoseopioid useopioid use disorderoverdose riskpostpartum outcomeprescription opioidpreventpublic health prioritiesracial and ethnicreadmission riskskillssocialsocial health determinantssymposiumtreatment programtreatment services
项目摘要
PROJECT SUMMARY/ABSTRACT
The goal of this F31 fellowship is to prepare me to become an independent researcher who can effectively
contribute to addressing the individual and social ecological contexts that place women at risk for opioid use
and overdose in the postpartum period. In the United States, opioid use disorder (OUD) during pregnancy has
quadrupled since 1999, with overdose becoming a leading cause of non-pregnancy related death among
pregnant and postpartum women. While identifying and treating OUD during pregnancy is a public health
priority, limited attention has been given to the overdose and hospital readmission risks among postpartum
women (defined here as being within the first year after childbirth) with OUD. Epidemiological data suggest
women are at highest risk of overdose 7-12 months post-delivery with rates 25% higher than at pre-conception.
Less understood are the co-morbid health issues, systemic social conditions, and limited health and social
services women with OUD continue to face in their communities after childbirth. Under the guidance of my
mentorship team and enhanced by the training from this fellowship, I will utilize inpatient hospital data from the
Pennsylvania Health Care Cost Containment Council (PHC4) to assess hospital readmissions among women
with OUD within one year of childbirth. Data will be merged with community-level data sources, such as the
U.S. Census and SAMSHA’s Behavioral Health Treatment Services Locator, to determine how community
context impacts postpartum opioid outcomes. The Specific Aims of this study are to: 1) Identify subgroups of
women with OUD at delivery at increased risk of overall and opioid-specific hospitalizations postpartum; 2)
Examine the association between community-level factors and individual class memberships, as well as their
independent effects on postpartum opioid-related hospitalizations; and 3) Examine the spatial distribution of
hospital births and postpartum opioid-related readmissions among women with OUD, and identify the
community factors associated with ZIP code-level counts of deliveries and readmissions. To accomplish the
proposed research, I will implement a comprehensive training and mentorship plan that will build on my prior
substance use knowledge, research experience, and doctoral training. Specifically, my Training Goals will
focus on expanding my knowledge and/or skills in: 1) reproductive health and opioid use among pregnant and
postpartum women; 2) social and ecological determinants of substance use; 3) latent class analyses; 4)
multilevel analyses; and 5) spatial analyses. These goals will be accomplished through a range of coursework,
seminars, clinical observations, conferences, journal readings, and tailored mentoring from a committed team
of interdisciplinary researchers. Complemented by support from a dedicated research and training environment
at the University of Pittsburgh Graduate School of Public Health, this fellowship will accelerate my trajectory in
becoming an independent researcher focused on reducing inequities associated with maternal substance use.
项目总结/文摘
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Jessica Frankeberger其他文献
Jessica Frankeberger的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Jessica Frankeberger', 18)}}的其他基金
Social Ecological Contexts of Opioid Overdose and Hospital Readmission in the Postpartum Period
阿片类药物过量和产后再入院的社会生态背景
- 批准号:
10203833 - 财政年份:2020
- 资助金额:
$ 4.38万 - 项目类别:
Social Ecological Contexts of Opioid Overdose and Hospital Readmission in the Postpartum Period
阿片类药物过量和产后再入院的社会生态背景
- 批准号:
10434095 - 财政年份:2020
- 资助金额:
$ 4.38万 - 项目类别:














{{item.name}}会员




