ABSTRACT

Given the harmful effects of parental opioid use on child well-being, this study explored the prevalence and trends of opioid misuse among 11,457 child welfare-involved parents participating in substance use disorder treatment through the Regional Partnership Grant-1 (2007–2012). Prevalence and trends of opioid misuse were examined for the sample overall and by race and ethnicity. Most of the parents were White (69%) and 31% were parents of color (12.4% African Americans, 8.5% Hispanic, 6.1% American Indian or Alaska Native, and 4.1% multiracial/other). Almost one-quarter of the sample (21.9%) reported opioid misuse. Although the percentage of all parents participating in treatment due to opioid misuse increased annually by 11% between 2007 and 2012, trends varied significantly by parental race/ethnicity. For example, White and American Indian/Alaskan Native parents showed a significant annual increase in the likelihood of opioid misuse (12% and 43%, respectively); no significant annual increases were found among other parents of color. Findings from this study highlight the need for ongoing programmatic efforts and research to capture prevalence and trends of parental opioid misuse in the child welfare system, especially as it relates to parental race/ethnicity. Implications for targeted substance use disorder and opioid misuse treatment needs are discussed.

摘要

鉴于父母使用阿片类药物对儿童福祉的有害影响，本研究探讨了 11,457 名参与儿童福利的父母通过区域合作赠款 1（2007-2012 年）参与药物使用障碍治疗的阿片类药物滥用流行率和趋势。对整个样本以及种族和民族的阿片类药物滥用的流行率和趋势进行了检查。大多数父母是白人（69%），31% 是有色人种父母（12.4% 非裔美国人，8.5% 西班牙裔，6.1% 美洲印第安人或阿拉斯加原住民，4.1% 多种族/其他）。几乎四分之一的样本（21.9%）报告了阿片类药物滥用。尽管在 2007 年至 2012 年期间，由于阿片类药物滥用而参与治疗的所有父母的百分比每年增加 11%，但趋势因父母种族/民族而异。例如，白人和美洲印第安人/阿拉斯加原住民父母显示阿片类药物滥用的可能性每年显着增加（分别为 12% 和 43%）；在其他有色人种父母中没有发现显着的年度增长。这项研究的结果强调需要持续的计划努力和研究来捕捉儿童福利系统中父母阿片类药物滥用的流行和趋势，特别是当它与父母种族/民族有关时。讨论了对靶向物质使用障碍和阿片类药物滥用治疗需求的影响。这项研究的结果强调需要持续的计划努力和研究来捕捉儿童福利系统中父母阿片类药物滥用的流行和趋势，特别是当它与父母种族/民族有关时。讨论了对靶向物质使用障碍和阿片类药物滥用治疗需求的影响。这项研究的结果强调需要持续的计划努力和研究来捕捉儿童福利系统中父母阿片类药物滥用的流行和趋势，特别是当它与父母种族/民族有关时。讨论了对靶向物质使用障碍和阿片类药物滥用治疗需求的影响。