Moreland Angela, Newman Carla, Crum Kat, Are Funlola
Medical University of South Carolina, 67 President Street, Charleston, SC 29425.
Child Youth Serv Rev. 2021 Jul;126. doi: 10.1016/j.childyouth.2021.106021. Epub 2021 Apr 17.
Although there is a significant link between maternal substance use and child maltreatment risk, extant literature has not investigated this link specifically among the growing number of parents abusing opioids. Underreporting of opioid use within child welfare presents further challenges in elucidating relations between maternal opioid use and child maltreatment. The purpose of the current study is to examine the link between maternal opioid use in women in substance use treatment and self-reported rates of child maltreatment and child welfare involvement of their children. We examined maternal substance use, severity of substance use, severity and type of child maltreatment of their children, and child welfare involvement across mothers who misuse opioids and misuse other substances using self-report surveys with 89 mothers. Results suggest similarities and differences among mothers who use opioids and other substances. Mothers who use opioids endorsed more significant and prolonged involvement with child welfare than mothers who use other substances. Participants did not endorse significant differences between rates of child maltreatment, and treatment engagement across groups. Given increased awareness of significant risks associated with opioid abuse, including greater risk for child maltreatment, a better understanding of its intersection with child welfare is necessary.
尽管母亲使用药物与儿童受虐待风险之间存在显著关联，但现有文献尚未专门研究在越来越多滥用阿片类药物的父母中这种关联。儿童福利机构中对阿片类药物使用情况报告不足，这在阐明母亲使用阿片类药物与儿童受虐待之间的关系方面带来了进一步挑战。本研究的目的是探讨接受药物使用治疗的女性中母亲使用阿片类药物与自我报告的儿童受虐待率以及其子女与儿童福利机构接触情况之间的关联。我们通过对89位母亲进行自我报告调查，研究了滥用阿片类药物和滥用其他药物的母亲的药物使用情况、药物使用严重程度、其子女受虐待的严重程度和类型以及儿童福利机构接触情况。结果表明使用阿片类药物的母亲和使用其他药物的母亲之间存在异同。与使用其他药物的母亲相比，使用阿片类药物的母亲认可自己与儿童福利机构有更显著和更长期的接触。各群体在儿童受虐待率和治疗参与度方面，参与者并未认可存在显著差异。鉴于人们越来越意识到与阿片类药物滥用相关的重大风险，包括儿童受虐待的更高风险，有必要更好地理解其与儿童福利的交叉情况。
