Evidence map›Paper›PMID 38362719›Full record

ArticleWomen's health (London, England)

Pregnancy- and parenting-related barriers to receiving medication for opioid use disorder: A multi-paneled qualitative study of women in treatment, women who terminated treatment, and the professionals who serve them.

Hannah B Apsley, Kristina Brant, Sarah Brothers, Eric Harrison, Emma Skogseth, Robert P Schwartz, Abenaa A Jones

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 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
26.6field-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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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 2 institutions in 1 country.

Hannah B ApsleyDepartment of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA.ORCID 0000-0002-0829-5603
Kristina BrantDepartment of Agricultural Economics, Sociology, and Education, The Pennsylvania State University, University Park, PA, USA.
Sarah BrothersDepartment of Sociology and Criminology, The Pennsylvania State University, University Park, PA, USA.
Eric HarrisonDepartment of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA.
Emma SkogsethDepartment of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA.
Robert P SchwartzFriends Research Institute, Baltimore, MD, USA.
Abenaa A JonesDepartment of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA.
Pennsylvania State University · USFriends Research Institute · US

Funding

PREVENTION AND METHODOLOGY TRAINING (PAMT)T32DA017629 · NIDA · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI Eric D Claus, Rina D Eiden · 2005 to 2026
$9.5M
Opioid Use Disorder among Criminal Justice-Involved Women: Integrating Trauma-Informed and Gender-Specific Care with Medication-Assisted TreatmentK01DA051715 · NIDA · PENNSYLVANIA STATE UNIVERSITY, THE · PI JONES, ABENAA ACHEAMPONG · 2020 to 2024
$809k
NIDA NIH HHS K01 DA051715NIDA NIH HHS T32 DA017629
6 · The paper itself

Abstract

backgroundWomen face unique barriers when seeking treatment for substance use disorders, often related to pregnancy and parenting.

objectivesThis study adds to the extant literature by elucidating the pregnancy- and parenting-related barriers women face when initiating or continuing medication for opioid use disorder, specifically.

designThis study is based on qualitative semi-structured interviews.

methodsThree subgroups participated in semi-structured interviews regarding their experiences (N = 42): women with current or past opioid use disorders who have used or were presently using medication for opioid use disorder, professionals working in substance use disorder treatment programs, and criminal justice professionals.

resultsThree parenting-related subthemes were identified: (1) insufficient access to childcare to navigate appointments and meetings, (2) fear of losing custody of, or access to, one's children, and (3) prioritizing one's children's needs before one's own. Three subthemes were identified with regard to pregnancy as a barrier: (1) hesitancy among physicians to prescribe medication for opioid use disorder for pregnant patients, (2) limited access to resources in rural areas, and (3) difficulty navigating a complex, decentralized health system.

conclusionSystemic changes are needed to reduce pregnant and parenting women's barriers to seeking medication for opioid use disorder. These include improved childcare support at both in-patient and outpatient treatment programs, which would assuage women's barriers related to childcare, as well as their fears of losing access to their children if they spend time away from their children for treatment. An additional systemic improvement that may reduce barriers for these women is access to comprehensive, integrated care for their prenatal care, postpartum care, pediatric appointments, and appropriate substance use disorder treatment.

Indexed as

Opioid-Related DisordersParentingChildFemaleHumansPregnancyPrenatal Carebarrierscriminal justicemedication for opioid use disorderparentingpregnancyqualitativesubstance usewomen

Identifiers

PMID38362719
PMCPMC10874161
OpenAlexW4391890401

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.