Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City

BACKGROUND: Little is known regarding relationships among parenting, engagement in harm reduction services, and overdose risk among people who use illicit opioids (PWUIO), and whether associations differ by gender. METHODS: Using baseline data from an ongoing study among PWUIO in New York City (n = ...

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Autores principales: Scheidell, Joy D, Hoff, Lee, Khan, Maria R, Bennett, Alex S, Elliott, Luther
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9224239/
https://www.ncbi.nlm.nih.gov/pubmed/35757568
http://dx.doi.org/10.1016/j.dadr.2022.100054
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author Scheidell, Joy D
Hoff, Lee
Khan, Maria R
Bennett, Alex S
Elliott, Luther
author_facet Scheidell, Joy D
Hoff, Lee
Khan, Maria R
Bennett, Alex S
Elliott, Luther
author_sort Scheidell, Joy D
collection PubMed
description BACKGROUND: Little is known regarding relationships among parenting, engagement in harm reduction services, and overdose risk among people who use illicit opioids (PWUIO), and whether associations differ by gender. METHODS: Using baseline data from an ongoing study among PWUIO in New York City (n = 575), we measured childcare factors (i.e., residing with children, avoidance of drug treatment for fear of child welfare, difficulty accessing harm reduction due to childcare issues), and harm reduction services and overdose-related outcomes. Among those with children, we estimated prevalence ratios (PR) using modified Poisson regression with a product-interaction term for gender differences. RESULTS: In the total sample (n = 575), approximately 70% reported having children. Compared to men, women were more likely to reside with children (25% vs 36%; p-value=0.04), avoid treatment for fear of child welfare (16% vs 26%; p-value=0.04), and less likely to be trained in naloxone administration (68% vs 61%; p-value=0.09). Among participants with children (n = 403), residing with children was associated with naloxone training among men (aPR 1.28, 95% CI: 1.01, 1.62). Avoiding treatment for fear of child welfare was associated with carrying naloxone overall (aPR 0.68, 95% CI: 0.46, 0.99), with a stronger association among women (aPR 0.48, 95% CI: 0.26, 0.92). Difficulty accessing services due to childcare was associated with lifetime overdose (aPR 1.53, 95% CI: 1.05, 2.23). CONCLUSION: Childcare responsibilities may be a barrier for accessing substance use services and treatment for men and women. Further qualitative and mixed-methods research is needed to understand how to make treatment and services accessible for parents.
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spelling pubmed-92242392022-06-23 Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City Scheidell, Joy D Hoff, Lee Khan, Maria R Bennett, Alex S Elliott, Luther Drug Alcohol Depend Rep Full Length Report BACKGROUND: Little is known regarding relationships among parenting, engagement in harm reduction services, and overdose risk among people who use illicit opioids (PWUIO), and whether associations differ by gender. METHODS: Using baseline data from an ongoing study among PWUIO in New York City (n = 575), we measured childcare factors (i.e., residing with children, avoidance of drug treatment for fear of child welfare, difficulty accessing harm reduction due to childcare issues), and harm reduction services and overdose-related outcomes. Among those with children, we estimated prevalence ratios (PR) using modified Poisson regression with a product-interaction term for gender differences. RESULTS: In the total sample (n = 575), approximately 70% reported having children. Compared to men, women were more likely to reside with children (25% vs 36%; p-value=0.04), avoid treatment for fear of child welfare (16% vs 26%; p-value=0.04), and less likely to be trained in naloxone administration (68% vs 61%; p-value=0.09). Among participants with children (n = 403), residing with children was associated with naloxone training among men (aPR 1.28, 95% CI: 1.01, 1.62). Avoiding treatment for fear of child welfare was associated with carrying naloxone overall (aPR 0.68, 95% CI: 0.46, 0.99), with a stronger association among women (aPR 0.48, 95% CI: 0.26, 0.92). Difficulty accessing services due to childcare was associated with lifetime overdose (aPR 1.53, 95% CI: 1.05, 2.23). CONCLUSION: Childcare responsibilities may be a barrier for accessing substance use services and treatment for men and women. Further qualitative and mixed-methods research is needed to understand how to make treatment and services accessible for parents. Elsevier 2022-04-15 /pmc/articles/PMC9224239/ /pubmed/35757568 http://dx.doi.org/10.1016/j.dadr.2022.100054 Text en © 2022 The Authors. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Full Length Report
Scheidell, Joy D
Hoff, Lee
Khan, Maria R
Bennett, Alex S
Elliott, Luther
Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City
title Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City
title_full Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City
title_fullStr Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City
title_full_unstemmed Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City
title_short Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City
title_sort parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in new york city
topic Full Length Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9224239/
https://www.ncbi.nlm.nih.gov/pubmed/35757568
http://dx.doi.org/10.1016/j.dadr.2022.100054
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