@article{ref1,
title="Parenting and childcare responsibilities, harm reduction service engagement, and opioid overdose among women and men who use illicit opioids in New York City",
journal="Drug and alcohol dependence reports",
year="2022",
author="Scheidell, Joy D. and Hoff, Lee and Khan, Maria R. and Bennett, Alex S. and Elliott, Luther",
volume="3",
number="",
pages="e100054-e100054",
abstract="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. <br><br>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. <br><br>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). <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="2772-7246",
doi="10.1016/j.dadr.2022.100054",
url="http://dx.doi.org/10.1016/j.dadr.2022.100054"
}