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Factors associated with the prevalence of neonatal abstinence syndrome in West Virginia

Taylor Rogerson, BSc, Anthony Houston II, BA, Garrett Lyman, BS, Jenna Ogden, BS, Kevin Paschall, BS, Mark Penaranda, BA, Alex Rios, BS, Robert Wetzel, MD, Joseph Horzempa, PhD

Abstract


Neonatal abstinence syndrome (NAS) is a group of problems associated with withdrawal symptoms of a newborn who was exposed to maternal opiate use while in the womb. West Virginia (WV) is of utmost concern as this state exhibits among the highest rates of opioid abuse and consequently, NAS. In this manuscript, we review factors associated with the prevalence of NAS in WV. We provide evidence suggesting that states exhibiting high Medicaid participation demonstrate a high NAS rate, further associating these two factors. Although a similar trend was observed in the substate geographic regions of WV, the presence of regional treatment facilities was negatively associated with NAS prevalence in WV, possibly suggesting that the establishment and utilization of more of these facilities may reduce NAS. Future research

Keywords


neonatal abstinence syndrome, opioid, Medicaid, neonatal, pregnancy, West Virginia, treatment centers, poverty

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References


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DOI: http://dx.doi.org/10.5055/jom.2018.0477

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