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CME Credit Offered
CME Credit Offered
Abstract Award
Abstract Award
Recording available 2/16-5/2
Recording available 2/16-5/2
AIUM Credit
AIUM Credit
Foundation Awardee
Foundation Awardee
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Abstract Award
Abstract Award
Foundation Awardee
Foundation Awardee

Poster Session 3

Category: Health Equity/Community Health

Poster Session 3

(995) Are characteristics in pregnancies with opioid use disorder (OUD) associated with neighborhood disadvantage?

Thursday, February 12, 2026
10:30 AM - 12:00 PM  
Objective:
To determine the relationship between area deprivation index (ADI) and pregnancy characteristics in patients with OUD who are on medications for OUD (MOUD). 

Study Design:
This was a retrospective study of pregnant patients on MOUD who delivered at a single institution between 2017 and 2023. The ADI was determined using the University of Wisconsin’s Neighborhood Atlas based on the patient’s mailing address at time of delivery admission. ADI was characterized as a state decile ranging from 1 to 10, with 10 representing the highest deprivation areas. Patients were excluded if they provided a P</span>.O. box number as their address or if an ADI was not listed for their address. Charts were abstracted for maternal characteristics and key perinatal outcomes. Statistical analyses were performed using Mann-Whitney U, Chi-square, and Spearman's correlation tests, with a p-value < 0.05 deemed statistically significant.  

Results:
404 patients were included in the analysis. There was found to be a difference in median distributions of ADI scores for patients with white race (p=0.04), government insurance (p=0.04), multiparity (p=0.02), and MOUD started in pregnancy (p=0.02) [Table 1]. When assessing those with higher neighborhood deprivation (ADI > 6 ) with lower (ADI < 6), a difference was noted in the proportion of patients with government insurance (p=0.02) and on psychiatric medications (p=0.03) [Table 2]. A weak association was noted between ADI score and parity (rs = 0.116, p=0.02). 

Conclusion:
Pregnant MOUD patients residing in more highly disadvantaged neighborhoods were more likely to be multiparous, of white race, have government insurance, have started MOUD in pregnancy, and be on psychiatric medications concomitantly. Additionally, a higher deprivation index was weakly associated with higher parity.