TY - JOUR
AU - C. E. Grella
AU - C. K. Scott
AU - M. L. Dennis
AU - R. A. LaVallee
A1 - 
AB - The aim of this study was to assess the availability of medications for opioid use disorder (MOUD) and other services for pregnant people in jails in counties heavily impacted by opioid overdose in the United States. Counties were selected based on absolute number and population rate of opioid-overdose fatalities. Structured interviews were completed with representatives from 174 jails that house pregnant women. Descriptive statistics examine MOUD availability and differences in service provision and community-level characteristics based on MOUD availability. Most jails in the study sample (84.5%) had MOUD available for pregnant people; however, less than half of these jails ensured continuity of care. Jails without MOUD available are more likely to provide non-MOUD substance use services. These jails are more often located in smaller, rural counties in the Midwest and have higher rates of White residents and lower rates of Hispanic and African American residents. Gaps in MOUD availability in jails and continuity of care violate medical guidelines for treatment of pregnant patients with opioid use disorder and increase their risk of overdose. In addition, there are disparities across communities in access to MOUD for pregnant people in jails.
AD - Chestnut Health Systems, Lighthouse Institute, Chicago, Illinois, USA.; Chestnut Health Systems, Lighthouse Institute, Normal, Illinois, USA.; Carnevale Associates LLC, Gaithersburg, Maryland, USA.
AN - 37252747
BT - J Correct Health Care
C5 - Opioids & Substance Use; Healthcare Disparities; Education & Workforce
CP - 4
DA - Aug
DO - 10.1089/jchc.22.03.0023
DP - NLM
ET - 20230526
IS - 4
JF - J Correct Health Care
LA - eng
N2 - The aim of this study was to assess the availability of medications for opioid use disorder (MOUD) and other services for pregnant people in jails in counties heavily impacted by opioid overdose in the United States. Counties were selected based on absolute number and population rate of opioid-overdose fatalities. Structured interviews were completed with representatives from 174 jails that house pregnant women. Descriptive statistics examine MOUD availability and differences in service provision and community-level characteristics based on MOUD availability. Most jails in the study sample (84.5%) had MOUD available for pregnant people; however, less than half of these jails ensured continuity of care. Jails without MOUD available are more likely to provide non-MOUD substance use services. These jails are more often located in smaller, rural counties in the Midwest and have higher rates of White residents and lower rates of Hispanic and African American residents. Gaps in MOUD availability in jails and continuity of care violate medical guidelines for treatment of pregnant patients with opioid use disorder and increase their risk of overdose. In addition, there are disparities across communities in access to MOUD for pregnant people in jails.
PY - 2023
SN - 1078-3458 (Print); 1078-3458
SP - 299
EP - 307+
ST - Access to Services for Pregnant People With Opioid Use Disorder in Jails in the United States
T1 - Access to Services for Pregnant People With Opioid Use Disorder in Jails in the United States
T2 - J Correct Health Care
TI - Access to Services for Pregnant People With Opioid Use Disorder in Jails in the United States
U1 - Opioids & Substance Use; Healthcare Disparities; Education & Workforce
U3 - 10.1089/jchc.22.03.0023
VL - 29
VO - 1078-3458 (Print); 1078-3458
Y1 - 2023
ER -