The Impact of Parental Opioid Use Disorder on Children in Rural Texas

Introduction: The impact of opioid use disorder (OUD) on children is of increasing concern to providers and communities and is yet to be fully understood. Children and families in rural areas are particularly vulnerable due to decreased access to care, lower socioeconomic status, and lower rates of health insurance coverage. This qualitative secondary data analysis of transcripts from interviews with community stakeholders specifically examined responses when asked how parental OUD impacted children in their rural communities. Methods and Materials: As part of a larger community assessment, 11 focus group and three individual interviews with a variety of stakeholders most likely to encounter those with or at risk for substance use disorder from a predominately rural region of Texas were held in October of 2019. During one-hour sessions a scripted interview guide was used to ask open-ended questions to identify the prevalence and impact of OUD within the community. Transcripts of recorded interviews were coded by three researchers using conventional content analysis focusing on discussion of how parental OUD impacted children in their rural communities. Codes were classified into themes based on consensus. Results: Identified themes were (1) Community Concern for Families; (2) Impaired Parents, Neglected Children, and (3) Intergenerational Normalization of Substance Misuse. Conclusions: The impact of parental OUD and SUD was a concern for participants. Findings have implications for strategies to prevent and mitigate adverse outcomes for children and families in rural areas

Environmental health · Focus group · Opioid · Opioid use disorder · Population · Psychiatry · Qualitative research · Rural area · Socioeconomic status · Sociology · Medicine · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects · Psychology · Substance Abuse Treatment and Outcomes

• Mental and Physical Health of Children in Foster Care

  K Turney, C Wildeman•PEDIATRICS•2016

  Incluir item

• A systematic review of rural-specific barriers to medication treatment for opioid use disorder in the United States

  Open Access•Jamey J Lister, Addie Weaver et al.•The American Journal of Drug and…•2020

  Incluir item

• Changes in Self-reported Insurance Coverage, Access to Care, and Health Under the Affordable Care Act

  Benjamin D Sommers, Munira Z Gunja et al.•JAMA•2015

  Incluir item

• Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016

  Open Access•Hawre Jalal, Jeanine M Buchanich et al.•Science•2018

  Incluir item

• Geographic Distribution of Providers With a DEA Waiver to Prescribe Buprenorphine for the Treatment of Opioid Use Disorder

  Open Access•C Holly A Andrilla, Tessa E Moore et al.•The Journal of Rural Health•2019

  Incluir item

• How many children live with adults with opioid use disorder

  Open Access•Lindsey Rose Bullinger, Coady Wing•Children and Youth Services Review•2019

  Incluir item

• Patterns of Buprenorphine-Naloxone Treatment for Opioid Use Disorder in a Multistate Population

  Brendan Saloner, Matthew Daubresse et al.•Medical Care•2017

  Incluir item

• Three Approaches to Qualitative Content Analysis

  Open Access•Hsiu-Fang Hsieh, Sarah E Shannon•Qualitative Health Research•2005

  Incluir item

• Stigma as a Barrier to Substance Abuse Treatment Among Those With Unmet Need

  Open Access•Kristi L Stringer, Elizabeth Baker et al.•Journal of Family Issues•2018

  Incluir item