Evidence map›Paper›PMID 34818934›Full record

ArticleWomen's health (London, England)

Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study.

Karina Beltrán-Arzate, Kevin Hodson, Haley K Tes, Sarah-Anne H Bowyer, Hollis C Ratliff, Michael M Abraham, Elizabeth Johnson, Malinda Harris, Julia Jaekel

Open access · goldAbstract read
In one paragraph

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

9 authors at 2 institutions in 3 countries.

Karina Beltrán-ArzateDepartment of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.ORCID 0000-0001-9760-4115
Kevin HodsonDepartment of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.
Haley K TesDepartment of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.
Sarah-Anne H BowyerDepartment of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.
Hollis C RatliffDepartment of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.
Michael M AbrahamDepartment of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.
Elizabeth JohnsonDepartment of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.
Malinda HarrisDepartment of Neonatology, East Tennessee Children's Hospital, Knoxville, TN, USA.
Julia JaekelDepartment of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.ORCID 0000-0001-6123-3375
Knoxville College · USEast Tennessee Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is an increase in cases of mothers using opioids during pregnancy in the United States but research investigating mothers' psychosocial environments along with individual variability among this high-risk group of women is scarce.

methodsThis mixed-methods study aims to examine the complex interplay of contextual risks and experiences of opioid-using mothers. A sample of 50 opioid-using biological mothers of infants diagnosed with neonatal opioid withdrawal syndrome (NOWS) were studied using a set of standardized and open-ended questions, along with medical records extraction.

resultsA high-risk subgroup of 36 mothers was identified using cluster analysis, characterized by a distinct profile of psychosocial risk. Thematic content analysis revealed four themes: (1) barriers to communication and mistrust of health professionals, (2) limitations of access to health care and the amplification of disadvantages related to COVID-19, (3) lifelong consequences of adverse childhood experiences (ACEs), and (4) intimate partner violence and its influence on drug use.

conclusionOur findings highlight important information toward health services provision for opioid-using women of childbearing age. Efforts to reduce opioid usage in mothers need to consider psychosocial and contextual risks.

Indexed as

Opioid-Related DisordersAdverse Childhood ExperiencesAnalgesics, OpioidCOVID-19FemaleHealth Services AccessibilityHumansInfant, NewbornIntimate Partner ViolenceMothersPregnancyUnited StatesAnalgesics, Opioidadverse experiencescontextual and psychosocial riskin-utero opioid usepoverty

Identifiers

PMID34818934
PMCPMC8628311
OpenAlexW3215504544

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.