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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


Stabler ME, Long DL, Chertok IRA, et al.: Neonatal abstinence syndrome in West Virginia substate regions, 2007-2013. J Rural Health. 2017; 33(1): 92-101. Available at http://onlinelibrary.wiley.com/doi/10.1111/jrh.12174/abstract. Accessed November 6, 2017.

Vashishtha D, Mittal ML, Werb D: The North American opioid epidemic: Current challenges and a call for treatment as prevention. Harm Reduct J. 2017; 14(1): 7. doi:10.1186/s12954-017-0135-4.

Pcssmat.org: Opioid use disorder diagnostic criteria [online]. 2017. Available at https://pcssmat.org/wp-content/uploads/2014/02/5B-DSM-5-Opioid-Use-Disorder-Diagnostic-Criteria.pdf. Accessed November 20, 2017.

ASAM Home Page: Opioid addiction 2016 facts & figures. Available at https://www.bing.com/cr?IG=BEDEFC9C535E4232BBE0AE89244CD9A8&CID=31E152324E4A6FCF052E59004F4C6E7B&rd=1&h=WguVi8FTLa4JkpstU6Fi5CCI3ytu9LmsGLVi1oDJbWg&v=1&r=https%3a%2f%2fwww.asam.org%2fdocs%2fdefault-source%2fadvocacy%2fopioid-addiction-disease-facts-figures.pdf&p=DevEx,5065.1. Accessed November 6, 2017.

The Joint Commission: Facts about The Joint Commission. Topic Details. 2016. Available at https://www.jointcommission.org/facts_about_the_joint_commission/. Accessed December 1, 2017.

Fiore K: Opioid crisis: Scrap pain as 5th vital sign? Medpage Today. 2016. Available at https://www.medpagetoday.com/publichealthpolicy/publichealth/57336. Accessed November 19, 2017.

Van Zee A: The promotion and marketing of Oxycontin: Commercial triumph, public health tragedy. Am J Public Health. 2009; 99(2): 221–227. Available at http://ajph.aphapublications.org/doi/10.2105/AJPH.2007.131714. Accessed December 2, 2017.

Smith J: America's 10 deadliest jobs. Forbes. March 18, 2014. Available at https://www.forbes.com/sites/jacquelynsmith/2013/08/22/americas-10-deadliest-jobs-2/#22c2d08d424b. Accessed November 19, 2017.

Johnson D, Jergler D: Opioid epidemic plagues workers’ comp. Insurance Journal. June 24, 2013. Available at https://www.insurancejournal.com/news/national/2013/05/17/292528.htm. Accessed November 19, 2017.

Dealer RDTP: Opioid overdose deaths: Which jobs are at risk? cleveland.com. November 5, 2017. Available at http://www.cleveland.com/metro/index.ssf/2017/11/opioid_overdose_deaths_which_j.html. Accessed November 19, 2017.

Bureau of Labor Statistics Data: U.S. Bureau of Labor Statistics. Available at https://data.bls.gov/timeseries/LASST540000000000003. Accessed November 4, 2017.

Jacobs H: The states prescribing the most painkillers aren't the ones you think. Business Insider. March 23, 2016. Available at http://www.businessinsider.com/these-are-the-states-prescribingthe-most-opioid-painkillers-2016-3. Accessed November 4, 2017.

Hollingsworth A, Ruhm CJ, Simon K: Macroeconomic conditions and opioid abuse. NBER Working Paper No. 23192. Cambridge, MA: NBER, March 2017. Available at http://www.nber.org/papers/w23192. Accessed November 19, 2017.

Centers for Disease Control and Prevention: Opioid Overdose. Atlanta, GA: Centers for Disease Control and Prevention, 2017. Available at https://www.cdc.gov/drugoverdose/data/prescribing.html. Accessed November 4, 2017.

Jacobs H: Here's why the opioid epidemic is so bad in West Virginia - The state with the highest overdose rate in the US. Business Insider. May 1, 2016. Available at http://www.businessinsider.com/why-the-opioid-epidemic-is-so-bad-in-west-virginia-2016-4. Accessed November 4, 2017.

Dryden J: Drug users switch to heroin because it's cheap, easy to get. The Source, Washington University in St. Louis. January 13, 2016. Available at https://source.wustl.edu/2014/05/drug-users-switch-to-heroin-because-its-cheap-easy-to-get/. Accessed November 19, 2017.

Stover MW, Davis JM: Opioids in pregnancy and Neonatal Abstinence Syndrome. Semin Perinatol. 2015; 39(7): 561-565. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4628571. Accessed april 17, 2018.

Stabler ME: Neonatal Abstinence Syndrome in West Virginia: Trends, Risks, and Effectiveness of In Utero Exposure Detection [doctoral dissertation]. Morgantown, WV: West Virginia University, 2015. Available at https://pqdtopen.proquest.com/pubnum/3741903.html. Accessed april 17, 2018.

Work Force West Virginia: County Unemployment Rates. Work Force West Virginia LMI. November 10, 2017. Available at http://lmi.workforcewv.org/DataRelease/CountyRelease.html. Accessed November 4, 2017.

REZIPS.com: West Virginia find a real estate agent. REZIPS. com. Available at http://www.rezips.com/west-virginia.html. Accessed November 20, 2017.

Ko JY, Patrick SW, Tong VT, et al.: Incidence of Neonatal Abstinence Syndrome—28 states, 1999–2013. MMWR Morb Mortal Wkly Rep. 2016; 65: 799-802. Available at http://dx.doi.org/10.15585/mmwr.mm6531a2. Accessed april 17, 2018

Statistical Atlas: Household income in West Virginia (State). Statistical Atlas. Available at https://statisticalatlas.com/state/West-Virginia/Household-Income. Accessed November 20, 2017.

Data USA: West Virginia: Available at https://datausa.io/profile/geo/west-virginia/#poverty_ethnicity. Accessed November 20, 2017.

U.S. Census Bureau: QuickFacts selected: UNITED STATES. Available at https://www.census.gov/quickfacts/fact/table/US/PST045216. Accessed November 1, 2017.

National Center for Education Statistics (NCES), U.S. Department of Education: Fast facts. Available at https://nces.ed.gov/fastfacts/display.asp?id=561. Accessed November 14, 2017.

Beane CE: Access Monitoring Review Plan. Charleston, WV: West Virginia of Health & Human Resources, Bureau for Medical Services, 2016. Available at https://www.medicaid.gov/medicaid/access-to-care/downloads/review-plans/wv-amrp-16.pdf. Accessed November 2, 2017.

Barnett JC, Berchick ER: Library. Health Insurance Coverage in the United States: 2016. Washington, DC: United States Census Bureau, September 12, 2017. Report Number: P60-260. Available at https://www.census.gov/library/publications/2017/demo/p60-260.html. Accessed November 3, 2017.

Swiger DJ: More programs being developed to assist opioid-exposed babies, addicted moms. The Exponent Telegram. July 31, 2017. Available at https://www.theet.com/statejournal/moreprograms-being-developed-to-assist-opioid-exposed-babiesaddicted/article_50dc8194-e451-5d38-aefe-463e15dbd7b9.html. Accessed November 5, 2017.

DrugRehabCenters.org: Drug Treatment Centers for Pregnant Women in West Virginia. Available at https://www.drugrehabcenters.org/Category/West%20Virginia/Drug_Treatment_Centers_For_Pregnant_Women.htm. Accessed November 5, 2017.

Kaitlyn Motely MA: Suboxone (buprenex, butrans) side effects, dosage and cost. In Editorial Staff (ed.). Recovery.org. 2016. Available at https://www.recovery.org/topics/suboxonetreatment/. Accessed November 18, 2017.

Walsh L: Methadone. September 28, 2015. Available at https://www.samhsa.gov/medication-assisted-treatment/treatment/methadone. Accessed November 18, 2017.

Ma J, Pender M, Welch M: Education Pays 2016. Education Pays - Trends in Higher Education - The College Board. Available at https://trends.collegeboard.org/education-pays. Accessed November 20, 2017.

Centers for Disease Control and Prevention: Opioid Overdose. Atlanta, GA: Centers for Disease Control and Prevention, 2016. Available at https://www.cdc.gov/drugoverdose/data/statedeaths.html. Accessed November 20, 2017.




DOI: https://doi.org/10.5055/jom.2018.0477

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