Publications by authors named "Shanna McIntosh"
Females of reproductive age (FoRA; 15-49 years) are the demographic most likely to be diagnosed with a substance use disorder. Preventative treatment prior to or during pregnancy is critical. Stigma and social inequities can delay access to care.
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- The study uses a machine learning model to predict the treatment levels for unhealthy alcohol use in women of childbearing age.
- The research involved screening 2397 women over two years through the AL-SBIRT program in Alabama to gather data on alcohol use severity and depression.
- The results indicated that the model effectively predicted that younger women might need brief interventions, while older women were more likely to require referrals for treatment based on their depression scores.
Article Synopsis
- Opioid-related overdose deaths are rising in the USA, particularly in Alabama, yet the use of medications for opioid use disorder (MOUD) remains low.
- A study surveyed 492 clinicians in Alabama to understand their views on barriers and opportunities for prescribing buprenorphine, revealing that many believe MOUD is addictive, which negatively affects their perception of its effectiveness.
- Results indicated that healthcare providers with an active X-waiver for MOUD were more optimistic about treating opioid use disorder patients and that positive beliefs about MOUD's effectiveness correlate with higher self-efficacy among clinicians.
Objective: This study aimed to identify county-level hotspots and associated risk factors for opioid use disorder (OUD) in the state of Alabama.
Methods: Using 2015 to 2019 Alabama Medicaid administrative claims data, Medicaid recipients with OUD were identified. We performed local indicators of spatial association analysis to identify hotspots of OUD rates.
Purpose: Perinatal substance use is a clinical and public health concern. The purpose of the study was to understand the perspectives and experiences of perinatal healthcare providers serving pregnant people who receive Medicaid and are living with a substance use disorder.
Design And Methods: We conducted a secondary data analysis of the responses from perinatal healthcare providers who completed a survey to assess the state of Alabama's capability to effectively identify and treat individuals with substance use disorder.
Opioid use and misuse are a widespread problem across the United States. Identifying and targeting social determinants of opioid use may help to identify predictive factors to influence intervention and policy. The purpose of this study was to identify social determinants of opioid use frequency among patients seeking primary care in rural Alabama healthcare facilities.
View Article and Find Full Text PDFObjective: Opioid use is a continuing problem for the United States. Individuals who use opioids have a high risk of misuse, especially with prescription opioids. Substances that are often used in combination with opioids include methamphetamines, sedatives, and benzodiazepines, as well as tobacco, alcohol, and marijuana, but not in a medical setting.
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