Unintended pregnancy in opioid-abusing women
Unintended pregnancy in opioid-abusing women
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DOI：
10.1016/j.jsat.2010.08.011
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发表时间：
2011-03-01
影响因子：
3.9
通讯作者：
Martin, Peter R.
中科院分区：
文献类型：
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作者：
Heil, Sarah H.;Jones, Hendree E.;Martin, Peter R.
本研究的目的是估计阿片类药物滥用妇女中意外怀孕及其三种亚型（不合时宜，不想要和矛盾）的患病率。在一般人群中，31%-47%的怀孕是意外的;缺乏关于滥用阿片类药物和其他药物的妇女意外怀孕的数据。在一项比较阿片类药物维持治疗的多中心随机对照试验中，筛选可能入组的阿片类药物滥用孕妇（N = 946）完成了一项标准化访谈，评估社会人口学特征、当前和既往药物使用情况以及妊娠意向。几乎每10次怀孕中就有9次是意外怀孕（86%），时间错误（34%），意外怀孕（27%）和矛盾怀孕（26%）的比例相当。无论怀孕意图如何，超过90%的总样本有药物滥用治疗史，平均超过三次治疗。迫切需要采取干预措施，以解决滥用阿片类药物妇女中意外怀孕率极高的问题。药物治疗方案可能是这种干预措施的一个重要背景。(C)2011 Elsevier Inc. All rights reserved.
The aim of this study was to estimate the prevalence of unintended pregnancy and its three subtypes (mistimed, unwanted, and ambivalent) among opioid-abusing women. In the general population, 31%-47% of pregnancies are unintended; data on unintended pregnancy in opioid-and other drug-abusing women are lacking. Pregnant opioid-abusing women (N = 946) screened for possible enrollment in a multisite randomized controlled trial comparing opioid maintenance medications completed a standardized interview assessing sociodemographic characteristics, current and past drug use, and pregnancy intention. Almost 9 of every 10 pregnancies were unintended (86%), with comparable percentages mistimed (34%), unwanted (27%), and ambivalent (26%). Irrespective of pregnancy intention, more than 90% of the total sample had a history of drug abuse treatment, averaging more than three treatment episodes. Interventions are sorely needed to address the extremely high rate of unintended pregnancy among opioid-abusing women. Drug treatment programs are likely to be an important setting for such interventions. (C) 2011 Elsevier Inc. All rights reserved.