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与康复社区共同倡导生殖与围产期健康:改善医疗保健和健康促进资源的可及性,以支持康复。

Championing reproductive and perinatal health with the recovery community: improving access to healthcare and health promotion resources to support recovery.

作者信息

Feld Hartley, Elswick Alex, Byard Jeremy, Beckett Whitney, Fallin-Bennett Amanda

机构信息

College of Nursing, University of Kentucky, Lexington, KY, United States.

College of Agriculture, Food and Environment, University of Kentucky, Lexington, KY, United States.

出版信息

Front Public Health. 2025 May 14;13:1529169. doi: 10.3389/fpubh.2025.1529169. eCollection 2025.

DOI:10.3389/fpubh.2025.1529169
PMID:40438077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12118467/
Abstract

Peer recovery support services are instrumental in the promotion of long-term recovery primarily by focusing on building the recovery capital of people with substance use disorders. Women may have specific health-related needs that are not generally part of recovery support staff training. Our team co-created a model by training people with lived experience as coaches to promote the health of women with SUD during the critical period of their reproductive years when mortality from overdose risk is high and can be compounded by issues surrounding pregnancy. We explored the outcomes of a small pilot test of this model to promote reproductive autonomy in a recovery community center (RCC). The RCC and the champion-trained peer recovery coach were able to increase their reach to women of reproductive age and facilitated linkage to healthcare and health-promoting resources. The model has the potential to improve the participants' abilities to access reproductive and perinatal health resources and healthcare that could lead to improvements in their recovery.

摘要

同伴康复支持服务主要通过专注于建立物质使用障碍患者的康复资本,对促进长期康复起到重要作用。女性可能有一些与健康相关的特殊需求,而这些需求通常并非康复支持人员培训内容的一部分。我们的团队共同创建了一个模式,培训有亲身经历的人成为教练,以在育龄这一关键时期促进患有物质使用障碍的女性的健康,此时药物过量风险导致的死亡率很高,且可能因怀孕相关问题而加剧。我们探索了在一个康复社区中心(RCC)对该模式进行小型试点测试以促进生殖自主权的结果。该康复社区中心和经过冠军培训的同伴康复教练能够扩大对育龄女性的服务范围,并促进与医疗保健及健康促进资源的联系。该模式有可能提高参与者获取生殖和围产期健康资源及医疗保健的能力,从而促进她们的康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a011/12118467/d97118743182/fpubh-13-1529169-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a011/12118467/4823e2c45e29/fpubh-13-1529169-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a011/12118467/35dafe07d6da/fpubh-13-1529169-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a011/12118467/d97118743182/fpubh-13-1529169-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a011/12118467/4823e2c45e29/fpubh-13-1529169-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a011/12118467/35dafe07d6da/fpubh-13-1529169-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a011/12118467/d97118743182/fpubh-13-1529169-g0003.jpg

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本文引用的文献

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Addict Res Theory. 2024;32(6):455-465. doi: 10.1080/16066359.2023.2292589. Epub 2023 Dec 13.
2
We Drove to the Moon: Ensuring Methadone Access in Rural Kentucky through Peer Transportation.我们驾车奔月:通过同伴运输确保肯塔基州农村地区的美沙酮供应。
J Addict Med. 2025 Feb 17. doi: 10.1097/ADM.0000000000001459.
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Advancing the future of equitable access to health care: recommendations from international health care leaders.
推进公平获得医疗保健的未来:国际医疗保健领导者的建议。
Health Aff Sch. 2024 Aug 9;2(8):qxae094. doi: 10.1093/haschl/qxae094. eCollection 2024 Aug.
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Mandatory Warning Signs for Cannabis: Perspectives and Preferences of Pregnant and Recently Pregnant People Who Use Cannabis.大麻的强制性警示标志:使用大麻的孕妇和刚怀孕的人的观点与偏好
J Stud Alcohol Drugs. 2025 Jan;86(1):75-84. doi: 10.15288/jsad.23-00214. Epub 2024 Jun 20.
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Programs and practices that support pregnant people who use drugs' access to sexual and reproductive health care in Canada: a scoping review.支持加拿大吸毒孕妇获得性健康和生殖健康护理的项目和实践:范围综述。
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