Prevalence of alcohol use in pregnant women with substance use disorder
Prevalence of alcohol use in pregnant women with substance use disorder
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DOI：
10.1016/j.drugalcdep.2018.02.025
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发表时间：
2018-06-01
影响因子：
4.2
通讯作者：
Stephen, Julia M.
中科院分区：
文献类型：
--
作者：
Bakhireva, Ludmila N.;Shrestha, Shikhar;Stephen, Julia M.
背景资料：阿片类药物使用障碍（OUD）妇女的产前保健计划通常侧重于围绕非法物质的治疗/咨询计划，而同时使用酒精可能对胎儿造成同等或更大的风险。方法：本研究评估了参与物质使用障碍妇女综合产前保健计划的患者自我报告的酒精使用率（SUD; n = 295），其中95%接受OUD治疗，孕妇通过新墨西哥州大学的普通产科诊所接受服务（n = 365）。在一项前瞻性研究的筛选阶段，患者被要求报告酒精的使用在围怀孕期，最后一次月经期和怀孕recognization.Results之间：筛选面试进行了22.3（中位数= 22; Q1 = 16; Q3 = 29）孕周。在SUD诊所筛查的患者中，分别有28.8%和24.1%的患者报告在围受孕期和妊娠早期至少有一次酗酒发作。一般产科人群的酗酒患病率相似（分别为24.7%和24.4%）。在那些报告在怀孕早期饮酒的人中，在SUD诊所筛查的患者中，（中位数= 3; Q1 = 1; Q3 = 10）与普通产科组相比（中位数= 1; Q1 = 1; Q3 = 3; p < 0.001）。这项研究表明，在这两个群体中，产前饮酒的患病率很高，而SUD/OUD患者摄入更多的酒精。这些发现强调了对所有孕妇，特别是SUD/OUD孕妇进行有针对性的筛查和干预的必要性。
Background: Prenatal care programs for women with opioid use disorder (OUD) often focus treatment/counseling plans around illicit substances, while concurrent use of alcohol might present an equal or greater risk to the fetus.Methods: This study evaluated self-reported prevalence of alcohol use in patients participating in a comprehensive prenatal care program for women with substance use disorder (SUD; n = 295), of which 95% are treated for OUD, and pregnant women being served through general obstetrical clinics at the University of New Mexico (n = 365). During the screening phase of a prospective study, patients were asked to report alcohol use in the periconceptional period, and between the last menstrual period and pregnancy recognition.Results: The screening interview was conducted at 22.3 (median = 22; Q1 = 16; Q3 = 29) gestational weeks. Among patients screened at the SUD clinic, 28.8% and 24.1% reported at least one binge drinking episode in the periconceptional period and in early pregnancy, respectively. The prevalence of binge drinking was similar in the general obstetrics population (24.7% and 24.4%, respectively). Among those who reported drinking in early pregnancy, median number of binge drinking episodes was higher among patients screened at the SUD clinic (median = 3; Q1 = 1; Q3 = 10) compared to the general obstetrics group (median = 1; Q1 = 1; Q3 = 3; p < 0.001).Conclusions: This study demonstrates a high prevalence of prenatal alcohol use in early pregnancy in both groups, while patients with SUD/OUD consume more alcohol. These findings underscore the need for targeted screening and intervention for alcohol use in all pregnant women, especially those with SUD/OUD.