Evidence map›Paper›PMID 34118710›Full record

ArticleJournal of substance abuse treatment2021

"A good mother": Impact of motherhood identity on women's substance use and engagement in treatment across the lifespan.

Zoe M Adams, Callie M Ginapp, Carolina R Price, Yilu Qin, Lynn M Madden, Kimberly Yonkers, Jaimie P Meyer

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 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
16.7field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 72 citations in OpenAlex.

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  16. Perinatal Health Outcomes Among Women on Community Supervision: A Scoping Review.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2024
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  20. Perinatal substance use disorder: Examining the impact on adverse pregnancy outcomes.European journal of obstetrics & gynecology and reproductive biology: X · 2024
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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

7 authors at 4 institutions in 1 country.

Zoe M AdamsYale School of Medicine, New Haven, CT, United States of America.
Callie M GinappYale School of Medicine, New Haven, CT, United States of America.
Carolina R PriceYale School of Medicine AIDS Program, New Haven, CT, United States of America.
Yilu QinYale New Haven Hospital, HIV Training Track, New Haven, CT, United States of America.
Lynn M MaddenYale School of Medicine AIDS Program, New Haven, CT, United States of America; APT Foundation, Inc., New Haven, CT, United States of America.
Kimberly YonkersYale School of Medicine, Department of Psychiatry, New Haven, CT, United States of America; University of Massachusetts Medical School/U Mass Memorial Medical Center, Worcester, MA, United States of America.
Jaimie P MeyerYale School of Medicine AIDS Program, New Haven, CT, United States of America; Yale School of Public Health, Chronic Disease Epidemiology, New Haven, CT, United States of America. Electronic address: jaimie.meyer@yale.edu.
Yale University · USAPT Foundation · USUMass Memorial Medical Center · USYale New Haven Hospital · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Doris Duke Charitable Foundation 2017080NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundWomen are underrepresented in substance use disorder (SUD) treatment. Interpersonal and structural factors affect women's access to SUD treatment, but limited research evaluates how motherhood is a potential barrier and facilitator to engagement in SUD treatment. We focus on women from young to middle adulthood, and capture women's identities as mothers, caretakers, and grandmothers, outside of pregnancy and the postpartum period.

methodsStudy staff conducted twenty qualitative interviews with women in SUD treatment to assess experiences with SUD treatment, in which motherhood emerged as a key theme. Twelve women then participated in four focus groups centered on motherhood. The study audio-recorded and transcribed interviews, and two independent authors analyzed interviews, followed by group consensus.

resultsMost women identified their children and responsibilities as mothers and caretakers as important motivators to accessing SUD treatment. Motherhood was also a barrier to treatment, in that women feared losing child custody by disclosing substance use and few residential programs accommodate women with children. Multiple women expressed guilt about their substance use, sensing that it contributed to perceived abandonment or separation from their children. Reunification was important to SUD recovery.

conclusionWomen with SUD who are mothers experience specific barriers to treatment engagement and recovery. Women need SUD treatment programs that address these interpersonal and structural factors across the lifespan.

Indexed as

MothersSubstance-Related DisordersAdultChildFemaleFocus GroupsHumansLongevityPostpartum PeriodPregnancyQualitative ResearchChild protective servicesCPSMotherhoodSubstance use disordersSUDTreatmentWomen

Identifiers

PMID34118710
PMCPMC8478714
OpenAlexW3161055482

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.