Differences in successful treatment completion among pregnant and non-pregnant American women

Ethan Sahker; Jennifer E McCabe; Stephan Arndt

doi:10.1007/s00737-015-0520-5

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Differences in successful treatment completion among pregnant and non-pregnant American women

Journal article

Peer reviewed

Differences in successful treatment completion among pregnant and non-pregnant American women

Ethan Sahker, Jennifer E McCabe and Stephan Arndt

Archives of women's mental health, Vol.19(1), pp.79-86

02/2016

DOI: 10.1007/s00737-015-0520-5

PMID: 25824855

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Abstract

The present study explores characteristics of successful substance abuse treatment completion of pregnant women through an analysis of retrospective outcomes data. Women without prior treatment admissions, aged 18-44, and not in methadone maintenance therapy were included (N = 678,782). Chi-square tests analyzed significant differences; logistic regression provided predictive probabilities; odds ratios (OR) and risk differences with 95 % confidence intervals represent the effect sizes and clinically meaningful differences. Pregnant women were less likely to successfully complete treatment than non-pregnant women (χ (2) = 321.33, df = 1, p < 0.0001), though the difference was not clinically meaningful (risk difference = 4.75, 95 % confidence interval (CI) = 4.23-5.26). Aside from criminal justice agencies, "other community agencies" refer the greatest percentage of pregnant women to treatment (risk difference = 6.37, 95 % CI = 5.89-6.84). Pregnant women successfully complete treatment more than non-pregnant women in only non-intensive outpatient settings (χ (2) = 10,182.48, df = 7, p < 0.0001). Further attention to referral source and treatment setting for pregnant women may improve successful treatment completion by targeting needs of pregnant women. Referring to non-intensive outpatient and residential hospital treatment settings may help to ameliorate prenatal substance abuse treatment contingent on the primary problem substance.

Adolescent

Adult

Ethnic Groups - psychology

Ethnic Groups - statistics & numerical data

Female

Humans

Length of Stay

Patient Compliance

Pregnancy

Pregnancy Complications - psychology

Pregnancy Complications - therapy

Referral and Consultation - statistics & numerical data

Retrospective Studies

Socioeconomic Factors

Substance-Related Disorders - psychology

Substance-Related Disorders - rehabilitation

Treatment Outcome

United States

Young Adult

Details

Title: Subtitle: Differences in successful treatment completion among pregnant and non-pregnant American women
Creators: Ethan Sahker - University of Iowa
Jennifer E McCabe - University of Iowa
Stephan Arndt - University of Iowa
Resource Type: Journal article
Publication Details: Archives of women's mental health, Vol.19(1), pp.79-86
DOI: 10.1007/s00737-015-0520-5
PMID: 25824855
ISSN: 1434-1816
eISSN: 1435-1102
Language: English
Date published: 02/2016
Academic Unit: Psychiatry; Biostatistics; Nursing; Injury Prevention Research Center
Record Identifier: 9985132078302771

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