Evidence map›Paper›PMID 40396195›Full record

ArticleSubstance use & addiction journal2025

Opioid Use Disorder Cascade of Care Among People Who Experienced Perinatal Incarceration: A Qualitative Study.

Andrea K Knittel, Kristel Black, Julia Reddy, Keia Bazemore, Jordyn Kerr, Jamie Jackson, Caitlin E Martin

Abstract read
In one paragraph

Article in Substance use & addiction journal, 2025. 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

7 authors.

Andrea K KnittelDepartment of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.ORCID 0000-0002-4292-3255
Kristel BlackUniversity of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Julia ReddyDepartment of Maternal Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Keia BazemoreCenter for Women's Health Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Jordyn KerrUNC Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Jamie JacksonDepartment of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.ORCID 0009-0005-3713-3151
Caitlin E MartinDepartment of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Advancing womens reproductive health through research: the UNC WRHR Career Development ProgramK12HD103085 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Benjamin H. Chi, Genevieve S. Neal-Perry · 2020 to 2026
$2.1M
Adaptation and Refinement of a Clinically Applicable Phenotypic Battery to Individualize Opioid Use Disorder Treatment for Women Through the Postpartum PeriodK23DA053507 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI MARTIN, CAITLIN EILEEN · 2021 to 2025
$1.0M
NIAID NIH HHS P30 AI050410NICHD NIH HHS K12 HD103085NIDA NIH HHS K23 DA053507
6 · The paper itself

Abstract

objectiveTo use the opioid use disorder (OUD) cascade of care to explore the OUD treatment experiences and preferences of pregnant and postpartum people with OUD who experienced incarceration during pregnancy.

methodWe conducted 12 semi-structured interviews with pregnant and postpartum people with OUD who were either currently incarcerated or in a residential treatment program with experience of perinatal incarceration. The interview guide was developed using a trauma-informed approach and Reproductive Justice framework. Interview transcripts were analyzed using the rigorous and accelerated data reduction technique and a generalized inductive approach with the codebook developed a priori with topical codes from the interview guide and then expanded with interpretive codes.

resultsWe identified themes along the OUD cascade of care. Treatment engagement was shaped by individual readiness and the availability of treatment, both in the community and during incarceration. Medications for opioid use disorder (MOUD) initiation was limited in some instances by the availability of the medication and, in many instances, stigma limited the desire for and ease of MOUD initiation. Participants described potential facilitators (navigation, gender-responsive services) and barriers (lack of mental health care, unmet preferences in terms of treatment format/structure) to retention in care in the community after incarceration. Participants had limited experience with sustained remission and did not identify incarceration as an effective strategy for sustained remission.

conclusionsIncarceration is not an effective strategy for sustained remission. Individual, organizational, and structural supports are required to support attempts at recovery that are initiated during incarceration.

Indexed as

Opioid-Related DisordersPregnancy ComplicationsPrisonersAdultFemaleHumansIncarcerationOpiate Substitution TreatmentPostpartum PeriodPregnancyQualitative ResearchResidential TreatmentYoung Adultopioid use disorderperinatal incarcerationpregnancyprisontreatment

Identifiers

PMID40396195
PMCPMC13050547

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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.