Document Detail

Latent growth trajectories of substance use among pregnant and parenting adolescents.
MedLine Citation:
PMID:  20565158     Owner:  NLM     Status:  MEDLINE    
We examine changes among adolescent girls in substance use during pregnancy and the postpartum period. Three separate latent growth curve analyses assessed the impact of psychosocial, behavioral, and sociodemographic factors on resumption of or change in use of cigarettes, alcohol, and marijuana. The Vulnerable Populations Model for Research and Clinical Practice (Flaskerud & Winslow, 1998) provided the theoretical foundation for this study. This is a secondary analysis of data from a sample of 305 ethnic minority females (245 Latina, 60 African American), aged 13-18 years, who were pregnant at baseline and were participating in an HIV prevention study conducted in inner-city alternative schools in Los Angeles County. Data collected at 4 time points captured changes in substance use from pregnancy through the postpartum period. Baseline predictors included ethnicity/race, partner substance use, childhood abuse history, religiosity, acculturation, depressive symptoms, length of gestation at baseline, and previous substance use. Common predictors of greater resumption and/or greater level of use included greater history of use before pregnancy, partner substance use, childhood abuse, and a longer time since childbirth. African Americans were more likely to be smoking at baseline when they were still pregnant and to use marijuana postpartum; Latinas were more likely to use alcohol over the course of pregnancy and postpartum. Other variables exerted an influence on specific substances. For instance, religiosity impacted cigarette and alcohol use. Findings may assist prenatal care providers to identify and counsel pregnant adolescents at risk for perinatal substance use and to prevent resumption or initiation of substance use after childbirth.
Gwendolyn V Spears; Judith A Stein; Deborah Koniak-Griffin
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors     Volume:  24     ISSN:  1939-1501     ISO Abbreviation:  Psychol Addict Behav     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-22     Completed Date:  2010-09-27     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8802734     Medline TA:  Psychol Addict Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  322-32     Citation Subset:  IM    
Copyright Information:
(PsycINFO Database Record (c) 2010 APA, all rights reserved).
UCLA School of Nursing, University of California, Los Angeles, CA 90095-6919, USA.
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MeSH Terms
African Americans / psychology
Factor Analysis, Statistical
Los Angeles / epidemiology
Mexican Americans / psychology
Models, Psychological
Parents / psychology*
Pregnancy in Adolescence / ethnology,  psychology*,  statistics & numerical data
Religion and Psychology
Sexual Behavior
Sexual Partners
Smoking / ethnology,  psychology*
Social Environment
Substance-Related Disorders / ethnology,  psychology*
Grant Support
P01 DA01070-36/DA/NIDA NIH HHS; R01 NR004375-04/NR/NINR NIH HHS; R01-NR04375/NR/NINR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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