Self-reported alcohol and drug use in pregnant young women: a pilot study of associated factors and identification.
Self-reported alcohol and drug use in pregnant young women: a pilot study of associated factors and identification.
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DOI：
10.1097/adm.0b013e318214360b
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发表时间：
2011-09
影响因子：
5.5
通讯作者：
Wilkins-Haug L
中科院分区：
文献类型：
--
作者：
Chang G;Orav EJ;Jones JA;Buynitsky T;Gonzalez S;Wilkins-Haug L
This study describes the prevalence and factors associated with self-reported substance use in young women receiving prenatal care at a hospital clinic. Cross-sectional, study of 30 pregnant young adults who responded to a mail survey containing the CRAFFT screening tool. All completed a diagnostic interview that included self-report information on their use of alcohol and drugs before and during pregnancy, including the contexts in which they would be likely to use. One third of participants consumed alcohol, marijuana, or both while pregnant. Many had lifetime diagnoses of alcohol (23%) or cannabis (30%) use disorders, but only one met criteria for current diagnosis. The CRAFFT was best in identifying prenatal substance use (c-statistic=0.9). Age, race, education, and children, were not associated with either prenatal alcohol or cannabis use. Before pregnancy alcohol drinking was associated with prenatal alcohol use (p=.02) and prenatal cannabis use (p=.06). Another trend of before pregnancy cannabis use being associated with prenatal cannabis use (p=.08) was observed. Most participants indicated little likelihood of substance use in convivial, intimate, or negative coping contexts while pregnant. However, participants with prenatal substance use had significantly higher convivial (p=.02) and intimate (p=.01) subscale scores of the Drinking Context Scale before pregnancy. Asking directly about the circumstances of prenatal alcohol and drug is not likely to be helpful. Two promising approaches in the identification of prenatal substance use were identified: the CRAFFT screening instrument and asking about the contexts during which alcohol might have been consumed before pregnancy.
