Motherhood increases women's use of health and social services, presenting opportunities to identify and refer women with substance use disorder (SUD) to treatment. We pooled 4 years (2015–2018) of cross-sectional data from National Survey on Drug Use and Health on women of child-bearing age (18–44) in the United States (n = 64,346). (1) We compared the use of services (health, social and criminal justice involvement) by SUD and ‘motherhood’ (pregnant or has one or more children under 18). We used multivariable logistic regression models to estimate the association between motherhood, SUD and their interaction with the use of services. (2) We estimated the association between the use of different services and SUD treatment use among women with SUD. Among women of child-bearing age, 9.7% had SUD. Mothers who had SUD were more likely to use social services (AOR = 1.48 [95% CI: 1.22, 1.79]) and mental health services compared with non-mothers who did not have SUD (AOR = 1.40 [95% CI: 1.19, 1.65]). The following factors were associated with increased odds of receiving SUD treatment among mothers: mental health treatment utilisation (AOR = 1.94 [95% CI: 1.29, 2.93]); Medicaid coverage (AOR = 2.48 [95% CI: 1.64, 3.76]); and criminal justice involvement (AOR = 3.38 [95% CI: 1.97, 5.80]). To increase treatment access, it is important to address women's different stages in life, including how to best engage women in SUD care across different settings.

中文翻译：

---

孕产、怀孕和干预药物滥用障碍的途径

母亲身份增加了妇女对健康和社会服务的利用，提供了识别患有药物滥用障碍 (SUD) 的妇女并将其转介接受治疗的机会。我们汇集了美国育龄妇女 (18-44) 国家药物使用与健康调查 4 年 (2015-2018) 的横断面数据 ( n = 64,346）。(1) 我们比较了 SUD 和“母亲”（怀孕或有一名或多名 18 岁以下子女）对服务的使用（健康、社会和刑事司法参与）。我们使用多变量逻辑回归模型来估计母性、SUD 及其与服务使用的相互作用之间的关联。(2) 我们估计了 SUD 女性使用不同服务与 SUD 治疗使用之间的关联。在育龄妇女中，9.7%患有SUD。与没有 SUD 的非母亲 (AOR = 1.40 [95% CI: 1.19, 1.65]）。以下因素与母亲接受 SUD 治疗的几率增加相关：心理健康治疗的利用（AOR = 1.94 [95% CI: 1.29, 2. 93]）；医疗补助覆盖率（AOR = 2.48 [95% CI：1.64，3.76]）；和刑事司法参与（AOR = 3.38 [95% CI: 1.97, 5.80]）。为了增加治疗的可及性，重要的是要解决女性生命的不同阶段的问题，包括如何在不同环境中最好地让女性参与 SUD 护理。