Prenatal care and drug use in pregnant women

Ann W. Funkhouser, Arlene M. Butz, Terry I. Feng, Mary E. McCaul, Beryl J. Rosenstein

Research output: Contribution to journalArticle

Abstract

This case-control study tested the hypothesis that pregnant inner-city women with low utilization of prenatal care are likely to be frequent drug users. Cases registered consecutively for prenatal care at ≥ 28 weeks gestation or had < 4 prenatal visits. Controls were matched to cases by date of delivery. 24 81 (30%) cases and 16 128 (12%) controls were frequent drug users (adjusted odds ratio = 2.5; 95% CI, 1.2-5.4). Drug use (P = 0.01) and socioeconomic status (P = 0.001) were significantly correlated with prenatal care utilization. Self-report alone failed to note as many drug users as toxicology screen alone. Both substance use history and toxicology screen are advisable in women with low utilization of prenatal care.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalDrug and alcohol dependence
Volume33
Issue number1
DOIs
StatePublished - Jun 1993

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Keywords

  • drug screening
  • prenatal care
  • prenatal care utilization
  • socioeconomic status
  • substance use or drug use

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

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