Ontology highlight
ABSTRACT: Introduction
Laws regulating substance use in pregnancy are changing and may have unintended consequences on scientific efforts to address the opioid epidemic. Yet, how these laws affect care and research is poorly understood.Methods
We conducted semi-structured qualitative interviews using purposive and snowball sampling of researchers who have engaged pregnant people experiencing substance use. We explored views on laws governing substance use in pregnancy and legal reform possibilities. Interviews were double coded. Data were examined using thematic analysis.Results
We interviewed 22 researchers (response rate: 71 per cent) and identified four themes: (i) harms of punitive laws, (ii) negative legal impacts on research, (iii) proposals for legal reform, and (iv) activism over time.Discussion
Researchers view laws penalizing substance use during pregnancy as failing to treat addiction as a disease and harming pregnant people and families. Respondents routinely made scientific compromises to protect participants. While some have successfully advocated for legal reform, ongoing advocacy is needed.Conclusion
Adverse impacts from criminalizing substance use during pregnancy extend to research on this common and stigmatized problem. Rather than penalizing substance use in pregnancy, laws should approach addiction as a medical issue and support scientific efforts to improve outcomes for affected families.
SUBMITTER: Shah SK
PROVIDER: S-EPMC10332932 | biostudies-literature | 2023 Jul-Dec
REPOSITORIES: biostudies-literature
Shah Seema K SK Perez-Cardona Leishla L Helner Khrystyna K Massey Suena H SH Premkumar Ashish A Edwards Renee R Norton Elizabeth S ES Rogers Cynthia E CE Miller Emily S ES Smyser Christopher D CD Davis Matthew M MM Wakschlag Lauren S LS
Journal of law and the biosciences 20230709 2
<h4>Introduction</h4>Laws regulating substance use in pregnancy are changing and may have unintended consequences on scientific efforts to address the opioid epidemic. Yet, how these laws affect care and research is poorly understood.<h4>Methods</h4>We conducted semi-structured qualitative interviews using purposive and snowball sampling of researchers who have engaged pregnant people experiencing substance use. We explored views on laws governing substance use in pregnancy and legal reform poss ...[more]