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：

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孕产、怀孕和干预物质使用障碍的途径

孕产增加了女性对健康和社会服务的使用，提供了识别物质使用障碍 (SUD) 女性并将其转诊接受治疗的机会。我们汇总了美国（n = 64,346)。(1) 我们比较了 SUD 和“母亲”（怀孕或有一个或多个 18 岁以下的孩子）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亲身份、SUD 及其与服务使用之间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% 有 SUD。与没有 SUD 的非母亲相比，患有 SUD 的母亲更有可能使用社会服务 (AOR = 1.48 [95% CI: 1.22, 1.79]) 和心理健康服务 (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： 心理健康治疗利用率 (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中的不同阶段，包括如何让女性在不同环境中最好地参与 SUD 护理。