TY - JOUR
T1 - Drug dependence, parenting responsibilities, and treatment history
T2 - Why doesn't mom go for help?
AU - McMahon, Thomas J.
AU - Winkel, Justin D.
AU - Suchman, Nancy E.
AU - Luthar, Suniya S.
N1 - Funding Information:
Primary support for completion of this study was provided by the Center for Substance Abuse Treatment (Grant 5 HR2 T1003 13). Additional support for analysis of the data and preparation of this manuscript was provided by the National Institute on Drug Abuse (Grants P50 DA09241, R03 DAl1988, R0l DAl1498, and R0l DA10726). The authors would like to thank the clients, clinical staff, and administration of The APT Foundation for their support of this project. We would also like to thank Kimberly Doyle, Margaret Christinat, Kimberly DiMeola, and Brian Fitzgerald for their assistance with the collection and management of these data, and we would like to thank Bruce Rounsaville for his helpful comments on an initial draft of this manuscript.
PY - 2002/1/1
Y1 - 2002/1/1
N2 - Despite longstanding concern that the presence of children deters drug-dependent women from entering treatment, there have been few empirical tests of the relationship between parenting responsibilities and treatment-seeking behavior. In this study, the relationship between number of biological children and treatment history was examined in a cohort of 153 women seeking methadone maintenance treatment. In a standard multiple regression analysis that also allowed for the potential influence of (a) age, (b) education, (c) ethnic minority status, (d) cohabitation with a sexual partner, (e) chronicity of opioid use, and (f) knowledge of HIV infection, there was a significant, negative relationship between number of children and number of earlier contacts for drug abuse treatment. Ethnic minority status and cohabitation with a sexual partner were also associated with fewer earlier contacts; greater chronicity and knowledge of HIV infection were associated with more earlier contacts. Moreover, there was significant moderation of the negative relationship between parenting responsibilities and treatment history by (a) ethnic minority status, (b) cohabitation, and (c) chronicity of use. Within a cross-sectional research design, the findings highlight ways parenting responsibilities may interact with other factors over time to influence the treatment-seeking behavior of drug-dependent women.
AB - Despite longstanding concern that the presence of children deters drug-dependent women from entering treatment, there have been few empirical tests of the relationship between parenting responsibilities and treatment-seeking behavior. In this study, the relationship between number of biological children and treatment history was examined in a cohort of 153 women seeking methadone maintenance treatment. In a standard multiple regression analysis that also allowed for the potential influence of (a) age, (b) education, (c) ethnic minority status, (d) cohabitation with a sexual partner, (e) chronicity of opioid use, and (f) knowledge of HIV infection, there was a significant, negative relationship between number of children and number of earlier contacts for drug abuse treatment. Ethnic minority status and cohabitation with a sexual partner were also associated with fewer earlier contacts; greater chronicity and knowledge of HIV infection were associated with more earlier contacts. Moreover, there was significant moderation of the negative relationship between parenting responsibilities and treatment history by (a) ethnic minority status, (b) cohabitation, and (c) chronicity of use. Within a cross-sectional research design, the findings highlight ways parenting responsibilities may interact with other factors over time to influence the treatment-seeking behavior of drug-dependent women.
KW - Drug treatment history
KW - Methadone maintenance
KW - Opioid dependence
KW - Parenting
KW - Pharmacotherapy
KW - Women
UR - http://www.scopus.com/inward/record.url?scp=0036148275&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036148275&partnerID=8YFLogxK
U2 - 10.1016/S0376-8716(01)00153-3
DO - 10.1016/S0376-8716(01)00153-3
M3 - Article
C2 - 11772472
AN - SCOPUS:0036148275
SN - 0376-8716
VL - 65
SP - 105
EP - 114
JO - Drug and alcohol dependence
JF - Drug and alcohol dependence
IS - 2
ER -