Association of Prepregnancy Substance Use and Substance Use Disorders with Pregnancy Timing and Intention.
Association of Prepregnancy Substance Use and Substance Use Disorders with Pregnancy Timing and Intention.
复制标题
怀孕前药物使用和药物使用障碍与怀孕时间和意图的关联。
DOI：
10.1089/jwh.2021.0483
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Yonkers,Kimberly
中科院分区：
文献类型：
--
作者：
Coy,KelseyC;Ko,JeanY;Ondersma,StevenJ;Gilstad-Hayden,Kathryn;Zapata,LaurenB;Chang,Grace;Yonkers,Kimberly
背景：关于物质使用障碍（SUD）与妊娠意向维度之间关系的研究有限。本研究旨在探讨孕前物质使用和SUD与怀孕时间和intentions.Materials和方法之间的独立关系：从康涅狄格州，马萨诸塞州，密歇根州，2016-2017年三个产前护理点的数据进行二次分析。协会估计使用修改后的泊松回归与强大的误差方差，计算调整后的患病率（aPR）和95%的置信区间（CI），控制相关的协变量。结果：总样本量为1115名妇女。分别有61.1%和15.5%的妇女在孕前30天内使用任何物质或在过去12个月内有任何SUD。调整后，任何孕前物质的使用与减少的可能性，（aPR 0.85; 95% CI：0.77-0.93）和预期（aPR 0.80; 95% CI：0.72-0.89）妊娠;同样，任何SUD均与良好时机妊娠的可能性降低相关。（aPR 0.66; 95% CI：0.55-0.80）和计划怀孕（aPR 0.79; 95% CI：0.67-0.93）。结论：孕前使用药物或SUD的妇女的适时怀孕和计划怀孕的患病率降低。需要作出更大的努力，在常规、健康妇女、产前和产后护理中解决药物使用和计划生育问题。
Background:Limited research exists on the association between substance use disorders (SUDs) and dimensions of pregnancy intention. This study sought to examine the independent relationships between prepregnancy substance use and SUDs with pregnancy timing and intentions.Materials and Methods:Secondary analysis of data from three prenatal care sites in Connecticut, Massachusetts, and Michigan, 2016–2017. Associations were estimated using modified Poisson regression with robust error variance to calculate adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs), controlling for relevant covariates.Results:The total sample size was 1115 women. Respectively, 61.1% and 15.5% of women used any substance in the 30 days prepregnancy or had any SUD in the past 12 months. After adjustment, any prepregnancy substance use was associated with a reduced likelihood of a well-timed (aPR 0.85; 95% CI: 0.77–0.93) and intended (aPR 0.80; 95% CI: 0.72–0.89) pregnancy; similarly, any SUD was associated with a reduced likelihood of a well-timed (aPR 0.66; 95% CI: 0.55–0.80) and intended (aPR 0.79; 95% CI: 0.67–0.93) pregnancy.Conclusions:Women with prepregnancy substance use or SUD have decreased prevalence of well-timed and intended pregnancies. Greater efforts are needed to address substance use and family planning in routine, well-woman, prenatal, and postpartum care.
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影响因子：
33.9
作者：
England, Lucinda J.;Bennett, Carolyne;Boyle, Coleen A.
通讯作者：
Boyle, Coleen A.
DOI：
10.1089/jwh.2018.7597
发表时间：
2019-08
期刊：
Journal of women's health (2002)
影响因子：
--
作者：
Zhou J;Ko JY;Haight SC;Tong VT
通讯作者：
Tong VT
孕妇物质使用障碍的识别：筛查者的比较。
影响因子：
4.2
作者：
Grace Chang;Grace Chang;S. Ondersma;Tiffany L. Blake;Kathryn Gilstad;E. Orav;K. Yonkers
通讯作者：
K. Yonkers
影响因子：
4.2
作者：
Coleman-Cowger, Victoria H.;Schauer, Gillian L.;Peters, Erica N.
通讯作者：
Peters, Erica N.
影响因子：
2.9
作者：
Cheng, Diana;Schwarz, Eleanor B.;Horon, Isabelle
通讯作者：
Horon, Isabelle