Evidence map›Paper›PMID 34116823›Full record

ArticleJournal of substance abuse treatment2021

Access to treatment for pregnant incarcerated people with opioid use disorder: Perspectives from community opioid treatment providers.

Zoe King, Camille Kramer, Carl Latkin, Carolyn Sufrin

Open access · greenAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Bringing MOUD "In House": Implementing an Internal MOUD Program During Pregnancy in a State Prison.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2026
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  11. Access to Services for Pregnant People With Opioid Use Disorder in Jails in the United States.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2023
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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 3 institutions in 1 country.

Zoe KingDuke University, Trinity College of Arts & Sciences, 117 Physics Building, 120 Science Dr., Durham, NC 27708, United States. Electronic address: zoe.king@duke.edu.
Camille KramerJohns Hopkins University School of Medicine, Department of Gynecology and Obstetrics, Johns Hopkins Bayview Hospital, 4940 Eastern Ave, A121, Baltimore, MD 21224, United States. Electronic address: ckramer@jhu.edu.
Carl LatkinJohns Hopkins University Bloomberg School of Public Health, Department of Health, Behavior and Society, 642 N Broadway, Baltimore, MD 21205, United States. Electronic address: carl_latkin@jhu.edu.
Carolyn SufrinJohns Hopkins University School of Medicine, Department of Gynecology and Obstetrics, Johns Hopkins Bayview Hospital, 4940 Eastern Ave, A121, Baltimore, MD 21224, United States; Johns Hopkins Bloomberg School of Public Health, Department of Health, Behavior and Society, 24 N. Broadway, Hampton House 737, Baltimore, MD 21205, United States. Electronic address: csufrin1@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Bayview Medical Center · USTrinity College · US

Funding

Treatment for Incarcerated Pregnant Women with Opioid Use Disorder: Implementaton Research on Medication Assisted Treatment in JailsK23DA045934 · NIDA · JOHNS HOPKINS UNIVERSITY · PI SUFRIN, CAROLYN · 2018 to 2021
$883k
NIDA NIH HHS K23 DA045934
6 · The paper itself

Abstract

BACKGROUND AND

aimsMany jail facilities provide limited access to medications for opioid use disorder (MOUD) for pregnant people with opioid use disorder (OUD), despite it being the standard of care. We aim to explore the perspectives of opioid treatment providers (OTPs) on access to MOUD for pregnant people while incarcerated and postincarceration.

methodsWe conducted 16 semistructured phone interviews with providers and administrators representing 16 unique OTPs in various U.S. states with high maternal opioid use rates. We developed the interview guide using the Consolidated Framework for Implementation Research, and we analyzed interview transcripts using a direct content analysis.

resultsNine participants reported having an arrangement with a carceral facility to provide care for pregnant people with OUD; however, others described how their local jail offered no OUD treatment for incarcerated pregnant people. Even if participants' clinics had arrangements to provide MOUD in a jail, most participants described significant barriers to continuity of care between jails and community providers as patients transition between jails and community settings. OTPs described their belief of how postincarceration, pregnant people experience barriers to OUD care such as lack of access to childcare, preparing for the baby, feeling unwell, in addition to the barriers that nonpregnant patients experience, such as transportation, housing, and financing.

conclusionsOTPs perceive that pregnant people with OUD experience significant barriers to accessing treatment while incarcerated and in community settings due to discrimination, difficulties in continuity of care, and lack of treatment access while incarcerated. The implementation of evidence-based MOUD treatment for pregnant people in jail and continuation of treatment upon release is crucial to reduce health disparities.

Indexed as

Opioid-Related DisordersPrisonersAnalgesics, OpioidFemaleHealth Services AccessibilityHumansOpiate Substitution TreatmentPregnancyAnalgesics, OpioidIncarcerationJailOpioid treatment providerOpioid use disorderPregnancy

Identifiers

PMID34116823
PMCPMC8197773
OpenAlexW3131488922

What OpenQuestion holds

Textmetadata
LicenceTDM
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.