Center for Health Systems Analytics, School of Biomedical Informatics, UTHealth Houston, Houston, TX 77030, USA.
Cizik School of Nursing, UTHealth Houston, Houston, TX 77030, USA.
Int J Environ Res Public Health. 2022 Dec 11;19(24):16660. doi: 10.3390/ijerph192416660.
In the U.S., 12.3% of children live with at least one parent who has a substance use disorder. Prior research has shown that men are more likely to seek treatment than women and that the barriers are different; however, there is limited research focusing specifically on opioid use disorder (OUD). We sought to understand the barriers and motivators for parents with OUD. We conducted a qualitative study by interviewing parents with OUD who were part of an outpatient treatment program. Interviews followed a semi-structured format with questions on access to and motivation for treatment. The interviews were recorded and transcribed using OpenAI software. Transcripts were coded by two separate reviewers and then analyzed for themes using Atlas.ti. We interviewed 14 individuals; 3 were men, and 3 of the women identified as LGBTQ+. The participants ranged in age from 27 to 54 years old. All participants had a least one child. Gender differences existed. Mothers reported experiencing more barriers-notably, a lack of childcare, shame, and guilt-while fathers reported higher levels of support from family. Both mothers and fathers identified their children as a motivation for recovery, albeit in differing ways. Mothers and fathers with OUD experience different barriers to treatment and also rely on different resources. Prior efforts to increase access to treatment for parents have focused on physical barriers; however, our research supports the need for expanded treatment services for families and efforts to address the stigma of substance abuse disorder, but more efforts are also needed to address stigma.
在美国，有 12.3%的儿童与至少有一位患有物质使用障碍的父母生活在一起。先前的研究表明，男性比女性更有可能寻求治疗，而且障碍也不同；然而，针对阿片类药物使用障碍（OUD）的研究有限。我们试图了解患有 OUD 的父母的障碍和动机。我们通过采访参加门诊治疗计划的患有 OUD 的父母进行了一项定性研究。访谈采用半结构化格式进行，问题涉及治疗的可及性和动机。采访使用 OpenAI 软件进行录音和转录。两位独立的审阅者对抄本进行编码，然后使用 Atlas.ti 对主题进行分析。我们采访了 14 个人；其中 3 人是男性，3 人是女性，且都被认定为 LGBTQ+。参与者的年龄从 27 岁到 54 岁不等。所有参与者都至少有一个孩子。存在性别差异。母亲报告说遇到了更多的障碍，特别是缺乏儿童保育、羞耻感和内疚感，而父亲报告说得到了更多来自家庭的支持。母亲和父亲都将孩子视为康复的动机，尽管方式不同。患有 OUD 的母亲和父亲在治疗方面面临不同的障碍，也依赖不同的资源。先前为增加父母获得治疗的机会而做出的努力主要集中在身体障碍上；然而，我们的研究支持为家庭提供扩展的治疗服务，并努力解决物质滥用障碍的耻辱感，但还需要做出更多努力来解决耻辱感。
