Health insurance coverage and healthcare utilization among infants of mothers in the national methadone maintenance treatment program in Taiwan

Fang, Shao You; Huang, Nicole; Lin, Ting Hsiang; Ho, Ing K.; Chen, Chuan Yu

doi:10.1016/j.drugalcdep.2015.05.044

Cited by 12 publications

(2 citation statements)

References 40 publications

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“…Women who use illegal drugs are a subgroup underrepresented in the healthcare-seeking population. In Taiwan, although no law specifically punishes women using drugs during pregnancy or having a positive test for drugs while giving birth to a baby, service underutilization was unanimously found in prenatal and postnatal care [ 53 , 54 ]. Conceptually, deferred prosecution is the alternative to incarceration that can facilitate access and engagement in addiction treatment, health care (e.g., prenatal care), and social services (when needed) in communities.…”

Section: Discussionmentioning

confidence: 99%

Association between socioeconomic and motherhood characteristics with receiving community-based treatment services among justice-involved young female drug users: a retrospective cohort study in Taiwan

Chen,

Hsieh,

Rei

et al. 2024

Harm Reduct J

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Background Drug-involved individuals who contact treatment services in Taiwan are mostly driven by criminal justice systems either as an alternative or adjunct to criminal sanctions for a drug offence. With a focus on justice-involved young female drug users, the present study examines the extent to which socioeconomic and motherhood characteristics are associated with receiving deferred prosecution, a scheme diverting drug offenders to community-based addiction treatment. Methods We identified a cohort of 5869 women under the age of 30 arrested for using Schedule II drugs (primarily amphetamine-like stimulants) from the 2011–2017 National Police Criminal Records in Taiwan. Information concerning socioeconomic characteristics, pregnancy and live birth history, and deferred prosecution was obtained through linkage with the 2006–2019 National Health Insurance, birth registration, and deferred prosecution datasets. Multinomial logistic regression was used to evaluate the association with stratification by recidivism status. Results Within six months of arrest, 21% of first-time offenders (n = 2645) received deferred prosecution and 23% received correction-based rehabilitation; the corresponding estimates for recidivists (n = 3224) were 6% and 15%, respectively. Among first-time offenders, low/unstable income was associated with lower odds of deferred prosecution (adjusted odds ratio [aOR] = 0.71; 95% CI: 0.58, 0.88). For recidivists, those with low/unstable income (aOR = 1.58) or unemployment (aOR = 1.58) had higher odds of correction-based rehabilitation; being pregnant at arrest was linked with reduced odds of deferred prosecution (aOR = 0.31, 95% CI: 0.13, 0.71) and correction-based rehabilitation (aOR = 0.50, 95% CI: 0.32, 0.77). Conclusions For the young women arrested for drug offences, disadvantaged socioeconomic conditions were generally unfavored by the diversion to treatment in the community. Childbearing upon arrest may lower not only the odds of receiving medical treatment but also correctional intervention. The criminal prosecution policy and process should be informed by female drug offenders’ need for treatment and recovery.

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Section: Discussionmentioning

confidence: 99%

Association between socioeconomic and motherhood characteristics with receiving community-based treatment services among justice-involved young female drug users: a retrospective cohort study in Taiwan

Chen,

Hsieh,

Rei

et al. 2024

Harm Reduct J

Self Cite

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“…The epidemiological expansion of NAS throughout resource-limited regions, such as rural areas, increases the complexity of providing comprehensive care for these children [7,12]. These factors can negatively affect NAS infants and utilization of healthcare [18,22,[34][35][36][37] Four of the utilization studies employed multivariate analysis to control for maternal and child factors that could influence result [25][26][27][28]. These studies have reported that NAS represents an independent overall health and/or healthcare utilization risk factor.…”

Section: Discussionmentioning

confidence: 99%

Outpatient Healthcare Access and Utilization for Neonatal Abstinence Syndrome Children: A Systematic Review

Horn

Powell

Wicker

et al. 2019

J. Clin. Trans. Sci.

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Objective: The objective of this study was to systematically assess the literature regarding postnatal healthcare utilization and barriers/facilitators of healthcare in neonatal abstinence syndrome (NAS) children. Methods: A systematic search was performed in PubMed, Cochrane Database of Systematic Reviews, PsychINFO, CINAHL, and Web of Science to identify peer-reviewed research. Eligible studies were peer-reviewed articles reporting on broad aspects of primary and specialty healthcare utilization and access in NAS children. Three investigators independently reviewed all articles and extracted data. Study bias was assessed using the Newcastle-Ottawa Assessment Scale and the National Institute of Health Study Quality Assessment Tool. Results: This review identified 14 articles that met criteria. NAS children have poorer outpatient appointment adherence and have a higher rate of being lost to follow-up. These children have overall poorer health indicated by a significantly higher risk of ER visits, hospital readmission, and early childhood mortality compared with non-NAS infants. Intensive multidisciplinary support provided through outpatient weaning programs facilitate healthcare utilization and could serve as a model that could be applied to other healthcare fields to improve the health among this population. Conclusions: This review investigated the difficulties in accessing outpatient care as well as the utilization of such care for neonatal abstinence syndrome infants. NAS infants tend to have decreased access to, and utilization of outpatient healthcare following hospital birth discharge. Outpatient weaning programs have proven to be effective; however, these programs require intensive resources and care coordination that has yet to be implemented into other healthcare areas for NAS children.

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Langzeitkonsequenzen der intrauterinen Drogenexposition

Gortner¹

2017

Betreuung Drogenabhängiger Schwangerer Und Ihrer Neugeborenen

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Health insurance coverage and healthcare utilization among infants of mothers in the national methadone maintenance treatment program in Taiwan

Cited by 12 publications

References 40 publications

Association between socioeconomic and motherhood characteristics with receiving community-based treatment services among justice-involved young female drug users: a retrospective cohort study in Taiwan

Association between socioeconomic and motherhood characteristics with receiving community-based treatment services among justice-involved young female drug users: a retrospective cohort study in Taiwan

Outpatient Healthcare Access and Utilization for Neonatal Abstinence Syndrome Children: A Systematic Review

Langzeitkonsequenzen der intrauterinen Drogenexposition

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