新生儿阿片类药物戒断综合症与母婴特征的流行病学研究。

IF 3.2 3区 医学 Q2 PSYCHIATRY
Ashlyn N. Schwartz, Laurie L. Meschke
{"title":"新生儿阿片类药物戒断综合症与母婴特征的流行病学研究。","authors":"Ashlyn N. Schwartz,&nbsp;Laurie L. Meschke","doi":"10.1007/s00737-024-01460-2","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>Analyze maternal and infant characteristics by Neonatal Opioid Withdrawal Syndrome (NOWS) status and examine the association between mothers with Hepatitis C Virus (HCV) and infants diagnosed with NOWS.</p><h3>Methods</h3><p>Hospital discharge diagnoses of low-income women in Tennessee were used to identify NOWS cases (<i>n</i> = 1,369) in 2013 and 2014 and randomly selected controls (<i>n</i> = 1,369) were matched on county of residence and birth year. Maternal and infant characteristics were obtained by linking these data to birth certificate data.</p><h3>Results</h3><p>Of Tennessee’s 683 cases of NOWS in 2013 and 686 in 2014, most (69%) occurred in Eastern Tennessee. Mothers of infants with NOWS were more likely to be older, unmarried, and white than mothers of infants without NOWS. Mothers of infants with NOWS also faced greater health risk: more smoking, HCV, herpes simplex diagnosis, and no or less frequent prenatal care (<i>p</i> &lt; .0001). Infants with NOWS were more likely to present with infection, be admitted into the NICU, have lower birth weight, be enrolled in TennCare, but less likely to be breastfed than infants without NOWS (<i>p</i> &lt; .0001). After adjusting for demographic factors and smoking, compared to mothers of infants without NOWS, mothers of infants with NOWS had an alarmingly increased odds of HCV [OR = 12.97 (95% CI 7.42, 22.66)].</p><h3>Conclusions</h3><p>This study emphasizes the complexity of challenges facing families impacted by NOWS, the importance of multifaceted prevention, and the need to conduct HCV testing in NOWS infants.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"863 - 867"},"PeriodicalIF":3.2000,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"An epidemiological examination of neonatal opioid withdrawal syndrome and maternal and infant characteristics\",\"authors\":\"Ashlyn N. Schwartz,&nbsp;Laurie L. Meschke\",\"doi\":\"10.1007/s00737-024-01460-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>Analyze maternal and infant characteristics by Neonatal Opioid Withdrawal Syndrome (NOWS) status and examine the association between mothers with Hepatitis C Virus (HCV) and infants diagnosed with NOWS.</p><h3>Methods</h3><p>Hospital discharge diagnoses of low-income women in Tennessee were used to identify NOWS cases (<i>n</i> = 1,369) in 2013 and 2014 and randomly selected controls (<i>n</i> = 1,369) were matched on county of residence and birth year. Maternal and infant characteristics were obtained by linking these data to birth certificate data.</p><h3>Results</h3><p>Of Tennessee’s 683 cases of NOWS in 2013 and 686 in 2014, most (69%) occurred in Eastern Tennessee. Mothers of infants with NOWS were more likely to be older, unmarried, and white than mothers of infants without NOWS. Mothers of infants with NOWS also faced greater health risk: more smoking, HCV, herpes simplex diagnosis, and no or less frequent prenatal care (<i>p</i> &lt; .0001). Infants with NOWS were more likely to present with infection, be admitted into the NICU, have lower birth weight, be enrolled in TennCare, but less likely to be breastfed than infants without NOWS (<i>p</i> &lt; .0001). After adjusting for demographic factors and smoking, compared to mothers of infants without NOWS, mothers of infants with NOWS had an alarmingly increased odds of HCV [OR = 12.97 (95% CI 7.42, 22.66)].</p><h3>Conclusions</h3><p>This study emphasizes the complexity of challenges facing families impacted by NOWS, the importance of multifaceted prevention, and the need to conduct HCV testing in NOWS infants.</p></div>\",\"PeriodicalId\":8369,\"journal\":{\"name\":\"Archives of Women's Mental Health\",\"volume\":\"27 5\",\"pages\":\"863 - 867\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-04-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Women's Mental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://link.springer.com/article/10.1007/s00737-024-01460-2\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Women's Mental Health","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00737-024-01460-2","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

摘要

目的 根据新生儿阿片类药物戒断综合征(NOWS)状况分析母婴特征,并研究丙型肝炎病毒(HCV)母亲与被诊断出患有 NOWS 的婴儿之间的关联。方法 利用田纳西州低收入妇女的出院诊断来确定 2013 年和 2014 年的 NOWS 病例(n = 1,369 例),并根据居住县和出生年份随机抽取对照组(n = 1,369 例)。通过将这些数据与出生证明数据相链接,获得了母亲和婴儿的特征。结果田纳西州2013年和2014年的NOWS病例分别为683例和686例,其中大部分(69%)发生在田纳西州东部。与无NOWS婴儿的母亲相比,NOWS婴儿的母亲更有可能是老年人、未婚者和白人。患有 NOWS 的婴儿的母亲也面临着更大的健康风险:更多的母亲吸烟、感染 HCV、诊断出单纯疱疹、没有或较少进行产前护理(p < .0001)。与未患 NOWS 的婴儿相比,患 NOWS 的婴儿更有可能出现感染、住进新生儿重症监护室、出生体重较轻、加入田纳西州医疗保险,但母乳喂养的可能性较低(p < .0001)。结论本研究强调了受 NOWS 影响的家庭所面临挑战的复杂性、多方面预防的重要性以及对 NOWS 婴儿进行 HCV 检测的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

An epidemiological examination of neonatal opioid withdrawal syndrome and maternal and infant characteristics

An epidemiological examination of neonatal opioid withdrawal syndrome and maternal and infant characteristics

An epidemiological examination of neonatal opioid withdrawal syndrome and maternal and infant characteristics

Purpose

Analyze maternal and infant characteristics by Neonatal Opioid Withdrawal Syndrome (NOWS) status and examine the association between mothers with Hepatitis C Virus (HCV) and infants diagnosed with NOWS.

Methods

Hospital discharge diagnoses of low-income women in Tennessee were used to identify NOWS cases (n = 1,369) in 2013 and 2014 and randomly selected controls (n = 1,369) were matched on county of residence and birth year. Maternal and infant characteristics were obtained by linking these data to birth certificate data.

Results

Of Tennessee’s 683 cases of NOWS in 2013 and 686 in 2014, most (69%) occurred in Eastern Tennessee. Mothers of infants with NOWS were more likely to be older, unmarried, and white than mothers of infants without NOWS. Mothers of infants with NOWS also faced greater health risk: more smoking, HCV, herpes simplex diagnosis, and no or less frequent prenatal care (p < .0001). Infants with NOWS were more likely to present with infection, be admitted into the NICU, have lower birth weight, be enrolled in TennCare, but less likely to be breastfed than infants without NOWS (p < .0001). After adjusting for demographic factors and smoking, compared to mothers of infants without NOWS, mothers of infants with NOWS had an alarmingly increased odds of HCV [OR = 12.97 (95% CI 7.42, 22.66)].

Conclusions

This study emphasizes the complexity of challenges facing families impacted by NOWS, the importance of multifaceted prevention, and the need to conduct HCV testing in NOWS infants.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信