University of Louisville School of Medicine, Department of Pediatrics, 571 S. Floyd Street, Suite 225, Louisville, KY, 40202, USA.
Norton Children's Research Institute, University of Louisville School of Medicine, Louisville, USA.
Matern Child Health J. 2024 Nov;28(11):1870-1875. doi: 10.1007/s10995-024-03993-5. Epub 2024 Oct 3.
To describe program characteristics and outcomes of a residential substance use recovery program serving pregnant and parenting women in a rural and urban location.
This assessment of administrative records from April 1, 2020 through March 31, 2022, included women in a rural (n = 140) and urban (n = 321) county in Kentucky.
This retrospective case study used descriptive and non-parametric analyses to assess the population and examine differences between locations, race, and ethnicity for women served. Logistic regression tested predictors of goal achievement by community. Of 461 women served, 65 (14.1%) delivered a baby while in treatment; 62 of which were considered healthy. 13% of the women were Black, 83.1% non-Hispanic (NH) white, and 3.7% were other races/biracial; 1.3% were Hispanic. The mean age was 30.92 years (SD 6.23) and treatment duration was 90.11 days (SD 67.70). Program goals were achieved by 312 (67.7%). There were no differences in rates of goal achievement or treatment duration by race, ethnicity, or age and no difference in the rate of achievement by location in univariate analyses. However, treatment duration was positively associated with program success in both communities. In the urban community, Black women were 8% more likely to successfully complete the program compared to NH white women (OR = 9.77 [95% CI 1.21,79.18; p = 0.033]) after controlling for confounders. Insufficient sample size for non-white women in the rural community prohibited evaluation.
Duration of time in the program best predicted successful completion for women in recovery. These findings have policy implications.
描述一个为农村和城市地区的孕妇和哺乳期妇女提供的住院物质使用康复计划的项目特征和结果。
本评估使用了 2020 年 4 月 1 日至 2022 年 3 月 31 日的行政记录，包括肯塔基州一个农村县（n=140）和一个城市县（n=321）的妇女。
本回顾性病例研究使用描述性和非参数分析评估了该人群，并检查了服务妇女在地点、种族和民族方面的差异。逻辑回归测试了社区中目标实现的预测因素。在接受治疗的 461 名妇女中，有 65 名（14.1%）在治疗期间分娩；其中 62 名婴儿被认为是健康的。13%的妇女是黑人，83.1%是非西班牙裔（NH）白人，3.7%是其他种族/混血；1.3%是西班牙裔。平均年龄为 30.92 岁（标准差 6.23），治疗持续时间为 90.11 天（标准差 67.70）。312 名（67.7%）妇女达到了项目目标。在单变量分析中，种族、民族或年龄对目标达成率或治疗持续时间没有差异，地理位置也没有差异。然而，在两个社区中，治疗持续时间与项目成功呈正相关。在城市社区中，控制混杂因素后，黑人妇女完成项目的可能性比 NH 白人妇女高 8%（OR=9.77[95%CI 1.21,79.18;p=0.033]）。农村社区中非白人妇女的样本量太小，无法进行评估。
在康复中的时间长短是预测妇女成功完成项目的最佳指标。这些发现具有政策意义。
