Evidence map›Paper›PMID 32279394›Full record

ArticleAddiction (Abingdon, England)2020

A life-course theory exploration of opioid-related maternal mortality in the United States.

Lisa M Cleveland, Kelly McGlothen-Bell, Leticia A Scott, Pamela Recto

Open access · hybridAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
9.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Predictors of Opioid Misuse and Abuse Among Pregnant Women in the US.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
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  15. Stigmatization of Pregnant Individuals with Opioid Use Disorder.Women's health reports (New Rochelle, N.Y.) · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Lisa M ClevelandSchool of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.ORCID 0000-0003-4771-2016
Kelly McGlothen-BellSchool of Pharmacology, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Leticia A ScottSchool of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Pamela RectoSchool of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
The University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsBetween 2007 and 2016, pregnancy-associated mortality resulting from overdose more than doubled in the United States. This study explored the circumstances surrounding maternal opioid-related morbidity and mortality, using the life-course theory as a sensitizing framework to examine how each participant's life-course contributed to her substance use, relapse, recovery or overdose.

designA mixed-methods study using semi-structured, in-depth face-to-face interviews and focus groups were conducted.

settingTexas, United States.

participantsWomen who had relapsed into opioid use or experienced a 'near-miss' overdose and family members of women who had died during the maternal period due to opioid overdose were interviewed (n = 99). MEASUREMENTS: A socio-demographic questionnaire captured participants' ethnicity, age, marital status, medical and mental health history and employment status. The Stressful Life Events Screening Questionnaire-revised (SLESQ-R) assessed life-time exposure to trauma.

findingsWomen reported histories of abuse and loss of a loved one through homicide or suicide. Participants indicated that limited social support, interpersonal conflict with their partner and unaddressed mental illness made recovery more challenging. Additionally, losing their children through the child welfare system was described as punitive and placed them at greater risk for relapse and overdose.

conclusionsA life-course theory approach to examining maternal opioid-related morbidity and mortality in Texas, United States reveals the complex needs of women at risk for opioid use relapse and overdose and the significant role of previous traumatic experiences.

Indexed as

AdultDrug OverdoseFamilyFemaleFocus GroupsHumansMaternal MortalityMiddle AgedOpioid-Related DisordersPregnancyRisk FactorsSocial SupportTexasYoung AdultMaternal mortalitymixed-methods researchopioidsopioid use disordersoverdose deathsubstance use

Identifiers

PMID32279394
PMCPMC7587012
OpenAlexW3015440547

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.