Journal article
Substance Use and Utilization of Prenatal and Postpartum Care
Journal of addiction medicine, Vol.16(1), pp.84-92
01/01/2022
DOI: 10.1097/ADM.0000000000000843
PMCID: 8449796
PMID: 33758116
Abstract
Objectives: Prenatal and postpartum care for women with substance use is important due to increased risk of poor health outcomes. The influence of substance use on perinatal care utilization is not well characterized, especially postpartum care. The objective of this study was to examine the effect of substance use during pregnancy on prenatal and postpartum care utilization in a nationally representative sample and to identify maternal characteristics associated with inadequate prenatal and postpartum care among women with substance use. Methods: Pregnancy Risk Assessment Monitoring System data (2016-2018) from 8 states were used for this study. Logistic regression models adjusted for complex survey weights and confounder variables were used to estimate the odds of not receiving adequate prenatal care and postpartum care. Weighted Rao-Scott chi-square tests were used to examine maternal characteristics associated with care utilization among women who reported substance use during pregnancy. Results: The study included 15,131 women, with 5.3% who reported illicit substance use during pregnancy. In multivariable models, substance use was associated with an increase in the odds of not receiving adequate prenatal care (OR 1.69, CI 1.32, 2.17) and not receiving postpartum care (OR: 1.47, CI 1.10, 1.95). Among women who reported substance use, depression and smoking status were associated with not receiving adequate prenatal or postpartum care. Conclusions: Substance use during pregnancy is independently associated with disparities in prenatal and postpartum care access. Future studies are needed to identify how barriers lead to care inequalities and importantly, to identify strategies to improve care utilization.
Details
- Title: Subtitle
- Substance Use and Utilization of Prenatal and Postpartum Care
- Creators
- Nichole Nidey - Cincinnati Children's Hospital Medical CenterLaura R. Kair - University of California, DavisChristine Wilder - University of CincinnatiTanya E. Froehlich - Cincinnati Children's Hospital Medical CenterStephanie Weber - Cincinnati Children's Hospital Medical CenterAlonzo Folger - Cincinnati Children's Hospital Medical CenterMichael MarcotteKaren Tabb - University of Illinois Urbana-ChampaignKatherine Bowers - Cincinnati Children's Hospital Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of addiction medicine, Vol.16(1), pp.84-92
- DOI
- 10.1097/ADM.0000000000000843
- PMID
- 33758116
- PMCID
- 8449796
- NLM abbreviation
- J Addict Med
- ISSN
- 1932-0620
- eISSN
- 1935-3227
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 9
- Grant note
- Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA PRAMS Team, Women's Health and Fertility Branch, Division of Reproductive Health
- Language
- English
- Date published
- 01/01/2022
- Academic Unit
- Stead Family Department of Pediatrics; Epidemiology; Addiction Medicine; Craniofacial Anomalies Research Center
- Record Identifier
- 9984446516802771
Metrics
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