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Exposed: Examining the generational impact of maternal substance and alcohol use on family health and social outcomes

Category(s): Health
Status: Active
Principal: Sarah Gander
Project Number: P0109
Year Approved: 2023

Project Description

The purpose of this data linkage is to conduct a population-level analysis of the impact of substance and alcohol use in birthing people on the health and social outcomes of them and their families. We propose a three generation analysis of the precursors and outcomes of two primary groups for this analysis: birthing people with non-exposed pregnancies, and birthing people with exposed pregnancies, including a subset of clients enrolled in the Parent Child Assistance Program (PCAP). PCAP is a three year advocacy and navigation program that uses a harm reduction approach is working towards the goals set by clients in the aim of reducing substance exposed pregnancies and supporting families to reach their full potential. We analyze the presence of risk and protective factors contributing to an exposed pregnancy; the mortality and morbidity rates of birthing people and their families, compared by exposed or non-exposed births; the comparison of key social  constructs such as education, income and employment and the association of policy on outcomes. The constructs identified throughout the client’s life throughout different sectors will be linked to measures of Adverse Childhood Experience (ACEs), such as abuse, neglect, and household dysfunction. Through this we will gain measurable data on outcomes of our programming and potential local policy changes ultimately disrupting cycles of generational poverty and supporting our community.