Evidence map›Paper›PMID 38847989›Full record

ArticleMaternal and child health journal2024

A Retrospective Cohort Study of Disparities in Urine Drug Testing During the Perinatal Period in an Urban, Academic Medical Center.

Valerie S Ganetsky, Brianna Yates, Matthew Salzman, Jessica Heil, Iris Jones, Krystal Hunter, Robin L Perry, Kaitlan E Baston

Abstract read
In one paragraph

Article in Maternal and child health journal, 2024. 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
–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

1 citing paper in PubMed.

  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

8 authors.

Valerie S GanetskyCenter for Healing, Division of Addiction Medicine, Cooper University Health Care, Camden, NJ, USA. ganetsky-valerie@cooperhealth.edu.
Brianna YatesDepartment of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA, USA.
Matthew SalzmanCenter for Healing, Division of Addiction Medicine, Cooper University Health Care, Camden, NJ, USA.
Jessica HeilCenter for Healing, Division of Addiction Medicine, Cooper University Health Care, Camden, NJ, USA.
Iris JonesCenter for Healing, Division of Addiction Medicine, Cooper University Health Care, Camden, NJ, USA.
Krystal HunterCooper University Health Care, Cooper Research Institute, Camden, NJ, USA.
Robin L PerryDepartment of Obstetrics and Gynecology, Cooper University Health Care, Camden, NJ, USA.
Kaitlan E BastonCenter for Healing, Division of Addiction Medicine, Cooper University Health Care, Camden, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to evaluate disparities in urine drug testing (UDT) during perinatal care at a single academic medical center. This retrospective cohort study included patients who had a live birth and received prenatal care at our institution between 10/1/2015 and 9/30/2020. The primary outcomes were maternal UDT during pregnancy (UDTPN) and UDT only at delivery (UDTDEL). Secondary outcomes included the number of UDTs (UDTNUM) and the association between a positive UDT test result and race/ethnicity. Mixed model logistic regression and negative binomial regression with clustering based on prenatal care locations were used to control for confounders. Of 6,240 live births, 2,265 (36.3%) and 167 (2.7%) received UDTPN and UDTDEL, respectively. Black (OR 2.09, 95% CI 1.54-2.84) and individuals of Other races (OR 1.64, 95% CI 1.03-2.64) had greater odds of UDTPN compared to non-Hispanic White individuals. Black (beta = 1.12, p < 0.001) and Hispanic individuals (beta = 0.78, p < 0.001) also had a positive relationship with UDTNUM. Compared to individuals with non-Medicaid insurance, those insured by Medicaid had greater odds of UDTPN (OR 1.66, 95% CI 1.11-2.49) and had a positive relationship with UDTNUM (beta = 0.89, p < 0.001). No significant associations were found for UDTDEL and race/ethnicity. Despite receiving more UDT, Black individuals were not more likely to have a positive test result compared to non-Hispanic White individuals (OR 0.95, 95% CI 0.72-1.25). Our findings demonstrate persistent disparities in substance use testing during the perinatal period.

Indexed as

Academic Medical CentersHealthcare DisparitiesSubstance Abuse DetectionAdultCohort StudiesFemaleHumansPerinatal CarePregnancyPregnancy ComplicationsPrenatal CareRetrospective StudiesSubstance-Related DisordersHealth disparitiesPrenatal careSubstance useUrine drug testing

Identifiers

PMID38847989
PMCPMC11269382

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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.