Comprehensive Treatment for Pregnant and/or Parenting Women with Substance Use Disorders and Their Children: A Cross-Cultural Comparison.
Comprehensive Treatment for Pregnant and/or Parenting Women with Substance Use Disorders and Their Children: A Cross-Cultural Comparison.
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发表时间：
2021
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通讯作者：
O'Grady E K
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作者：
Jones E H;Klaman L S;Leiner C;da Silva Barros R;Canay R;Suarez V J;Ordoñez M RS;O'Grady E K
怀孕和早期育儿期间的药物使用是一个众所周知的全球公共卫生问题，但比较各国这一亚群的治疗方案的文献有限。本文描述了美国、巴西和阿根廷三个以女性为中心的治疗项目，并从患者特征方面考察了这些项目之间的异同。这种分析可以更好地为临床医生提供评估和治疗使用药物的妇女的信息，并提高对她们的普遍了解。对来自美国、巴西和阿根廷药物使用治疗项目的育龄妇女（N=356）的患者特征（如入院时怀孕）和患者病史（如药物依赖诊断、药物使用家族史、同时发生的精神健康问题）进行二次数据分析。地平线项目录取的孕妇比例最高（60%），其次是卢阿诺瓦（36%）和圣克拉拉之家（17%）。Horizons患者（82%）比Lua Nova患者（15%）或Casa Santa Clara患者（13%）更有可能被诊断为物质依赖。Horizons患者（78%）比Lua Nova患者（15%）或Casa Santa Clara患者（57%）更有可能有药物使用家族史。与卢阿诺瓦或圣克拉拉之家相比，维港的患者接受心理健康治疗的可能性也更高（分别为70%、19%和9%）。在不同的文化和社会中，怀孕和养育子女期间持续存在的物质使用问题是很常见的。这些分析确定了患者特征、病史和治疗方案的异同。治疗方法的跨文化比较为临床医生探索治疗这一人群的新方法提供了机会。
Substance use during pregnancy and early parenting years is a well-known global public health problem, but the literature comparing treatment programs for this subpopulation across countries is limited. This article both describes three women-centered treatment programs in the United States, Brazil, and Argentina and examines similarities and differences among the programs in terms of patient characteristics. Such an analysis can better inform clinicians in the assessment and treatment of women who use substances and improve the universal understanding about them. A secondary data analysis of patient characteristics (e.g., pregnant at treatment admission) and patient history (e.g., substance dependence diagnosis, family history of substance use, co-occurring mental health issues) of reproductive age women (N=356) from substance use treatment programs in the United States, Brazil, and Argentina. The Horizons program admitted the highest percentage of pregnant women (60%), Lua Nova (36%), and Casa Santa Clara (17%). Horizons patients (82%) were more likely to have a substance dependence diagnosis than Lua Nova (15%) or Casa Santa Clara patients (13%). Horizons patients (78%) were more likely to have a family history of substance use than Lua Nova (15%) or Casa Santa Clara (57%) patients. Horizons was also more likely than Lua Nova or Casa Santa Clara to have patients who had entered mental health treatment (70% vs. 19% vs. 9%, respectively). Substance use problems that continue during pregnancy and parenting are common within different cultures and societies. These analyses identified similarities and differences in patient characteristics, history, and treatment programs. Cross-cultural comparisons of treatment approaches provide opportunities for clinicians to explore new ways of caring for this population.