Investigating Maternal Opioid Use, Neonatal Abstinence Syndrome and Response in NW Tribal Communities

调查西北部落社区母亲阿片类药物的使用、新生儿戒断综合症和反应

基本信息

批准号：
9980845
负责人：
JODI A LAPIDUS
金额：
$ 19.63万
依托单位：
NORTHWEST PORTLAND AREA INDIAN HLTH BD
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-01 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9980845
关键词：
Address Adverse effects Affect Age Age of Onset Alcohol or Other Drugs use American Indians Area Behavioral Birth Breast Feeding Caring Communities Complement Congresses Data Development Distress Ensure Epidemiology Evidence based treatment Exposure to Fatality rate Fever Funding Future General Population Goals Health Health Service Area Health Services Healthcare Systems Heroin Users Hospitals Idaho Incidence Indian reservation Individual Infant Infant Health Infrastructure Intervention Intervention Studies Interview Investigation Maternal Health Medical Mental Health Mothers National Health Services Native Americans Neonatal Abstinence Syndrome Newborn Infant Northwest Tribe Not Hispanic or Latino Opiate Addiction Opioid Oregon Outcome Overdose Phase Policies Policy Research Pregnancy Pregnant Women Procedures Process Race Recording of previous events Reporting Research Research Project Grants Resolution Risk Severities Social Work Statistical Methods Stress Structure Substance Withdrawal Syndrome Time Trauma Tremor Tribes United States Indian Health Service Washington Woman Work base behavior influence child bearing collaborative approach data warehouse design drug withdrawal fetal drug exposure gastrointestinal geographic difference improved maternal opioid use medication-assisted treatment member next generation opioid epidemic opioid overdose opioid use organizational structure postnatal prenatal exposure prescription opioid misuse reduced substance abuse response rural area rurality social social structure sucking treatment program treatment services treatment strategy trend tribal community tribal health tribal member tribal organization usability

项目摘要

Abstract (30 lines max) Medical and nonmedical use of prescription opioids has rocketed in the US over the past two decades. The rise in opioid use during pregnancy marked disparities among AI/AN women and newborns. While there are evidence-based treatment strategies recommended for use during pregnancy and in the postnatal use period, use of these strategies is substantially lower in AI/AN across the US. As sovereign nations, tribes are often responsible for policies, practices, and infrastructure improvements to address these problems. The Northwest Tribal Epidemiology Center (The EpiCenter) is tasked with responding to the data needs of the 43 NW Tribes, including Opioid use, Neonatal Abstinence Syndrome (NAS) and access and utilization of treatment related information. We initiate this proposal in response to these requests and needs of the tribes. We plan to perform an epidemiologic assessment to determine the magnitude and impact of maternal substance use during pregnancy and NAS among American Indians in the Northwest. We will leverage ongoing and planned work in the Tribal Epidemiology Center to estimate race- corrected rates and trends of maternal substance use during pregnancy and NAS in hospital discharge data. We will also investigate opioid use and treatment in the NW as reported in Indian Health Service’s national data repository. We will complement these quantitative data with qualitative data to help us understand the environmental, social and organizational structures, processes, and policies, as well as individual behaviors that influence access to, or use of, treatment in Northwest Tribes This proposal will bring together epidemiologic and content experts, as advisory board members to respond to the data and ensure that analyses and reports are useful to decision-makers in various capacities. Upon successful completion of these study aims proposed, we will be poised to implement and evaluate future tribal interventions and policies, which in the long term could reduce the effect of the opioid crisis in Northwest American Indian communities.

摘要（最大30行）在过去的两个几十年。怀孕期间阿片类药物使用的增加标志着AI/A/A妇女之间的分布新生儿。虽然建议有基于证据的治疗策略怀孕和产后使用期，这些策略的使用大大降低 ai/and美国。作为主权国家，部落通常负责政策，实践，以及基础设施改进以解决这些问题。西北部落流行病学中心（中心）的任务是响应43个西北部落的数据需求，包括阿片类药物的使用，新生儿禁欲综合征（NAS）以及访问和利用相关信息。我们根据这些要求和需求发起该建议部落。我们计划进行流行病学评估，以确定怀孕期间的孕产妇使用物质和西北部美洲印第安人的NAS。我们将利用部落流行病学中心正在进行的和计划的工作来估计种族 - 怀孕期间和医院NAS的校正率和趋势排放数据。我们还将研究NW中的阿片类药物使用和治疗印度卫生服务局的国家数据存储库。我们将补充这些定量数据使用定性数据来帮助我们了解环境，社会和组织结构，过程和政策，以及影响访问或的个人行为西北部落的使用，治疗该建议将把流行病学和内容专家汇集在一起，作为顾问委员会成员响应数据并确保分析和报告对决策者有用各种能力。成功完成这些研究的目的后，我们将是在实施和评估未来的部落干预措施和政策中被毒死，从长远来看可以减少西北美洲印第安人社区阿片类药物危机的影响。