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 = ...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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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. |
format | Online Article Text |
id | pubmed-9224239 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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