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Article Synopsis
  • Substance misuse during pregnancy poses risks to both mothers and infants, yet recovery services often fail to provide specialized care for women with substance use disorders (SUDs) due to issues like social stigma and shame, leading to under-reporting of substance misuse.
  • This study involved interviews with 21 women whose children were exposed to substances in utero, exploring their experiences with disclosing or not disclosing their substance use to healthcare providers.
  • The findings revealed a significant hesitation among women to disclose their substance misuse, highlighting that addressing stigma, guilt, and shame is essential for healthcare providers to encourage openness and improve access to necessary prenatal care.
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Opioid and cocaine use among primary care patients on buprenorphine-Self-report and urine drug tests.

Drug Alcohol Depend

November 2018

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, United States; Boston University School of Public Health, Boston, MA, United States.

Background: Urine drug tests (UDTs) are recommended to monitor patients treated for opioid use disorder in primary care. The aims are to (1) estimate the frequency of self-report and UDT results of opioid and cocaine use and (2) evaluate the association between treatment time with non-disclosure of opioid or cocaine use and having a positive UDT.

Methods: We conducted a retrospective review of patients enrolled in a primary care-based buprenorphine program between January 2011-April 2013.

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Aims: To explore street sex workers (SSWs) views and experiences of drug treatment, in order to understand why this population tend to experience poor drug treatment outcomes.

Design: In-depth interviews.

Setting: Bristol, UK.

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Aim: Failure to disclose cocaine use can have a negative impact on medical care and research validity. This study was performed to identify predictors of cocaine non-disclosure among individuals who self-reported heroin use during a medical care encounter.

Design: A prospective comparison of self-report of cocaine use among heroin users and hair analysis for cocaine.

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