203 Assessing social determinants of health and psychosocial factors critical to sustaining recovery among pregnant and parenting women with opioid use disorder

IF 2.1 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Journal of Clinical and Translational Science Pub Date : 2024-04-03 DOI:10.1017/cts.2024.194
Doris Titus-Glover
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Abstract

OBJECTIVES/GOALS: This study explored personal recovery support, including social determinants of health and psychosocial needs to understand factors for sustaining recovery among parenting and pregnant women with opioid use disorder. METHODS/STUDY POPULATION: This study used a mixed method quantitative/qualitative design and recruited women from residential/transitional facilities in an urban area. We used the Accountable Health Communities Health-Related Social Needs tool to assess social determinants of health factors, level of physical activity, family/community support, and mental health (stress). Through focus groups, we interviewed women to describe challenges to recovery and to resources including access to providers, housing, childcare, and food assistance from lived experiences. RESULTS/ANTICIPATED RESULTS: Survey analysis showed social determinants of health factors such as food and transportation were partially mitigated by residential living; however, parenting and pregnant women with opioid use disorder remained concerned about housing and finances; and encountered low levels of physical activity and significant stress. Preliminary results from the focus groups revealed a theme of positive recovery and retention experiences from residential living. DISCUSSION/SIGNIFICANCE: Evidence from studies suggests focused interventions for recovering women to reduce relapse risk factors and adverse maternal outcomes. Opportunities for improving personal recovery capital are accessible in residential facilities, however, further exploration of unmet social determinants of health factors are needed for recovery retention.
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203 评估健康的社会决定因素和对患有阿片类药物使用障碍的孕妇和养育子女的妇女持续康复至关重要的社会心理因素
目的/目标:本研究探讨了个人康复支持,包括健康的社会决定因素和社会心理需求,以了解患有阿片类药物使用障碍的育儿妇女和孕妇持续康复的因素。方法/研究对象:本研究采用定量/定性混合方法设计,从城市地区的寄宿/过渡设施中招募妇女。我们使用 "责任健康社区与健康相关的社会需求 "工具来评估健康的社会决定因素、体育活动水平、家庭/社区支持以及心理健康(压力)。通过焦点小组,我们采访了妇女,让她们从生活经验中描述在康复和获得资源(包括获得服务提供者、住房、托儿服务和食品援助)方面所面临的挑战。结果/预期结果:调查分析表明,寄宿生活部分缓解了食物和交通等决定健康的社会因素;但是,患有阿片类药物使用障碍的育儿妇女和孕妇仍然担心住房和财务问题;她们的体育锻炼水平低,压力大。焦点小组的初步结果显示,寄宿生活为她们带来了积极的康复和保留经历。讨论/意义:研究证据表明,针对康复妇女的重点干预措施可减少复发风险因素和不利的孕产结果。在寄宿设施中可以获得改善个人康复资本的机会,但是还需要进一步探索未满足的健康社会决定因素,以保持康复。
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来源期刊
Journal of Clinical and Translational Science
Journal of Clinical and Translational Science MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
2.80
自引率
26.90%
发文量
437
审稿时长
18 weeks
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