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Self-Identified Stage in Recovery and Substance-Use Behaviors among Pregnant and Postpartum Women and People with Opioid Use Disorder

Opioid use among pregnant and postpartum women and people (PPWP) has significant health repercussions. This study explores how substance-use behaviors may vary by stage in recovery among PPWP with opioid use disorder (OUD). We recruited 29 PPWP with OUD. “High-risk” participants self-identified as “...

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Autores principales: Szlyk, Hannah S., Constantino-Pettit, Anna, Li, Xiao, Kasson, Erin, Maranets, Emily, Worku, Yoseph, Montayne, Mandy, Banks, Devin E., Kelly, Jeannie C., Cavazos-Rehg, Patricia A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10486579/
https://www.ncbi.nlm.nih.gov/pubmed/37685426
http://dx.doi.org/10.3390/healthcare11172392
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author Szlyk, Hannah S.
Constantino-Pettit, Anna
Li, Xiao
Kasson, Erin
Maranets, Emily
Worku, Yoseph
Montayne, Mandy
Banks, Devin E.
Kelly, Jeannie C.
Cavazos-Rehg, Patricia A.
author_facet Szlyk, Hannah S.
Constantino-Pettit, Anna
Li, Xiao
Kasson, Erin
Maranets, Emily
Worku, Yoseph
Montayne, Mandy
Banks, Devin E.
Kelly, Jeannie C.
Cavazos-Rehg, Patricia A.
author_sort Szlyk, Hannah S.
collection PubMed
description Opioid use among pregnant and postpartum women and people (PPWP) has significant health repercussions. This study explores how substance-use behaviors may vary by stage in recovery among PPWP with opioid use disorder (OUD). We recruited 29 PPWP with OUD. “High-risk” participants self-identified as “not being engaged in treatment” or “new or early in their recovery” (n = 11); “low-risk” participants self-identified as being “well-established” or “in long-term recovery” (n = 18). Participants were queried regarding sociodemographic, mental health, and drug-misuse factors; urine drug screens were collected at baseline. Univariate group comparisons between high-risk and low-risk PPWP were conducted. High-risk PPWP were more likely to self-identify as non-Hispanic African American and more likely to report current opioid use, other illicit drugs, and tobacco. High-risk PPWP had higher opioid cravings versus low-risk PPWP. High-risk PPWP were more likely to screen positive on urine tests for non-opioid drugs and on concurrent use of both non-opioid drugs and opioids versus low-risk participants. PPWP earlier in recovery are at higher-risk for opioid and other illicit drug misuse but are willing to disclose aspects of their recent use. PPWP early in recovery are an ideal population for interventions that can help facilitate recovery during the perinatal period and beyond.
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spelling pubmed-104865792023-09-09 Self-Identified Stage in Recovery and Substance-Use Behaviors among Pregnant and Postpartum Women and People with Opioid Use Disorder Szlyk, Hannah S. Constantino-Pettit, Anna Li, Xiao Kasson, Erin Maranets, Emily Worku, Yoseph Montayne, Mandy Banks, Devin E. Kelly, Jeannie C. Cavazos-Rehg, Patricia A. Healthcare (Basel) Article Opioid use among pregnant and postpartum women and people (PPWP) has significant health repercussions. This study explores how substance-use behaviors may vary by stage in recovery among PPWP with opioid use disorder (OUD). We recruited 29 PPWP with OUD. “High-risk” participants self-identified as “not being engaged in treatment” or “new or early in their recovery” (n = 11); “low-risk” participants self-identified as being “well-established” or “in long-term recovery” (n = 18). Participants were queried regarding sociodemographic, mental health, and drug-misuse factors; urine drug screens were collected at baseline. Univariate group comparisons between high-risk and low-risk PPWP were conducted. High-risk PPWP were more likely to self-identify as non-Hispanic African American and more likely to report current opioid use, other illicit drugs, and tobacco. High-risk PPWP had higher opioid cravings versus low-risk PPWP. High-risk PPWP were more likely to screen positive on urine tests for non-opioid drugs and on concurrent use of both non-opioid drugs and opioids versus low-risk participants. PPWP earlier in recovery are at higher-risk for opioid and other illicit drug misuse but are willing to disclose aspects of their recent use. PPWP early in recovery are an ideal population for interventions that can help facilitate recovery during the perinatal period and beyond. MDPI 2023-08-25 /pmc/articles/PMC10486579/ /pubmed/37685426 http://dx.doi.org/10.3390/healthcare11172392 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Szlyk, Hannah S.
Constantino-Pettit, Anna
Li, Xiao
Kasson, Erin
Maranets, Emily
Worku, Yoseph
Montayne, Mandy
Banks, Devin E.
Kelly, Jeannie C.
Cavazos-Rehg, Patricia A.
Self-Identified Stage in Recovery and Substance-Use Behaviors among Pregnant and Postpartum Women and People with Opioid Use Disorder
title Self-Identified Stage in Recovery and Substance-Use Behaviors among Pregnant and Postpartum Women and People with Opioid Use Disorder
title_full Self-Identified Stage in Recovery and Substance-Use Behaviors among Pregnant and Postpartum Women and People with Opioid Use Disorder
title_fullStr Self-Identified Stage in Recovery and Substance-Use Behaviors among Pregnant and Postpartum Women and People with Opioid Use Disorder
title_full_unstemmed Self-Identified Stage in Recovery and Substance-Use Behaviors among Pregnant and Postpartum Women and People with Opioid Use Disorder
title_short Self-Identified Stage in Recovery and Substance-Use Behaviors among Pregnant and Postpartum Women and People with Opioid Use Disorder
title_sort self-identified stage in recovery and substance-use behaviors among pregnant and postpartum women and people with opioid use disorder
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10486579/
https://www.ncbi.nlm.nih.gov/pubmed/37685426
http://dx.doi.org/10.3390/healthcare11172392
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