Children of heroin-using women have a higher risk of
unfavorable health and developmental outcomes. Although methadone maintenance
treatment (MMT) has been widely used to treat heroin-using pregnant women,
potential effects on accessibility and utilization of healthcare service for
their offspring are less explored.
We used four national registry and health insurance datasets
in Taiwan from 2004 to 2009 to form a population-based matched retrospective
cohort study. A total of 1056 neonates born to women in the MMT program (857
born before mother's enrollment in the MMT program [BM], 199 born after
mother's enrollment in the MMT program [AM]) was established; 10547 matched
non-drug [ND] exposed neonates were identified for comparison. Outcome
variables included offspring's health insurance coverage and utilization of preventive,
outpatient, and emergency room cares in the first year after birth.
Infants born to mothers on MMT were more likely to have no
or incomplete insurance coverage as compared with the socioeconomic
status-matched ND group. The BM infants appeared to have fewer preventive care
visits, whereas the AM
infants utilized outpatient and emergency room services more frequently.
Addiction treatment and harm reduction programs for women of
childbearing ages should be delivered in the coordinated framework that ensures
comprehensiveness and continuity in healthcare and social services.
Via: http://goo.gl/l9T56B Purchase
full article at: http://goo.gl/JWHwxS
- 1Institute of Public Health, National Yang-Ming University, Taiwan.
- 2Center for Drug Abuse and Addiction, China Medical University, Taiwan; Graduate Institute of Clinical Medicine, China Medical University, Taiwan.
- 3Institute of Public Health, National Yang-Ming University, Taiwan; Center of Neuropsychiatric Research, National Health Research Institutes, Taiwan; College of Public Health, National Taiwan University, Taiwan
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