Racial Equity in Urine Drug Screening Policies in Labor and Delivery
In this quality improvement study, removal of isolated cannabis use and limited prenatal care as UDS indications, coupled with clinical decision support, was associated with improved racial equity in UDS testing and CPS reporting. The intervention was not associated with a significant change in UDS positivity for nonprescribed, noncannabis substances. These findings suggest that this intervention improved equity in UDS practices without decreasing identification of clinically relevant substance use.
Authors
- Stephen M. Roper (ORCID: https://orcid.org/0000-0003-3978-2858)
- Jeannie C. Kelly (ORCID: https://orcid.org/0000-0002-4908-4693)
- Ronald Jackups (ORCID: https://orcid.org/0000-0002-0697-9454)
- Alexandra Rubin (ORCID: https://orcid.org/0000-0002-2396-7471)
- Lori Stevenson
- Vahid Azimi (ORCID: https://orcid.org/0000-0001-9204-9685)
- Mark A. Zaydman (ORCID: https://orcid.org/0000-0002-4236-1459)
- Lauren Nacke
- Cassandra Trammel (ORCID: https://orcid.org/0009-0007-2574-2659)
- Noor Riaz
- Kim P. Schamel
- Brittaney Vaughn
Institutions
- Washington University in St. Louis (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-03-17
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.0908
- Citations
- 8
- Primary Topic
- Prenatal Substance Exposure Effects
- Type
- article
- Field-Weighted Citation Impact
- 27.95