DRUG USE PATTERNS OF ADOLESCENT MOTHERS AFTER DELIVERY

这项研究的长期目标是：1)防止酗酒 和青少年母亲中的其他药物滥用，以及2)发展 对酗酒和吸毒的青少年母亲的干预 对酒精和毒品的危险因素和文化差异的认识 在这一人群中使用。这项拟议的研究涉及几个母亲 2000年儿童健康和酗酒及药物滥用目标 由公共卫生服务机构提出。这个项目的具体目标是 是1)在第一个阶段确定酒精和药物使用的流行率 在孩子出生后六个月的青少年样本中 母亲；2)确定全世界酗酒和吸毒的模式 孕前、产前和产后期；3)确定预测因素 产后三个月和六个月的酒精和药物使用情况；以及4) 研究酒精流行率、模式和预测因素之间的差异 与黑人在相同时间段内的药物使用情况进行比较 白人青春期母亲。 本研究将采用前瞻性队列设计。总共有400个 青少年母亲将被录取，包括200名黑人和200名白人 青少年。终生药物使用和怀孕期间药物使用的数据将 当病人在青少年产后病房时被收集在 德克萨斯大学加尔维斯顿分校医院。对以下方面的评估 前30天的药物使用将在3点和6点进行 分娩后几个月。据推测，酒精和酒精的流行 与黑人青少年相比，白人青少年的毒品使用率将更高。 青少年母亲饮酒和吸毒的预测因素包括： A)感觉到缺乏家庭支持；b)同龄人更多地吸毒，以及 合作伙伴；c)与同行更加隔绝；d)相关的更大耻辱 青少年为人父母；e)缺乏产前护理；f)抑郁；g)低落 自尊，h)学业失败；i)身体或性侵犯前科；以及 J)较少的经济资源。 这项研究的结果将有助于确定酒精和毒品的风险因素 在青少年中使用导致以临床为基础的 针对这一人群的干预计划。

The broad, long term objectives of this study are 1) to prevent alcohol and other drug abuse among adolescent mothers, and 2) to develop interventions for alcohol and drug abusing adolescent mothers based on an understanding of risk factors and cultural differences in alcohol and drug use within this population. The proposed study addresses several Maternal and Child Health and Alcohol and Drug Abuse Objectives for the year 2000 set forth by the Public Health Service. The specific aims of this project are 1) to identify the prevalence of alcohol and drug use during the first six months after the birth of a child among a sample of adolescent mothers; 2) to identify patterns of alcohol and drug abuse across prepregnancy, prenatal and postpartum periods; 3) to identify predictors of alcohol and drug use at three and six months postpartum; and 4) to examine differences in the prevalence, patterns and predictors of alcohol and drug use across these same time periods among Black as compared with White adolescent mothers. A prospective, cohort design will be used in this study. A total of 400 adolescent mothers will be enrolled, including 200 Black and 200 White adolescents. Data on lifetime drug use, and drug use during pregnancy will be collected while patients are on the adolescent postpartum ward at the University of Texas Medical Branch Hospital, Galveston. Assessments of drug use over the previous 30 days will be conducted at three and six months post delivery. It is hypothesized that prevalence of alcohol and drug use will be higher among White as compared with Black adolescents. Predictors of alcohol and drug use among adolescent mothers will include: a) perceived lack of family support; b) greater drug use by peers and partners; c) greater isolation from peers; d) greater stigma associated with teenage parenthood; e) lack of prenatal care; f) depression; g) low self-esteem, h) school failure; i) prior physical or sexual assault; and j) lesser economic resources. Results of this study will help identify risk factors for alcohol and drug use among adolescent others leading to the development of clinically-based intervention programs for this population.