{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:14:30Z","timestamp":1788437670966,"version":"build-2803163510"},"reference-count":85,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T00:00:00Z","timestamp":1711497600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Females of reproductive age (FoRA; 15\u201349 years) are the demographic most likely to be diagnosed with a substance use disorder. Preventative treatment prior to or during pregnancy is critical. Stigma and social inequities can delay access to care. There is limited research examining social determinants of health (SDoH) and how they are related to substance use and treatment seeking in this demographic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analyzed the 2016\u20132019 data from the United States National Survey on Drug Use and Health using multivariable logistic regression models. Statistically significant variables were conceptually linked to the Office of Disease Prevention and Health Promotion\u2019s (ODPHP's) SDoH framework\u2019s five domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>From a total sample of 1,477,336 (weighted) pregnant people and 39,600,523 (weighted) FoRA, substance use was reported by 879,209 (2.14% [95% confidence interval = 2.13\u20132.15]). Pregnancy status was not associated with substance use or treatment seeking. Past-month substance use was associated with high educational attainment, an annual income &lt;$20,000, a history of criminality, low religiosity, and having health insurance. Past-month treatment-seeking behavior was associated with older age, an annual income &gt;$20,000, a history of criminality, and greater religiosity. Behavioral health support seeking in the past month was associated with some college education. Higher depression severity was associated with all the three models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Using the ODPHP\u2019s SDoH framework, we begin to elicit critical connections that can describe substance use and treatment-seeking practices in FoRA. We encourage additional research to inform public health, health care, behavioral health, and other support service programming.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2023.0559","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T07:15:49Z","timestamp":1711523749000},"page":"584-593","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Social Determinants Associated with Substance Use and Treatment Seeking in Females of Reproductive Age in the United States"],"prefix":"10.1177","volume":"33","author":[{"given":"Holly","family":"Horan","sequence":"first","affiliation":[{"name":"The University of Alabama at Birmingham, Heersink School of Medicine, Department of Obstetrics and Gynecology, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Thompson","sequence":"additional","affiliation":[{"name":"The University of Alabama, College of Liberal Arts and Sciences, Department of Anthropology, Tuscaloosa, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendall","family":"Willard","sequence":"additional","affiliation":[{"name":"The University of Alabama, College of Human and Environmental Sciences, Public Health - Health Professions Concentration, Tuscaloosa, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmily","family":"Mobley","sequence":"additional","affiliation":[{"name":"The University of Alabama, College of Liberal Arts and Sciences, Department of Anthropology, Tuscaloosa, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"McDaniel","sequence":"additional","affiliation":[{"name":"Southern Illinois University, School of Human Sciences, Public Health Program, Carbondale, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Robertson","sequence":"additional","affiliation":[{"name":"The University of Alabama, VitAL Program, Tuscaloosa, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanna","family":"McIntosh","sequence":"additional","affiliation":[{"name":"The University of Alabama, VitAL Program, Tuscaloosa, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5901-9393","authenticated-orcid":false,"given":"David L.","family":"Albright","sequence":"additional","affiliation":[{"name":"The University of Alabama, VitAL Program, Tuscaloosa, Alabama, USA."},{"name":"The University of Alabama, College of Arts and Sciences, Department of Political Science, Tuscaloosa, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,27]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"SAMHSA Advisory. 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