Demographic and Substance Abuse Trends Among Pregnant and Non-Pregnant Women: Eleven Years of Treatment Admission Data
Demographic and Substance Abuse Trends Among Pregnant and Non-Pregnant Women: Eleven Years of Treatment Admission Data
复制标题
DOI：
10.1007/s10995-011-0872-z
复制
发表时间：
2012-11-01
影响因子：
2.3
通讯作者：
Arndt, Stephan
中科院分区：
文献类型：
--
作者：
McCabe, Jennifer E.;Arndt, Stephan
本研究的目的是确定11年来接受治疗的孕妇的人口统计学和药物滥用趋势。这项研究汇编了1998年至2008年物质滥用精神卫生服务管理局公开提供的治疗事件数据集。受试者包括1，724，479名首次接受公共资助的药物滥用治疗的妇女，其中81，818人怀孕。与非孕妇相比，孕妇更可能是年轻人、少数民族、未婚、受教育程度较低、无家可归、接受公共援助或没有收入。在接受治疗的孕妇中，来自卫生保健提供者的转诊一直很低，而来自刑事司法系统的转诊占接受治疗的孕妇的最大比例。在过去11年中，接受治疗的妇女中酗酒现象普遍减少，吸毒现象增加;这一趋势在孕妇中更为明显。与未怀孕的女性不同，孕妇更有可能报告大麻，而不是酒精，作为他们的主要问题物质以及其他药物，如甲基苯丙胺和可卡因。在过去11年中，妇女滥用药物的人口统计学和模式的趋势发生了变化;其中一些趋势是孕妇所特有的。很大一部分接受治疗的孕妇是由刑事司法系统转介的。了解进入治疗的孕妇的人口统计学和滥用模式，可以为HCP和社区项目的筛查和外展工作提供信息。
The objective of this study was to identify demographic and substance abuse trends among pregnant women entering treatment over eleven years. This study compiled the publicly available Treatment Episode Datasets from the Substance Abuse Mental Health Services Administration from 1998 to 2008. Subjects included 1,724,479 women entering publicly funded substance abuse treatment for the first time, 81,818 of whom were pregnant. Compared to non-pregnant women, pregnant women were more likely to be younger, minority, never married, less educated, homeless, and on public-assistance or have no income. Referrals from health care providers (HCPs) among pregnant women entering treatment have stayed consistently low while referrals from the criminal justice system accounted for the largest portion of pregnant women entering treatment. Over the past eleven years, there has been a general decline in alcohol abuse and an increase in drug abuse among women entering treatment; this trend was more pronounced in pregnant women. Unlike their non-pregnant counterparts, pregnant women were more likely to report marijuana, not alcohol, as their primary problem substance as well as other drugs like methamphetamine and cocaine. Over the past eleven years, trends in the demographics and patterns of substance abuse among women have changed; some of these trends were unique to pregnant women. A large proportion of pregnant women entering treatment are referred by the criminal justice system. Knowledge surrounding the demographics and abuse patterns of pregnant women entering treatment can inform HCPs and community programs in their screening and outreach efforts.