EPIDEMIOLOGY OF DRUG ABUSE AMONG ADOLESCENT MOTHERS

该奖项的具体目标是1)确定流行率和 吸毒后头两年的酒精和其他药物使用情况 在青春期母亲样本中出生的孩子；2)识别 12个月、18个月和24个月时酒精和其他药物使用的预测因素 产后；3)研究酒精与其他药物的关系 使用和高危性行为(不可靠避孕和性传播疾病 预防做法)；4)在青少年母亲样本中 青春期母亲在第一次怀孕后再次怀孕 在孩子出生后2年，a)检查关系 酒精和其他药物的使用与接受的产前护理的充分性之间的关系 以及b)确定酒精的流行率、模式和预测因素 怀孕期间使用药物；以及5)检查结果的差异 在黑人、白人和墨西哥裔美国青少年中的目标1到4 母亲们。本研究将采用前瞻性队列设计。 大约900名青少年母亲将被录取，其中每名300人 黑人、白人和墨西哥裔美国青少年。主题将是 从德克萨斯大学青春期产后组招募 加尔维斯顿的医务处，在产后不久。三-， 为期6个月、12个月、18个月和24个月的跟踪调查将邮寄给所有 参与者，采取积极的减员战略，包括 追踪受试者的明信片和电话，以及金钱补偿 感谢他们对这个项目的参与。终身、3个月、30天和 在怀孕期间，酒精和其他药物的使用将分别进行测量 评估期。在24个月评估中怀孕的受试者 将根据需要发送一份为期30个月和36个月的调查报告，以侮辱完成 关于孕期药物使用和产前护理充分性的信息是 收集了所有再次怀孕的患者的数据。

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.