Stigma Experienced by Rural Pregnant Women with Substance Use Disorder: A Scoping Review and Qualitative Synthesis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Study Selection
2.3. Criteria for Inclusion
2.4. Data Extraction
3. Results
First Author (Publication Year) | Study Aim | Study Setting | Participants | Data Collection | Analysis |
---|---|---|---|---|---|
Blaire [8] | Characterize experiences of perinatal persons with SUD | University of Kentucky, NICU | 11 postpartum women (≥18 y.o.), with perinatal OUD and children requiring NAS observation/treatment | Semi-structured interviews | Sandelowaski’s qualitative description method |
Burgess [9] | Learn about stigma affected seeking and maintaining treatment for opioid use disorder | MaineGeneral Health | 2 groups of postpartum women who sought treatment while pregnant (≥18 y.o.), 8 groups of non-postpartum men and women (≥18 y.o.) | Standardized interviews, recorded focus groups | Summative content analysis, conventional content analysis |
Jackson [10] | Examine how barriers in seeking substance use treatment differ between urban and rural pregnant women | University of Kentucky Medical Center | Pregnant women (≥18 y.o.) undergoing inpatient detoxification | Face-to-face interviews, medical record review | Thematic analysis of interviews, quantitative analysis of socio-demographic variables |
Jackson [4] | Examine barriers to entering substance use treatment experienced by rural, pregnant women | University of Kentucky Chandler Medical Center | Pregnant women (≥18 y.o.) undergoing inpatient detoxification | Face-to-face interviews, medical record review | Thematic analysis of interviews, quantitative analysis of socio-demographic variables |
Jessup [11] | Examine extrinsic barriers to substance abuse treatment for “pregnant drug-dependent women” | Northern California | Perinatal women (24 weeks pregnant-1 year postpartum, (≥18 y.o.) undergoing residential treatment | Semi-structured interviews | Qualitative life history analysis |
Kramlich [12] | Explore the perception of rural women with SUD during their pregnancy and infants’ hospitalization; explore how the perceptions impacted their ability to bond with their baby | Northeast United State | Perinatal women (pregnant or recently birth, (≥18 y.o.) identified as having opioid use disorder | Semi-structured interviews | Framework analysis and thematic analysis |
Ostrach [13] | Explore ambivalence about medication-assisted treatment for OUD in the context of societal stigma | Central Appalachia | Pregnant women receiving medication-assisted treatment and prenatal care at an OB/GYN office | Observation and semi-structured interviews | Thematic analysis |
Paterno [14] | Describe experiences of addiction in pregnancy, recovery, and a mentor/peer support role | Massachusetts | Peer mentors with a history of substance use during pregnancy | Digital storytelling workshop and semi-structured interviews | Analysis using intertextual transcripts and thematic analysis (ground theory approach) |
Roberts [15] | Explore how drug use and factors associated with drug use became barriers to care | Northern California | Perinatal women (pregnant-2 years postpartum, (≥18 y.o.) undergoing residential treatment | Semi-structured interviews and focus groups | Thematic analysis |
3.1. Stigma within the Community
3.2. Stigma within Healthcare Settings
3.3. Importance of Comprehensive Care
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Bright, V.; Riddle, J.; Kerver, J. Stigma Experienced by Rural Pregnant Women with Substance Use Disorder: A Scoping Review and Qualitative Synthesis. Int. J. Environ. Res. Public Health 2022, 19, 15065. https://doi.org/10.3390/ijerph192215065
Bright V, Riddle J, Kerver J. Stigma Experienced by Rural Pregnant Women with Substance Use Disorder: A Scoping Review and Qualitative Synthesis. International Journal of Environmental Research and Public Health. 2022; 19(22):15065. https://doi.org/10.3390/ijerph192215065
Chicago/Turabian StyleBright, Victoria, Julia Riddle, and Jean Kerver. 2022. "Stigma Experienced by Rural Pregnant Women with Substance Use Disorder: A Scoping Review and Qualitative Synthesis" International Journal of Environmental Research and Public Health 19, no. 22: 15065. https://doi.org/10.3390/ijerph192215065