使用和不使用非法药物的孕妇中社会心理问题的普遍性。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Psychology of Addictive Behaviors Pub Date : 2024-03-01 Epub Date: 2023-08-24 DOI:10.1037/adb0000952
Loren S Kock, Heidi S Melbostad, Sarah H Heil
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引用次数: 0

摘要

目的:美国妇产科医师学会(ACOG)建议医疗机构对产前患者进行 11 项社会心理问题筛查,因为这些问题会影响患者的身心健康。这些问题在近期使用和未使用违禁药物的孕妇中的发生率和并发率很少进行比较:方法:使用全国药物使用和健康调查变量对 ACOG 确定的七个社会心理问题进行操作。我们报告了这些问题在报告与未报告上月使用非法药物的孕妇中的加权流行率和调整风险比(ARR):结果:报告上月使用非法药物的孕妇(n = 3,657)(6.3%;95% CI [5.4-7.3])在几乎所有被检查的社会心理问题上的患病率都明显更高,包括上月吸烟(44.9% 对 9.5%;ARR = 2.84,95% CI [2.21-3.65]);上月酗酒(44.9% 对 9.5%;ARR = 2.84,95% CI [2.21-3.65])。65]);上月饮酒,36.1% 对 7.9%;ARR = 4.71 (3.59-6.18);上月严重苦恼,23.0% 对 5.0%;ARR = 3.51 (2.39-5.15);无医疗保险,11.7% 对 6.2%;ARR = 1.71 (1.07-2.74);领取食品券,45.0% 对 24.0%;ARR = 1.40 (1.18-1.67)。过去一年中搬家 3 次以上的情况与此类似,但结果与无差异相符,分别为 10.6%对 5.5%;ARR=1.39(0.86-2.25)。大多数报告使用非法药物的孕妇都表示遇到过≥2个社会心理问题,而大多数未报告使用非法药物的孕妇则未表示遇到过任何社会心理问题:结论:与不使用非法药物的孕妇相比,使用非法药物的孕妇经历了更高的社会心理问题发生率和更多的并发症,这加强了对多学科护理方法的建议。(PsycInfo Database Record (c) 2023 APA, 版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of psychosocial issues among pregnant women who do and do not use illicit substances.

Objective: The American College of Obstetricians and Gynecologists (ACOG) recommends providers screen their prenatal patients for 11 psychosocial issues because they affect patient mental and physical well-being. The prevalence and co-occurrence of these issues have rarely been compared among pregnant women who do and do not report recent illicit substance use.

Method: Seven psychosocial issues identified by ACOG were operationalized using National Survey on Drug Use and Health variables. We report weighted prevalence and adjusted risk ratios (ARR) for these issues in pregnant women who did versus did not report past-month illicit substance use.

Results: Pregnant women (n = 3,657) who reported past-month illicit substance use (6.3%; 95% CI [5.4-7.3]) had significantly higher prevalence of almost all psychosocial issues examined, including past-month cigarette smoking (44.9% versus 9.5%; ARR = 2.84, 95% CI [2.21-3.65]); past-month alcohol use, 36.1% versus 7.9%; ARR = 4.71 (3.59-6.18); serious past-month distress, 23.0% versus 5.0%; ARR = 3.51 (2.39-5.15); no health insurance, 11.7% versus 6.2%; ARR = 1.71 (1.07-2.74); and receipt of food stamps, 45.0% versus 24.0%; ARR = 1.40 (1.18-1.67). Moving 3 + times in the past year followed a similar pattern, but results were compatible with there being no difference, 10.6% versus 5.5%; ARR = 1.39 (0.86-2.25). The majority of pregnant women reporting illicit substance use endorsed experiencing ≥ 2 psychosocial issues while the majority of those who did not report illicit substance use did not endorse any.

Conclusions: Pregnant women who use illicit substances experience higher prevalence and greater co-occurrence of psychosocial issues compared to those who do not, reinforcing recommendations for multidisciplinary approaches to care. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
4.90
自引率
11.80%
发文量
165
期刊介绍: Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
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