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Published in: Maternal and Child Health Journal 3/2009

01-05-2009

Substance Use Among Women: Associations with Pregnancy, Parenting, and Race/Ethnicity

Authors: Pradip K. Muhuri, Joseph C. Gfroerer

Published in: Maternal and Child Health Journal | Issue 3/2009

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Abstract

Objective To examine the association of pregnancy and parenting (0- to 2-year-old child) statuses with past 30-day use of alcohol, cigarettes and marijuana, psychotherapeutics and cocaine among American women aged 18–44, overall and by race/ethnicity. Methods Five years of data (2002–2006) from the National Survey on Drug Use and Health (NSDUH) were pooled. Binary logistic regression analyses stratified by race/ethnicity were performed to examine the relationships adjusting for age, marital status, education and family income. Results Overall, past 30-day alcohol, cigarette, marijuana, psychotherapeutic or cocaine use was substantially lower among pregnant women, particularly in their second or third trimesters, than among their parenting or non-pregnant counterparts. Logistic regression analysis suggested a strong negative association between pregnancy status and substance use, with no considerable variations in the magnitude of the relationship by race/ethnicity for most measures. The relationship between parenting status and substance use was in the same direction, but relatively weak, and not statistically significant for non-Hispanic (NH) blacks for any measures except for alcohol use. Regardless of pregnancy and parenting statuses, NH white women reported substance use at the highest rates, followed by Hispanics and NH blacks. Conclusions There is indirect evidence of postpregnancy resumption in substance use. Pregnant and parenting women, regardless of race/ethnicity, could benefit from prevention efforts focusing on cessation rather than temporary abstinence from substance use.
Literature
1.
go back to reference Behnke, M., & Eyler, F. D. (1993). The consequences of prenatal substance use for the developing fetus, newborn, and young child. The International Journal of the Addictions, 28(13), 1341–1391.PubMed Behnke, M., & Eyler, F. D. (1993). The consequences of prenatal substance use for the developing fetus, newborn, and young child. The International Journal of the Addictions, 28(13), 1341–1391.PubMed
2.
go back to reference May, P. A., & Gossage, J. P. (2001). Estimating the prevalence of fetal alcohol syndrome: A summary. Alcohol Research & Health, 25(3), 159–167. May, P. A., & Gossage, J. P. (2001). Estimating the prevalence of fetal alcohol syndrome: A summary. Alcohol Research & Health, 25(3), 159–167.
4.
go back to reference U.S. Department of Health and Human Services. (2004). Alcohol alert. Rockville, MD. National Institute on Alcohol Abuse and Alcoholism, 62, 2. U.S. Department of Health and Human Services. (2004). Alcohol alert. Rockville, MD. National Institute on Alcohol Abuse and Alcoholism, 62, 2.
5.
go back to reference U.S. Department of Health Human Services. (2001). Women and smoking: A report of the surgeon general. Atlanta, GA: Center for Disease Control and Prevention. U.S. Department of Health Human Services. (2001). Women and smoking: A report of the surgeon general. Atlanta, GA: Center for Disease Control and Prevention.
7.
go back to reference Centers for Disease Control Prevention. (2004). Smoking during pregnancy-United States, 1990–2002. MMWR, 53(39), 911–915. Centers for Disease Control Prevention. (2004). Smoking during pregnancy-United States, 1990–2002. MMWR, 53(39), 911–915.
11.
go back to reference Frank, D. A., Augustyn, M., Knight, W. G., Pell, T., & Zuckerman, B. (2001). Growth, development, and behavior in early childhood following prenatal cocaine exposure: A systematic review. Journal of the American Medical Association, 285, 1613–1625. doi:10.1001/jama.285.12.1613.PubMedCrossRef Frank, D. A., Augustyn, M., Knight, W. G., Pell, T., & Zuckerman, B. (2001). Growth, development, and behavior in early childhood following prenatal cocaine exposure: A systematic review. Journal of the American Medical Association, 285, 1613–1625. doi:10.​1001/​jama.​285.​12.​1613.PubMedCrossRef
13.
go back to reference Gergen, P. J., Fowler, J. A., Maurer, K. R., Davis, W. W., & Overpeck, M. D. (1998). The burden of environmental tobacco smoke exposure on the respiratory health of children 2 months through 5 years of age in the United States: Third National Health and Nutrition Examination Survey, 1988 to 1994. Pediatrics, 101(2), 1–6. doi:10.1542/peds.101.2.e8.CrossRef Gergen, P. J., Fowler, J. A., Maurer, K. R., Davis, W. W., & Overpeck, M. D. (1998). The burden of environmental tobacco smoke exposure on the respiratory health of children 2 months through 5 years of age in the United States: Third National Health and Nutrition Examination Survey, 1988 to 1994. Pediatrics, 101(2), 1–6. doi:10.​1542/​peds.​101.​2.​e8.CrossRef
15.
go back to reference Johnson, J. L., & Leff, M. (1999). Children of substance abusers: Overview of research findings. Pediatrics, 103(5), 1085–1099.PubMed Johnson, J. L., & Leff, M. (1999). Children of substance abusers: Overview of research findings. Pediatrics, 103(5), 1085–1099.PubMed
16.
go back to reference Conners, N. A., Bradley, R. H., Mansell, L. W., Liu, J. Y., Roberts, T. J., Burgdorf, K., et al. (2003). Children of mothers with serious substance abuse problems: An accumulation of risks. The American Journal of Drug and Alcohol Abuse, 29(4), 743–758. doi:10.1081/ADA-120026258.PubMedCrossRef Conners, N. A., Bradley, R. H., Mansell, L. W., Liu, J. Y., Roberts, T. J., Burgdorf, K., et al. (2003). Children of mothers with serious substance abuse problems: An accumulation of risks. The American Journal of Drug and Alcohol Abuse, 29(4), 743–758. doi:10.​1081/​ADA-120026258.PubMedCrossRef
18.
go back to reference Kelleher, K., Chaffin, M., Hollenberg, J., & Fischer, E. I. (1994). Alcohol and drug disorders among physically abusive and neglectful parents in a community-based sample. American Journal of Public Health, 84(10), 1586–1590.PubMedCrossRef Kelleher, K., Chaffin, M., Hollenberg, J., & Fischer, E. I. (1994). Alcohol and drug disorders among physically abusive and neglectful parents in a community-based sample. American Journal of Public Health, 84(10), 1586–1590.PubMedCrossRef
19.
go back to reference Mayes, L. (1995). Substance abuse and parenting. In M. Bornstein (Ed.), The handbook of parenting (pp. 101–125). Hillsdale, NJ: Erlbaum. Mayes, L. (1995). Substance abuse and parenting. In M. Bornstein (Ed.), The handbook of parenting (pp. 101–125). Hillsdale, NJ: Erlbaum.
22.
23.
go back to reference Arria, A. M., Derauf, C., LaGasse, L. L., Grant, P., et al. (2006). Methamphetamine and other substance use during pregnancy: Preliminary estimates from the Infant Development, Environment, and Life Style (IDEAL) Study. Maternal and Child Health Journal, 10(3), 293–302. doi:10.1007/s10995-005-0052-0.PubMedCrossRef Arria, A. M., Derauf, C., LaGasse, L. L., Grant, P., et al. (2006). Methamphetamine and other substance use during pregnancy: Preliminary estimates from the Infant Development, Environment, and Life Style (IDEAL) Study. Maternal and Child Health Journal, 10(3), 293–302. doi:10.​1007/​s10995-005-0052-0.PubMedCrossRef
24.
go back to reference U.S. Department of Health and Human Services. (1996). National Institute on Drug Abuse. National pregnancy & health survey – drug use among women delivering livebirths: 1992. NIH Publication No. 96-3819. U.S. Department of Health and Human Services. (1996). National Institute on Drug Abuse. National pregnancy & health survey – drug use among women delivering livebirths: 1992. NIH Publication No. 96-3819.
25.
go back to reference Substance Abuse and Mental Health Services Administration. (1997). Substance use among women in the United States. Analytic series A-3. Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Analytic Series. Substance Abuse and Mental Health Services Administration. (1997). Substance use among women in the United States. Analytic series A-3. Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Analytic Series.
27.
go back to reference Substance Abuse and Mental Health Services Administration. (2002). Substance use among pregnant women during 1999 and 2000. The NSDUH report. Rockville: Office of Applied Studies, SAMHSA. Substance Abuse and Mental Health Services Administration. (2002). Substance use among pregnant women during 1999 and 2000. The NSDUH report. Rockville: Office of Applied Studies, SAMHSA.
28.
go back to reference Substance Abuse and Mental Health Services Administration. (2005). Substance use during pregnancy: 2002–2003 update. The NSDUH report. Rockville: Office of Applied Studies, SAMHSA. Substance Abuse and Mental Health Services Administration. (2005). Substance use during pregnancy: 2002–2003 update. The NSDUH report. Rockville: Office of Applied Studies, SAMHSA.
29.
go back to reference Substance Abuse and Mental Health Services Administration. (2007). Cigarette use among pregnant women and recent mothers. The NSDUH report. Rockville: Office of Applied Studies, SAMHSA. Substance Abuse and Mental Health Services Administration. (2007). Cigarette use among pregnant women and recent mothers. The NSDUH report. Rockville: Office of Applied Studies, SAMHSA.
30.
go back to reference Gfroerer, J. (2002). Introduction. In J. Gfroerer, J. Eyerman, & J. Chromy (Eds.), Redesigning an ongoing national household survey: Methodological issues. DHHS Publication No. SMA 03-3768. Rockville, MD: Substance Abuse and Mental Health Services Administration Office of Applied Studies. Gfroerer, J. (2002). Introduction. In J. Gfroerer, J. Eyerman, & J. Chromy (Eds.), Redesigning an ongoing national household survey: Methodological issues. DHHS Publication No. SMA 03-3768. Rockville, MD: Substance Abuse and Mental Health Services Administration Office of Applied Studies.
32.
33.
go back to reference StataCorp LP. (2007). Stata survey data reference manual – release 10. College Station, TX: Stata Press. StataCorp LP. (2007). Stata survey data reference manual – release 10. College Station, TX: Stata Press.
35.
36.
go back to reference Hans, S. L. (1999). Demographic and psychosocial characteristics of substance-abusing pregnant women. Clinical Perinataology, 26(1), 55–74. Hans, S. L. (1999). Demographic and psychosocial characteristics of substance-abusing pregnant women. Clinical Perinataology, 26(1), 55–74.
Metadata
Title
Substance Use Among Women: Associations with Pregnancy, Parenting, and Race/Ethnicity
Authors
Pradip K. Muhuri
Joseph C. Gfroerer
Publication date
01-05-2009
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 3/2009
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-008-0375-8

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