Department of Obstetrics & Gynecology, Thomas Jefferson University, 1233 Locust St., Philadelphia, PA, 19107, USA.
College of Population Health, Thomas Jefferson University, 901 Walnut St., Philadelphia, PA, 19107, USA.
Community Ment Health J. 2021 Jul;57(5):872-879. doi: 10.1007/s10597-020-00661-0. Epub 2020 Jun 16.
Descriptive adverse childhood experience (ACE) prevalence data on parenting women seeking treatment for opioid use disorder (OUD) is limited, despite this group being one of the fastest growing sub-populations of the opioid epidemic. The aim of this study was to: (1) determine prevalence of ACEs) in a population of parenting women in treatment for OUD, (2) characterize ACEs, and (3) compare study ACE data to Pennsylvania Behavioral Risk Factor Surveillance System (PA BRFSS) to normalize study results. Between 2014 and 2018, ACEs were collected from parenting women (N = 152) enrolled in treatment for OUDs. Results showed on average women were 30.3 years of age (SD 4.6, range 22-41 years) non-Hispanic (87.0%), white (74.0%), and held a high school education or less (76.0%). The mean total ACE score was 4.3 (SD 2.3; range 0-8). Most women reported 4 ≥ ACEs (65.0%), while only 5.0% reported 0 ACEs. The current sample had higher mean ACE score (4.3 PSMDT vs. 1.4 PA BRFSS Data) than PA BRFSS Data. The burden of ACEs in parenting women in treatment for OUD is significant. Understanding the trauma parenting women in drug treatment have experienced, may support efforts to reduce stigma of this population. Public health intervention and policy work that is trauma proactive is needed to address this growing epidemic.
描述性的不良儿童经历（ACE）在寻求治疗阿片类药物使用障碍（OUD）的育儿女性中的流行数据有限，尽管该群体是阿片类药物流行中增长最快的亚群之一。本研究的目的是：（1）确定治疗 OUD 的育儿女性人群中 ACE 的流行率，（2）描述 ACE，（3）将研究 ACE 数据与宾夕法尼亚州行为危险因素监测系统（PA BRFSS）进行比较，使研究结果正常化。在 2014 年至 2018 年期间，从参加 OUD 治疗的育儿女性（N=152）中收集 ACE 数据。结果表明，女性平均年龄为 30.3 岁（SD 4.6，范围 22-41 岁），非西班牙裔（87.0%），白人（74.0%），且接受高中及以下教育（76.0%）。平均 ACE 总分为 4.3（SD 2.3；范围 0-8）。大多数女性报告有 4 个及以上 ACE（65.0%），而只有 5.0%报告没有 ACE。目前的样本 ACE 评分均值（4.3 PSMDT 与 PA BRFSS 数据的 1.4）高于 PA BRFSS 数据。接受 OUD 治疗的育儿女性 ACE 负担显著。了解接受药物治疗的育儿女性所经历的创伤，可能有助于减少对该人群的污名化。需要采取具有创伤预防意识的公共卫生干预和政策工作来应对这一日益严重的流行。
