Evidence map›Paper›PMID 34644183›Full record

ArticleHealth affairs (Project Hope)2021

Neonatal Opioid Withdrawal Syndrome Is Associated With Infant Foster Care Entry At The County Level.

Sarah F Loch, Bradley D Stein, Robin Ghertner, Elizabeth McNeer, William D Dupont, Rosanna Smart, Stephen W Patrick

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. The Opioid Epidemic and Children's Living Arrangements in the United States, 2000-2018.The Annals of the American Academy of Political and Social Science · 2022
    Article
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.

Sarah F LochSarah F. Loch is a director of research operations at the Vanderbilt Center for Child Health Policy, Vanderbilt University Medical Center, in Nashville, Tennessee.
Bradley D SteinBradley D. Stein is a senior physician policy researcher in the Department of Behavioral and Policy Sciences, RAND Corporation, and director of the RAND-USC Schaeffer Opioid Policy, Tools, and Information Center of Research Excellence, in Pittsburgh, Pennsylvania.
Robin GhertnerRobin Ghertner is the director of the Division of Data and Technical Analysis, Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services, in Washington, D.C.
Elizabeth McNeerElizabeth McNeer is a senior biostatistician in the Department of Biostatistics and the Vanderbilt Center for Child Health Policy, Vanderbilt University Medical Center.
William D DupontWilliam D. Dupont is a professor of biostatistics and preventive medicine in the Department of Biostatistics and the Vanderbilt Center for Child Health Policy, Vanderbilt University Medical Center.
Rosanna SmartRosanna Smart is an economist at the RAND Corporation in Santa Monica, California.
Stephen W PatrickStephen W. Patrick (stephen.patrick@vanderbilt.edu) is an associate professor of pediatrics and health policy, a practicing neonatologist in the Division of Neonatology, and director of the Vanderbilt Center for Child Health Policy, Vanderbilt University Medical Center, and an adjunct physician policy researcher at the RAND Corporation.

Funding

Optimal Methods for Estimating Policy Effect Heterogeneity in Opioid Policy ResearchP50DA046351 · NIDA · RAND CORPORATION · PI BRADLEY D STEIN · 2018 to 2026
$20.8M
Improving Access to Treatment for Women with Opioid Use DisorderR01DA045729 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PATRICK, STEPHEN W · 2018 to 2021
$1.5M
NIDA NIH HHS P50 DA046351NIDA NIH HHS R01 DA045729
6 · The paper itself

Abstract

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.

Indexed as

Neonatal Abstinence SyndromeSubstance Withdrawal SyndromeAnalgesics, OpioidHumansInfantInfant, NewbornRural PopulationAnalgesics, Opioid

Identifiers

PMID34644183
PMCPMC8622271

What OpenQuestion holds

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Registered trials

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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.