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Stigmatization of Pregnant Individuals with Opioid Use Disorder

Objective: The purpose of this study was to critically analyze the role of stigma in the care of pregnant and parenting individuals with opioid use disorder (OUD) through the theoretical lens of the Reproductive Justice (RJ) framework. Background: Overdose related maternal mortality, often involving...

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Autores principales: Crawford, Allison D., McGlothen-Bell, Kelly, Recto, Pamela, McGrath, Jacqueline M., Scott, Leticia, Brownell, Elizabeth A., Cleveland, Lisa M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mary Ann Liebert, Inc., publishers 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8896218/
https://www.ncbi.nlm.nih.gov/pubmed/35262054
http://dx.doi.org/10.1089/whr.2021.0112
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author Crawford, Allison D.
McGlothen-Bell, Kelly
Recto, Pamela
McGrath, Jacqueline M.
Scott, Leticia
Brownell, Elizabeth A.
Cleveland, Lisa M.
author_facet Crawford, Allison D.
McGlothen-Bell, Kelly
Recto, Pamela
McGrath, Jacqueline M.
Scott, Leticia
Brownell, Elizabeth A.
Cleveland, Lisa M.
author_sort Crawford, Allison D.
collection PubMed
description Objective: The purpose of this study was to critically analyze the role of stigma in the care of pregnant and parenting individuals with opioid use disorder (OUD) through the theoretical lens of the Reproductive Justice (RJ) framework. Background: Overdose related maternal mortality, often involving opioids, is a national growing public health concern. OUD is a highly stigmatized condition that may negatively influence the well-being of pregnant/parenting individual's reproductive and human rights. Study Design: Secondary qualitative data analysis. Methods: A secondary data analysis was conducted using individual interviews (N = 23) from a larger study aimed at examining contextual factors surrounding pregnant/parenting individual's experiences with opioid use return to use and/or overdose. The RJ framework was used as a framework to examine the influence of OUD-related stigma and a person's right to bodily autonomy, their right to parent, and their right to parent the children they have in safe and sustainable environments. Results: The RJ framework supported the examination of factors that perpetuate stigma in this population. Individuals described stigmatizing experiences in the health care setting. Verbal and nonverbal interactions with health care providers and fear of child welfare involvement were counterproductive to recovery and potentially triggered OUD recurrence and/or overdose. Conclusions: Due to existing stigma, pregnant and parenting individuals with OUD often avoided health care and recovery support services; therefore, there should be the removal of barriers that prevent this population from accessing life-saving services. Future efforts should focus on health policy-related research to support structural changes within institutions.
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spelling pubmed-88962182022-03-07 Stigmatization of Pregnant Individuals with Opioid Use Disorder Crawford, Allison D. McGlothen-Bell, Kelly Recto, Pamela McGrath, Jacqueline M. Scott, Leticia Brownell, Elizabeth A. Cleveland, Lisa M. Womens Health Rep (New Rochelle) Original Article Objective: The purpose of this study was to critically analyze the role of stigma in the care of pregnant and parenting individuals with opioid use disorder (OUD) through the theoretical lens of the Reproductive Justice (RJ) framework. Background: Overdose related maternal mortality, often involving opioids, is a national growing public health concern. OUD is a highly stigmatized condition that may negatively influence the well-being of pregnant/parenting individual's reproductive and human rights. Study Design: Secondary qualitative data analysis. Methods: A secondary data analysis was conducted using individual interviews (N = 23) from a larger study aimed at examining contextual factors surrounding pregnant/parenting individual's experiences with opioid use return to use and/or overdose. The RJ framework was used as a framework to examine the influence of OUD-related stigma and a person's right to bodily autonomy, their right to parent, and their right to parent the children they have in safe and sustainable environments. Results: The RJ framework supported the examination of factors that perpetuate stigma in this population. Individuals described stigmatizing experiences in the health care setting. Verbal and nonverbal interactions with health care providers and fear of child welfare involvement were counterproductive to recovery and potentially triggered OUD recurrence and/or overdose. Conclusions: Due to existing stigma, pregnant and parenting individuals with OUD often avoided health care and recovery support services; therefore, there should be the removal of barriers that prevent this population from accessing life-saving services. Future efforts should focus on health policy-related research to support structural changes within institutions. Mary Ann Liebert, Inc., publishers 2022-02-02 /pmc/articles/PMC8896218/ /pubmed/35262054 http://dx.doi.org/10.1089/whr.2021.0112 Text en © Allison D. Crawford et al., 2021; Published by Mary Ann Liebert, Inc. https://creativecommons.org/licenses/by/4.0/This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Crawford, Allison D.
McGlothen-Bell, Kelly
Recto, Pamela
McGrath, Jacqueline M.
Scott, Leticia
Brownell, Elizabeth A.
Cleveland, Lisa M.
Stigmatization of Pregnant Individuals with Opioid Use Disorder
title Stigmatization of Pregnant Individuals with Opioid Use Disorder
title_full Stigmatization of Pregnant Individuals with Opioid Use Disorder
title_fullStr Stigmatization of Pregnant Individuals with Opioid Use Disorder
title_full_unstemmed Stigmatization of Pregnant Individuals with Opioid Use Disorder
title_short Stigmatization of Pregnant Individuals with Opioid Use Disorder
title_sort stigmatization of pregnant individuals with opioid use disorder
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8896218/
https://www.ncbi.nlm.nih.gov/pubmed/35262054
http://dx.doi.org/10.1089/whr.2021.0112
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