The aim of this study was to assess the availability of medications for opioid use disorder (MOUD) and other services for pregnant people in jails in counties heavily impacted by opioid overdose in the United States. Counties were selected based on absolute number and population rate of opioid-overdose fatalities. Structured interviews were completed with representatives from 174 jails that house pregnant women. Descriptive statistics examine MOUD availability and differences in service provision and community-level characteristics based on MOUD availability. Most jails in the study sample (84.5%) had MOUD available for pregnant people; however, less than half of these jails ensured continuity of care. Jails without MOUD available are more likely to provide non-MOUD substance use services. These jails are more often located in smaller, rural counties in the Midwest and have higher rates of White residents and lower rates of Hispanic and African American residents. Gaps in MOUD availability in jails and continuity of care violate medical guidelines for treatment of pregnant patients with opioid use disorder and increase their risk of overdose. In addition, there are disparities across communities in access to MOUD for pregnant people in jails.

中文翻译：

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为美国监狱中患有阿片类药物使用障碍的孕妇提供服务。

本研究的目的是评估美国受阿片类药物过量影响严重的县监狱中的孕妇是否可以获得阿片类药物使用障碍 (MOUD) 药物和其他服务。根据阿片类药物过量死亡的绝对人数和人口比率选择县。对来自 174 所关押孕妇的监狱的代表进行了结构化访谈。描述性统计检查 MOUD 可用性以及基于 MOUD 可用性的服务提供和社区级别特征的差异。研究样本中的大多数监狱 (84.5%) 都为孕妇提供 MOUD；然而，只有不到一半的监狱能够确保持续的护理。没有 MOUD 的监狱更有可能提供非 MOUD 物质使用服务。这些监狱通常位于中西部较小的农村县，白人居民比例较高，拉美裔和非裔美国人居民比例较低。监狱中 MOUD 可用性和护理连续性方面的差距违反了治疗阿片类药物使用障碍孕妇的医疗指南，并增加了她们服用过量的风险。此外，监狱中的孕妇获得 MOUD 的机会在各个社区之间也存在差异。