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 = ...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-06-01
|
| Series: | Drug and Alcohol Dependence Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772724622000324 |
| _version_ | 1818015164007448576 |
|---|---|
| author | Joy D Scheidell Lee Hoff Maria R Khan Alex S Bennett Luther Elliott |
| author_facet | Joy D Scheidell Lee Hoff Maria R Khan Alex S Bennett Luther Elliott |
| author_sort | Joy D Scheidell |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-14T06:54:25Z |
| format | Article |
| id | doaj.art-8319afabdf0e4d5f9ca71b768219922a |
| institution | Directory Open Access Journal |
| issn | 2772-7246 |
| language | English |
| last_indexed | 2024-04-14T06:54:25Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Drug and Alcohol Dependence Reports |
| spelling | doaj.art-8319afabdf0e4d5f9ca71b768219922a2022-12-22T02:06:57ZengElsevierDrug and Alcohol Dependence Reports2772-72462022-06-013100054Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York CityJoy D Scheidell0Lee Hoff1Maria R Khan2Alex S Bennett3Luther Elliott4Department of Population Health, New York University Grossman School of Medicine, 227 E 30th Street, Sixth Floor, New York, NY 10016, USA; Corresponding author.Department of Population Health, New York University Grossman School of Medicine, 227 E 30th Street, Sixth Floor, New York, NY 10016, USADepartment of Population Health, New York University Grossman School of Medicine, 227 E 30th Street, Sixth Floor, New York, NY 10016, USANew York University School of Global Public Health, 708 Broadway, New York, NY 10003, USANew York University School of Global Public Health, 708 Broadway, New York, NY 10003, USABackground: 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.http://www.sciencedirect.com/science/article/pii/S2772724622000324OpioidsParentingWomenHarm reductionOverdose |
| spellingShingle | Joy D Scheidell Lee Hoff Maria R Khan Alex S Bennett Luther Elliott Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City Drug and Alcohol Dependence Reports Opioids Parenting Women Harm reduction Overdose |
| 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 | Opioids Parenting Women Harm reduction Overdose |
| url | http://www.sciencedirect.com/science/article/pii/S2772724622000324 |
| work_keys_str_mv | AT joydscheidell parentingandchildcareresponsibilitiesharmreductionserviceengagementandopioidoverdoseamongwomenandmenwhouseillicitopioidsinnewyorkcity AT leehoff parentingandchildcareresponsibilitiesharmreductionserviceengagementandopioidoverdoseamongwomenandmenwhouseillicitopioidsinnewyorkcity AT mariarkhan parentingandchildcareresponsibilitiesharmreductionserviceengagementandopioidoverdoseamongwomenandmenwhouseillicitopioidsinnewyorkcity AT alexsbennett parentingandchildcareresponsibilitiesharmreductionserviceengagementandopioidoverdoseamongwomenandmenwhouseillicitopioidsinnewyorkcity AT lutherelliott parentingandchildcareresponsibilitiesharmreductionserviceengagementandopioidoverdoseamongwomenandmenwhouseillicitopioidsinnewyorkcity |