Which women are missed by primary health-care based interventions for alcohol and drug use?

Addictive Behaviors
S C M RobertsDiana Greene Foster

Abstract

Women of reproductive age who binge drink or have alcohol-related problem symptoms (APS) and who do not use contraception are considered at risk of an alcohol-exposed pregnancy (AEP). In the U.S., efforts to prevent AEPs focus largely on delivering interventions in primary health care settings. While research suggests that these interventions are efficacious for women reached, it is unclear to what extent these interventions are likely to reach women at risk of AEPs. Data are from the Turnaway Study, a study of 956 women seeking pregnancy termination at 30 U.S. facilities between 2008 and 2010, some of whom received and some of whom were denied terminations because they were past the gestational limit. We examined associations between binge drinking, APS, and drug use prior to pregnancy recognition and having a usual source of health care (USOC). Overall, 59% reported having a USOC. A smaller proportion with than without an APS reported a USOC (44 vs. 60%, p<.05) and a smaller proportion using than not using drugs reported a USOC (51 vs. 61%, p<.05). This pattern was not observed for binge drinking. In multivariate analyses, an APS continued to be associated with lack of a USOC, while drug use was no longer associated with lack...Continue Reading

References

Dec 1, 1988·Alcoholism, Clinical and Experimental Research·M Russell, J B Skinner
Jul 1, 1995·American Journal of Public Health·H WechslerE B Rimm
May 15, 1998·Alcoholism, Clinical and Experimental Research·J L JacobsonJ W Ager
Sep 18, 1999·American Journal of Preventive Medicine·R L FloydD W Hungerford
Nov 30, 1999·Psychiatric Services : a Journal of the American Psychiatric Association·R H KellyD F Zatzick
Apr 13, 2001·JAMA : the Journal of the American Medical Association·D A FrankB Zuckerman
Sep 26, 2003·American Journal of Epidemiology·Nedra Whitehead, Leslie Lipscomb
Dec 11, 2003·JAMA : the Journal of the American Medical Association·Robert J SokolBeth Nordstrom
Sep 17, 2004·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·R MaupinJ Miller
Nov 9, 2006·Acta Obstetricia Et Gynecologica Scandinavica·Astrid AlvikRolf Lindemann
Jan 16, 2007·American Journal of Preventive Medicine·R Louise FloydUNKNOWN Project CHOICES Efficacy Study Group
Oct 11, 2007·Obstetrical & Gynecological Survey·Ashley H Schempf
Mar 14, 2008·Alcoholism, Clinical and Experimental Research·Philip A MayDenis L Viljoen
May 6, 2008·Maternal and Child Health Journal·Patricia A Harrison, Abbey C Sidebottom
Nov 28, 2008·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists
Oct 3, 2009·Epidemiology·Katrine Strandberg-LarsenJørn Olsen
Mar 17, 2010·Maternal and Child Health Journal·Sarah C M Roberts, Cheri Pies
May 12, 2010·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Sarah C M Roberts, Amani Nuru-Jeter
Apr 24, 2012·Journal of Substance Abuse Treatment·Rodrigo SantisAndrea Lasagna
May 11, 2013·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Rachel K JonesTracy A Weitz
Aug 21, 2013·American Journal of Public Health·Ushma D UpadhyayDiana Greene Foster
Nov 5, 2013·Drug and Alcohol Dependence·Sarah C M RobertsDiana Greene Foster
Jan 21, 2014·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Loren M DobkinDiana Greene Foster
Mar 19, 2014·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Sarah C M RobertsDiana Greene Foster
Oct 23, 2014·Alcoholism, Clinical and Experimental Research·Sarah C M RobertsKevin L Delucchi
Mar 20, 2015·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Sarah C M RobertsDiana Greene Foster

❮ Previous
Next ❯

Citations

May 11, 2021·Journal of Women's Health·Susannah E Gibbs, S Marie Harvey

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Polyendocrinopathies

Autoimmune polyendocrinopathies, also called polyglandular autoimmune syndromes (PGASs), or polyendocrine autoimmune syndromes(PASs), are a heterogeneous group of rare diseases characterized by autoimmune activity against more than one endocrine organ, although non-endocrine organs can be affected. Discover the latest research on autoimmune polyendocrinopathies here.

Autoimmune Polyendocrine Syndromes

This feed focuses on a rare genetic condition called Autoimmune Polyendocrine Syndromes, which are characterized by autoantibodies against multiple endocrine organs. This can lead to Type I Diabetes.