Screening for At-Risk Alcohol and Drug Use in the Antenatal Period: How Do Young Women Compare with Older Adult Women?
Screening for At-Risk Alcohol and Drug Use in the Antenatal Period: How Do Young Women Compare with Older Adult Women?
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DOI：
10.1016/j.jpag.2018.12.003
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发表时间：
2019-06-01
影响因子：
1.8
通讯作者：
Svikis, Dace S.
中科院分区：
文献类型：
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作者：
Kelpin, Sydney S.;Rusteikas, Scott G.;Svikis, Dace S.
研究目的：在本研究中，我们比较了在同一诊所就诊的年轻（18-24岁）和老年（25岁及以上）妇女的问题酒精和其他药物使用的标准化筛查工具的结果。我们分别调查了孕妇和非孕妇women.Design，设置，参与者，干预措施和主要成果措施：这是一个横断面研究的妇女参加城市，大学附属妇产科诊所。妇女是在等待与其供应商预约时被招募的。总共有3317人提供了同意书，并完成了一项简短的匿名调查，其中包括有关酒精和其他药物问题的标准化问题。测量包括T-ACE（宽容的首字母缩写，当别人表达关注时感到恼火，减少饮酒，开眼界）对酒精和CAGE对其他药物（CAGE是以下项目的助记符：（1）你是否曾经觉得你应该减少使用其他药物？(2)人们是否因为批评你使用其他药物而惹恼你？(3)你是否曾因使用其他药物而感到内疚或内疚？（4）你是否曾经在早上第一件事就是使用药物来稳定你的神经，避免戒断，或者摆脱宿醉？分别比较了怀孕和非怀孕的年轻女性的个体项目反应和筛选者汇总评分，（18-24岁）和老年人（25岁或以上）妇女使用卡方（2）进行分类和t检验连续变量。对于孕妇，386/1460（26%）的老年妇女筛查出有饮酒问题的风险，而年轻妇女为250/1203（21%）（P = .001）。然而，对于其他药物，192/1203（16%）的年轻孕妇筛查有风险，而186/1461（13%）的老年孕妇（P = .02）。对于非妊娠女性，老年女性中有风险药物使用的筛查阳性率几乎是年轻女性的2倍，老年女性中有48/321（15%）筛查有风险，而年轻女性中有28/332（8%）结论：目前的研究结果证实，需要对所有年龄段的妇女进行酒精和药物问题的常规筛查，无论怀孕状况如何。
Study Objective: In the present study we compared results of standardized screening tools for problem alcohol and other drug use in younger (ages 18-24 years) and older (ages 25 and older) women attending the same clinic. We separately investigated pregnant and nonpregnant women.Design, Setting, Participants, Interventions, and Main Outcome Measures: This was a cross-sectional study of women attending an urban, university-affiliated obstetrics and gynecology clinic. Women were recruited while awaiting appointments with their providers. In total, 3317 provided consent and completed a brief anonymous survey with standardized questions about alcohol and other drug problems. Measures included the T-ACE (acronym for Tolerance, Annoyed when others express concern, Cut down on drinking, Eye-opener) for alcohol and CAGE for other drugs (CAGE is a mnemonic for the following items: (1) Have you ever felt you should cut down on your use of other drugs? (2) Have people annoyed you by criticizing your use of other drugs? (3) Have you ever felt bad or guilty about your use of other drugs? and (4) Have you ever used drugs first thing in the morning to steady your nerves, avoid withdrawal, or get rid of a hangover [eye opener]?). Individual item responses and screener summary scores were compared separately for pregnant and nonpregnant younger (ages 18-24 years) and older adult (25 years of age or older) women using chi(2) for categorical and t tests for continuous variables.Results: For pregnant women, 386/1460 (26%) of older women screened at-risk for problem drinking compared to 250/1203 (21%) of younger women (P = .001). For other drugs, however, 192/1203 (16%) of younger pregnant women screened at risk compared to 186/1461 (13%) of older adult pregnant women (P = .02). For nonpregnant women, screen positive rates for at-risk drug use were nearly 2 times higher among older compared with younger women, with 48/321 (15%) of older women screening at risk compared to 28/332 (8%) of younger women (P < .01).Conclusion: The present findings affirm the need for routine screening for alcohol and drug problems in women of all ages, regardless of pregnancy status.