Document Detail

Risk of alcohol-exposed pregnancies among low-income, illicit drug-using women.
MedLine Citation:
PMID:  18788989     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Poor women of childbearing age who use crack, cocaine, marijuana, and heroin may be at risk for having an alcohol-exposed pregnancy because of concurrent alcohol use. Women who use illicit drugs may not know the harmful effects of fetal alcohol exposure. Fetal alcohol exposure is a leading cause of developmental disabilities and mental retardation. METHODS: We report findings of a survey administered to 2672 women 18-44 years of age in settings serving low-income women, including an urban jail, a drug treatment facility, and healthcare facilities in Florida, Virginia, and Texas. We compared women who reported using more than one illicit drug (drug users) and women who reported never using illicit drugs (nonusers) for frequent alcohol consumption, binge drinking, failure to use contraception, unplanned pregnancies, and drinking during pregnancy. RESULTS: Of women interviewed, 75% (2000) reported using more than one illicit drug. Drug users were more likely to report frequent drinking (33%, relative risk [RR] 12.73, 95% confidence interval [CI] 7.9-20.4, binge drinking (39%, RR 5.7, 95% CI 4.9-7.6), and drinking during pregnancy (37%, RR 2.10, 95% CI 1.75-2.53) compared with nonusers (3%, 7%, 17%, respectively, p < 0.0001). Greater proportions of drug users (27%, RR 2.20, 95% CI 1.75-2.53) also failed to used contraception compared with nonusers (19%, p < 0.05). Notable proportions of both groups, drug users (91%) and nonusers (82%), reported unplanned pregnancies. CONCLUSIONS: The findings suggest that poor women who reported ever using more than one illicit drug were at greater risk for having an alcohol-exposed pregnancy. Unplanned pregnancies in both groups surpassed national averages. Poor women likely require enhanced education about the hazards of drinking during pregnancy and methods to reduce unplanned pregnancies.
Tanya T Sharpe; Mary M Velasquez
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of women's health (2002)     Volume:  17     ISSN:  1931-843X     ISO Abbreviation:  J Womens Health (Larchmt)     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-25     Completed Date:  2009-02-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101159262     Medline TA:  J Womens Health (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1339-44     Citation Subset:  IM    
Office of Health Disparities, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, Mail Stop E-07Atlanta, GA 30333, USA.
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MeSH Terms
Alcohol Drinking / epidemiology*,  psychology*
Centers for Disease Control and Prevention (U.S.)
Contraception / psychology
Fetal Alcohol Syndrome / etiology
Florida / epidemiology
Health Behavior / ethnology
Interviews as Topic
Pregnancy, Unplanned / psychology*
Risk Factors
Street Drugs*
Substance-Related Disorders / epidemiology,  psychology*
Texas / epidemiology
United States
Virginia / epidemiology
Reg. No./Substance:
0/Street Drugs

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

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