Substance use and teen pregnancy in the United States: Evidence from the NSDUH 2002-2012
Substance use and teen pregnancy in the United States: Evidence from the NSDUH 2002-2012
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DOI：
10.1016/j.addbeh.2015.01.039
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发表时间：
2015-06-01
影响因子：
4.4
通讯作者：
Todic, Jelena
中科院分区：
文献类型：
--
作者：
Salas-Wright, Christopher P.;Vaughn, Michael G.;Todic, Jelena
简介：很少有研究使用基于人口的样本系统地研究物质使用和少女怀孕之间的关系。我们的目标是提供一个全面的检查物质使用在怀孕的青少年在美国。方法：利用2002年至2012年全国药物使用和健康调查（n = 97，850）的数据，我们检查了怀孕和非怀孕青少年（12-17岁）过去12个月和过去30天的物质使用和物质使用障碍的患病率。我们还研究了在怀孕青少年的子样本（n = 810）中当前物质使用的心理社会和怀孕相关因素。怀孕的青少年更有可能尝试各种物质，并符合酒精标准（AOR = 1.65，95% CI = 1.26-2.17）、大麻（AOR = 2.29，95% CI = 1.72-3.04）和其他非法药物使用障碍（AOR = 2.84，95% CI = 1.92-4.19）。怀孕少女（年龄12-14岁; AOR = 434，95%CI = 2.28-8.26）的可能性明显更高，（年龄15-17岁; AOR = 0.71，95%CI = 0.56-0.90）与未怀孕的同龄人相比，目前使用药物的可能性显著降低。研究结果不仅指出了怀孕和先前使用物质之间的关系，而且还表明许多青少年在怀孕期间继续使用物质。我们发现，药物使用是特别有问题的青少年和药物使用的流行率急剧衰减，从怀孕的第一个到第二个和第三个三个月的青年进步。(C)2015爱思唯尔有限公司版权所有。
Introduction: Few, if any, studies have systematically examined the relationship between substance use and teen pregnancy using population-based samples. We aim to provide a comprehensive examination of substance use among pregnant adolescents in the United States.Method: Employing data from the National Survey on Drug Use and Health between 2002 and 2012 (n = 97,850), we examine the prevalence of the past 12-month and the past 30-day substance use and substance use disorders among pregnant and non-pregnant adolescents (ages 12-17). We also examine psychosocial and pregnancy-related correlates of current substance use among the subsample of pregnant adolescents (n = 810).Results: Pregnant teens were significantly more likely to have experimented with a variety of substances and meet criteria for alcohol (AOR = 1.65, 95% CI = 1.26-2.17), cannabis (AOR = 2.29,95% CI = 1.72-3.04), and other illicit drug use disorders (AOR = 2.84,95% CI = 1.92-4.19). Pregnant early adolescents (ages 12-14; AOR = 434,95% CI = 2.28-8.26) were significantly more likely and pregnant late adolescents (ages 15-17; AOR = 0.71,95% CI = 0.56-0.90) significantly less likely than their non-pregnant counterparts to be current substance users.Conclusions: Study findings point not only to a relationship between pregnancy and prior substance use, but also suggest that substance use continues for many teens during pregnancy. We found that substance use is particularly problematic among early adolescents and that the prevalence of substance use attenuates dramatically as youth progress from the first to the second and third trimesters of pregnancy. (C) 2015 Elsevier Ltd. All rights reserved.