东田纳西州的新生儿戒断综合征：阿巴拉契亚一个地区母婴的特征及危险因素
Neonatal Abstinence Syndrome in East Tennessee: Characteristics and Risk Factors among Mothers and Infants in One Area of Appalachia.
作者信息
Erwin Paul C, Meschke Laurie L, Ehrlich Samantha F, Lindley Lisa C
出版信息
J Health Care Poor Underserved. 2017;28(4):1393-1408. doi: 10.1353/hpu.2017.0122.
Abstract
OBJECTIVE
To describe the epidemiology of neonatal abstinence syndrome (NAS) in a 16-county Appalachian area of eastern Tennessee.
METHODS
The Tennessee Surveillance System for NAS provided data on maternal sources of opioids. Data linking hospital discharge diagnosis for NAS to birth certificate data allowed us to compare maternal, delivery, and infant characteristics for NAS births with those for non-NAS births.
RESULTS
There were 339 cases of NAS in 2013 and 367 in 2014, for NAS rates of 25.5 and 28.5 per 1,000 live births, respectively. When compared with the state overall, mothers of NAS infants in eastern Tennessee were more likely to use opioids that had been prescribed to another person. There were numerous maternal, infant, and delivery characteristics that were significantly different for NAS births compared with non-NAS births.
CONCLUSION
Neonatal abstinence syndrome is epidemic in the eastern Tennessee area of Appalachia, with unique maternal and infant characteristics that have important implications for primary, secondary, and tertiary prevention.
摘要
目的
描述田纳西州东部阿巴拉契亚地区16个县新生儿戒断综合征（NAS）的流行病学情况。
方法
田纳西州NAS监测系统提供了阿片类药物母体来源的数据。将NAS的医院出院诊断数据与出生证明数据相链接，使我们能够比较NAS出生婴儿与非NAS出生婴儿的母体、分娩和婴儿特征。
结果
2013年有339例NAS病例，2014年有367例，NAS发生率分别为每1000例活产25.5例和28.5例。与全州总体情况相比，田纳西州东部NAS婴儿的母亲更有可能使用他人开具的阿片类药物。与非NAS出生相比，NAS出生在许多母体、婴儿和分娩特征方面存在显著差异。
结论
新生儿戒断综合征在阿巴拉契亚地区的田纳西州东部呈流行态势，其独特的母体和婴儿特征对一级、二级和三级预防具有重要意义。
相似文献
1
Neonatal Abstinence Syndrome in East Tennessee: Characteristics and Risk Factors among Mothers and Infants in One Area of Appalachia.东田纳西州的新生儿戒断综合征：阿巴拉契亚一个地区母婴的特征及危险因素
J Health Care Poor Underserved. 2017;28(4):1393-1408. doi: 10.1353/hpu.2017.0122.
2
Implementation of a statewide surveillance system for neonatal abstinence syndrome - Tennessee, 2013.田纳西州新生儿戒断综合征全州监测系统的实施，2013年
MMWR Morb Mortal Wkly Rep. 2015 Feb 13;64(5):125-8.
3
An epidemiological examination of neonatal opioid withdrawal syndrome and maternal and infant characteristics.新生儿阿片类戒断综合征及母婴特征的流行病学研究
Arch Womens Ment Health. 2024 Oct;27(5):863-867. doi: 10.1007/s00737-024-01460-2. Epub 2024 Apr 4.
4
The Association Between Breastfeeding and Length of Hospital Stay Among Infants Diagnosed with Neonatal Abstinence Syndrome: A Population-Based Study of In-Hospital Births.母乳喂养与诊断为新生儿戒断综合征的婴儿住院时间之间的关联：一项基于人群的住院分娩研究。
Breastfeed Med. 2016 Sep;11:343-9. doi: 10.1089/bfm.2016.0084. Epub 2016 Aug 16.
5
Implications of Tennessee's Opioid Legislation for Neonatal Abstinence Syndrome.田纳西州阿片类药物立法对新生儿戒断综合征的影响。
Policy Polit Nurs Pract. 2019 Aug;20(3):153-162. doi: 10.1177/1527154419864540. Epub 2019 Aug 7.
6
Trends of Neonatal Abstinence Syndrome Epidemic and Maternal Risk Factors in Florida.佛罗里达州新生儿戒断综合征的流行趋势及母亲的风险因素
Pharmacotherapy. 2017 Jul;37(7):806-813. doi: 10.1002/phar.1947. Epub 2017 Jun 21.
7
Association Among County-Level Economic Factors, Clinician Supply, Metropolitan or Rural Location, and Neonatal Abstinence Syndrome.县级经济因素、临床医生供给、城乡地理位置与新生儿戒断综合征的关联。
JAMA. 2019 Jan 29;321(4):385-393. doi: 10.1001/jama.2018.20851.
8
Maternal Opioid Use Disorder and Neonatal Abstinence Syndrome Among Rural US Residents, 2007-2014.2007-2014 年美国农村居民中产妇阿片类药物使用障碍和新生儿戒断综合征。
J Rural Health. 2019 Jan;35(1):122-132. doi: 10.1111/jrh.12329. Epub 2018 Oct 29.
9
Surveillance, Epidemiology, and Estimated Burden of Neonatal Abstinence Syndrome, Tennessee, 2013-2016.监测、流行病学和新生儿阿片类药物戒断综合征负担估计，田纳西州，2013-2016 年。
Public Health Rep. 2019 Sep/Oct;134(5):537-541. doi: 10.1177/0033354919867718. Epub 2019 Aug 7.
10
Neonatal Abstinence Syndrome (NAS) in Southwestern Border States: Examining Trends, Population Correlates, and Implications for Policy.美国西南边境各州的新生儿戒断综合征：审视趋势、人口关联因素及政策影响
Matern Child Health J. 2018 Sep;22(9):1352-1359. doi: 10.1007/s10995-018-2517-y.
引用本文的文献
1
A population-based descriptive study of neonatal abstinence syndrome using hospital discharge and birth certificate data.一项基于人群的新生儿戒断综合征描述性研究，采用医院出院数据和出生证明数据。
J Subst Use. 2023;28(5):789-796. doi: 10.1080/14659891.2022.2098841. Epub 2022 Jul 14.
2
Demographics, Birth Parameters, and Social Determinants of Health Among Opioid-Exposed Mother-Infant Dyads Affected by Neonatal Abstinence Syndrome in Pennsylvania, 2018-2019.宾夕法尼亚州 2018-2019 年受新生儿戒断综合征影响的阿片类药物暴露母婴对子的人口统计学、出生参数和健康社会决定因素。
Matern Child Health J. 2023 Dec;27(Suppl 1):34-43. doi: 10.1007/s10995-023-03678-5. Epub 2023 May 27.
3
Characteristics of Individuals in the United States Who Used Opioids During Pregnancy.怀孕期间使用阿片类药物的美国人的特征。
J Womens Health (Larchmt). 2023 Feb;32(2):161-170. doi: 10.1089/jwh.2022.0118. Epub 2022 Nov 9.
4
Contextual risk and psychosocial profiles of opioid-using mothers: A mixed-methods study.阿片类药物使用者母亲的情境风险和心理社会特征：一项混合方法研究。
Womens Health (Lond). 2021 Jan-Dec;17:17455065211060624. doi: 10.1177/17455065211060624.
5
Contraceptive use in Appalachian women who use drugs and were recruited from rural jails.阿巴拉契亚地区吸毒女性的避孕措施使用情况。这些女性是从农村监狱招募的。
Soc Work Health Care. 2020 Jul;59(6):365-386. doi: 10.1080/00981389.2020.1769249.
6
Family Planning Practices in Appalachia: Focus Group Perspectives on Service Needs in the Context of Regional Substance Abuse.阿巴拉契亚地区的计划生育实践：以区域性药物滥用为背景的服务需求焦点小组观点。
Int J Environ Res Public Health. 2020 Feb 13;17(4):1198. doi: 10.3390/ijerph17041198.
7
The opioid and related drug epidemics in rural Appalachia: A systematic review of populations affected, risk factors, and infectious diseases.阿巴拉契亚农村地区的阿片类药物和相关药物流行：受影响人群、风险因素和传染病的系统评价。
Subst Abus. 2020;41(1):35-69. doi: 10.1080/08897077.2019.1635555. Epub 2019 Aug 12.
8
Surveillance, Epidemiology, and Estimated Burden of Neonatal Abstinence Syndrome, Tennessee, 2013-2016.监测、流行病学和新生儿阿片类药物戒断综合征负担估计，田纳西州，2013-2016 年。
Public Health Rep. 2019 Sep/Oct;134(5):537-541. doi: 10.1177/0033354919867718. Epub 2019 Aug 7.
本文引用的文献
1
The Significance of Harm Reduction as a Social and Health Care Intervention for Injecting Drug Users: An Exploratory Study of a Needle Exchange Program in Fresno, California.减少伤害作为针对注射吸毒者的社会和医疗保健干预措施的意义：对加利福尼亚州弗雷斯诺市一个针头交换项目的探索性研究。
Soc Work Public Health. 2016 Aug-Sep;31(5):398-407. doi: 10.1080/19371918.2015.1137522. Epub 2016 May 11.
2
Neonatal Abstinence Syndrome in West Virginia Substate Regions, 2007-2013.2007 - 2013年西弗吉尼亚州部分地区的新生儿戒断综合征
J Rural Health. 2017 Jan;33(1):92-101. doi: 10.1111/jrh.12174. Epub 2016 Feb 16.
3
Newborn Congenital Malformations Associated With Prenatal Exposure to Drugs in Kentucky, 2009-2013.
South Med J. 2016 Feb;109(2):124-9. doi: 10.14423/SMJ.0000000000000412.
4
5
Increasing incidence and geographic distribution of neonatal abstinence syndrome: United States 2009 to 2012.新生儿戒断综合征发病率和地理分布的增加：美国 2009 年至 2012 年。
J Perinatol. 2015 Aug;35(8):650-5. doi: 10.1038/jp.2015.36. Epub 2015 Apr 30.
6
Increasing incidence of the neonatal abstinence syndrome in U.S. neonatal ICUs.美国新生儿重症监护病房中新生儿戒断综合征的发病率不断上升。
N Engl J Med. 2015 May 28;372(22):2118-26. doi: 10.1056/NEJMsa1500439. Epub 2015 Apr 26.
7
Prevalence and management of chronic hepatitis C virus infection in women.慢性丙型肝炎病毒感染在女性中的流行状况和处理。
Med Clin North Am. 2015 May;99(3):575-86. doi: 10.1016/j.mcna.2015.01.009. Epub 2015 Feb 28.
8
Infant and maternal characteristics in neonatal abstinence syndrome--selected hospitals in Florida, 2010-2011.新生儿戒断综合征中的婴儿及母亲特征——佛罗里达州部分医院，2010 - 2011年
MMWR Morb Mortal Wkly Rep. 2015 Mar 6;64(8):213-6.
9
Implementation of a statewide surveillance system for neonatal abstinence syndrome - Tennessee, 2013.田纳西州新生儿戒断综合征全州监测系统的实施，2013年
MMWR Morb Mortal Wkly Rep. 2015 Feb 13;64(5):125-8.
10
The prescription opioid and heroin crisis: a public health approach to an epidemic of addiction.处方阿片类药物和海洛因危机：一种公共卫生方法应对成瘾的流行。
Annu Rev Public Health. 2015 Mar 18;36:559-74. doi: 10.1146/annurev-publhealth-031914-122957. Epub 2015 Jan 12.
Zotero 插件