Alcohol and Other Drug Use during Pregnancy among Women Attending Midwife Obstetric Units in the Cape Metropole, South Africa.
Alcohol and Other Drug Use during Pregnancy among Women Attending Midwife Obstetric Units in the Cape Metropole, South Africa.
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DOI：
10.1155/2014/871427
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发表时间：
2014
影响因子：
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通讯作者：
Parry CD
中科院分区：
文献类型：
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作者：
Petersen Williams P;Jordaan E;Mathews C;Lombard C;Parry CD
尽管南非开普敦孕妇酒精和其他药物 (AOD) 使用水平非常高，但人们对酒精和其他药物 (AOD) 使用的性质和程度知之甚少。对大开普敦 11 个助产士产科中心 (MOU) 的孕妇进行了一项横断面调查。采用了两阶段整群调查设计。总共对 5231 名孕妇进行了筛查，以评估自我报告的患病率估计值。其中，684 人 (13.1%) 被有意进行二次抽样，并完成了访谈员填写的调查问卷，并提供了尿液样本进行生物筛查。尿液分析显示，8.8%（95% CI：6.7-10.9）的子样本至少一种非法药物检测呈阳性。这高于自我报告的患病率（3.6%）。此外，19.6%（95% CI：16.3-22.8）的子样本酒精检测呈阳性，低于自我报告的患病率（36.9%）。到公共部门产前诊所就诊的孕妇的药物使用率很高。需要对 AOD 的使用进行常规筛查，并根据女性的风险水平采取适当的应对措施。
Little is known about the nature and extent of alcohol and other drug (AOD) use among pregnant women in Cape Town, South Africa, despite the very high levels of AOD use in this part of the country. A cross-sectional survey was conducted among pregnant women attending 11 Midwife Obstetric Units (MOUs) in greater Cape Town. A two-stage cluster survey design was used. In total, 5231 pregnant women were screened to assess self-reported prevalence estimates. Of these, 684 (13.1%) were intentionally subsampled and completed an interviewer-administered questionnaire and provided a urine sample for biological screening. Urinalyses showed that 8.8% (95% CI: 6.7–10.9) of the subsample tested positive for at least one illicit drug. This is higher than the self-reported prevalence (3.6%). In addition, 19.6% (95% CI: 16.3–22.8) of the sub-sample tested positive for alcohol which is lower than the self-reported prevalence (36.9%). There are high levels of substance use among pregnant women attending public sector antenatal clinics. There is a need for routine screening for AOD use and appropriate responses depending on the women's level of risk.