Evidence map›Paper›PMID 37243807›Full record

ArticleMaternal and child health journal2023

Demographics, Birth Parameters, and Social Determinants of Health Among Opioid-Exposed Mother-Infant Dyads Affected by Neonatal Abstinence Syndrome in Pennsylvania, 2018-2019.

Caryn M Decker, Mohsin Mahar, Callie L Howells, Zhen-Qiang Ma, Carrie Thomas Goetz, Sharon M Watkins

Open access · hybridAbstract read
In one paragraph

Article in Maternal and child health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

6 authors at 1 institution in 1 country.

Caryn M DeckerBureau of Epidemiology, Pennsylvania Department of Health, Harrisburg, PA, USA. cadecker@pa.gov.ORCID http://orcid.org/0000-0002-8615-9607
Mohsin MaharBureau of Epidemiology, Pennsylvania Department of Health, Harrisburg, PA, USA.
Callie L HowellsBureau of Epidemiology, Pennsylvania Department of Health, Harrisburg, PA, USA.
Zhen-Qiang MaBureau of Epidemiology, Pennsylvania Department of Health, Harrisburg, PA, USA.
Carrie Thomas GoetzBureau of Epidemiology, Pennsylvania Department of Health, Harrisburg, PA, USA.
Sharon M WatkinsBureau of Epidemiology, Pennsylvania Department of Health, Harrisburg, PA, USA.
Pennsylvania Department of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo characterize demographics, birth parameters, and social determinants of health among mother-infant dyads affected by neonatal abstinence syndrome (NAS) in Pennsylvania.

methodsWe linked 2018-2019 NAS surveillance data to birth record data using probabilistic methods and then geospatially linked to local social determinants of health data based on residential address. We generated descriptive statistics and used multivariable mixed-effects logistic regression to model the association between maternal characteristics, birth parameters, social determinants of health, and NAS.

resultsIn adjusted models maternal age > 24, non-Hispanic white race/ethnicity, low educational attainment, Medicaid as payor at delivery, inadequate or no prenatal care, smoking during pregnancy, and low median household income were associated with NAS. We found no significant associations between NAS and county-level measures of clinician supply, number of substance use treatment facilities, or urban/rural designation. CONCLUSIONS FOR PRACTICE: This study characterizes mother-infant dyads affected by NAS using linked non-administrative, population data for Pennsylvania. Results demonstrate a social gradient in NAS and inequity in prenatal care receipt among mothers of infants with NAS. Findings may inform implementation of state-based public health interventions.

Indexed as

Neonatal Abstinence SyndromeOpioid-Related DisordersAnalgesics, OpioidFemaleHumansInfantInfant, NewbornMothersPennsylvaniaPregnancySocial Determinants of HealthAnalgesics, OpioidNeonatal abstinence syndromeOpioidsPerinatal substance useSocial determinants of health

Identifiers

PMID37243807
PMCPMC10691982
OpenAlexW4378597170

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.