title: Drug dependence, parenting responsibilities, and treatment history: why doesn't mom go for help?
abstract: 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.
authors.affiliation: Division of Substance Abuse, Department of Psychiatry, Yale University School of Medicine, 34 Park Street, New Haven, CT 06519, USA. thomas.mcmahon@yale.edu
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: McMahon
authors.forename: Justin D
authors.initials: JD
authors.lastname: Winkel
authors.forename: Nancy E
authors.initials: NE
authors.lastname: Suchman
authors.forename: Suniya S
authors.initials: SS
authors.lastname: Luthar
mesh_terms: D000328:Adult; D002648:Child; D002908:Chronic Disease; D005190:Family / Q000523:psychology; D005260:Female; D006801:Humans; D017533:Marital Status; D008691:Methadone / Q000627:therapeutic use*; D009035:Mothers / Q000523:psychology*; D009294:Narcotics / Q000627:therapeutic use*; D016487:Parenting; D010342:Patient Acceptance of Health Care; D012720:Severity of Illness Index; D012941:Social Responsibility; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*
chemical_list: D009294:Narcotics; D008691:Methadone