EPIDEMIOLOGY OF DRUG ABUSE AMONG ADOLESCENT MOTHERS

该奖项的具体目标是：1）确定流行率， 酒精和其他药物使用的模式在头2年后， 在青少年母亲样本中生育子女; 2）确定 12、18和24个月时酒精和其他药物使用的预测因素 3）检查酒精与其他药物之间的关系 使用和高风险性行为（不可靠的避孕措施和性病 预防措施）在青少年母亲的样本; 4）之间 第一次怀孕后再次怀孕的少女母亲 孩子出生后2年，a）审查关系 酒精和其他药物的使用与产前护理的充分性之间的关系 和B）确定酒精的流行率、模式和预测因素，或 怀孕期间使用药物;和5）检查结果的差异， 在黑人、白色和墨西哥裔美国青少年中，目标1至4 妈妈们本研究将采用前瞻性队列设计。 大约900名青少年母亲将参加，其中每名300人 黑人、白色人和墨西哥裔美国青少年。受试者将 从德克萨斯大学的青少年产后部门招募 医疗分支，加尔维斯顿在产后期间。三-， 6个月、12个月、18个月和24个月的随访调查将邮寄给所有 参与者，采用积极的减员战略，包括 明信片和电话来追踪受试者，以及金钱补偿 参与这个项目。使用寿命、3个月、30天和 在怀孕期间，酒精和其他药物的使用将在每个 评估期。24个月评估时妊娠的受试者 将发送一个30和36个月的调查，根据需要，侮辱，完成 关于怀孕期间吸毒和产前护理是否充分的信息， 收集所有再次怀孕的患者。

The specific aims of this Award are 1) to identify the prevalence and patterns of alcohol and other drug use during the first 2 years after the birth of a child among a sample of adolescent mothers; 2) to identify predictors of alcohol and other drug use at 12, 18 and 24 months postpartum; 3) to examine the relationship between alcohol and other drug use and high-risk sexual behaviors (unreliable contraception and STD prevention practices) within a sample of adolescent mothers; 4) among adolescent mothers who experience a subsequent pregnancy within the first 2 years following the birth of a child, a) to examine the relationship between alcohol and other drug use and adequacy of prenatal care received and b) to identify the prevalence, patterns, and predictors of alcohol or drug use during pregnancy; and 5) to examine differences in findings from Aims 1 through 4 among Black, White, and Mexican-American adolescent mothers. A prospective, cohort design will be used in this study. Approximately 900 adolescent mothers will be enrolled, including 300 each of Black, White and Mexican-American adolescents. Subjects will be recruited from the Adolescent Postpartum Unit at the University of Texas Medical Branch, Galveston during the immediate postpartum period. Three-, 6-, 12-, 18-, and 24-month follow-up surveys will be mailed to all participants, with an aggressive attrition reduction strategy, including postcard and telephone calls to track subjects, and monetary compensation for their participation on this project. Lifetime, 3-month, 30-day and during pregnancy use of alcohol and other drugs will be measured at each assessment period. Subjects who are pregnant at the 24-month assessment will be sent a 30- and 36-month survey, as needed, to insult that complete information on drug use during pregnancy and adequacy of prenatal care is collected on all patients who experience a subsequent pregnancy.