Bailey Jennifer A, Hill Karl G, Hawkins J David, Catalano Richard F, Abbott Robert D
Social Development Research Group, School of Social Work, University of Washington, Seattle, WA 98115, USA.
Birth. 2008 Mar;35(1):50-9. doi: 10.1111/j.1523-536X.2007.00211.x.
Little is known about men's patterns of substance use around their partner's pregnancy, despite evidence from studies of pregnant women that men's substance use may reduce women's ability to desist from substance use during pregnancy, increase the probability that women will return to use postpartum, and increase the risk of adverse child outcomes. The purpose of this study was to describe the association between pregnancy or partner's pregnancy and month-by-month patterns of binge drinking, daily smoking, and marijuana use among young men and women.
Data were drawn from the Seattle Social Development Project, which included 412 men and 396 women (age 24 yr) from a community sample of individuals who attended elementary school in the northwestern United States. Event history calendars were used to measure month-by-month patterns of binge drinking, daily smoking, marijuana use, and childbirth over a 3-year period from 1996 to 1999.
Births during the calendar period were reported by 131 women and 77 men. Hierarchical generalized linear modeling analyses showed that men's rates of binge drinking and marijuana use were unaffected by their partner's pregnancy. Pregnancy decreased the probability of substance use among women, but use returned to prepregnancy levels within 2 years postpartum.
Men's substance use was not affected by their partner's pregnancy. Pregnancy decreased the probability of substance use among women, but substantial proportions of women users of cigarettes and marijuana used these substances during pregnancy. Many of the women who desisted from substance use while pregnant returned to use after their child was born.
尽管对孕妇的研究表明，男性使用毒品可能会降低女性在孕期戒毒的能力，增加女性产后复吸的可能性，并增加不良儿童结局的风险，但对于男性在其伴侣孕期前后的毒品使用模式却知之甚少。本研究的目的是描述怀孕或伴侣怀孕与年轻男性和女性每月暴饮、每日吸烟和使用大麻模式之间的关联。
数据取自西雅图社会发展项目，该项目包括来自美国西北部小学社区样本中的412名男性和396名女性（年龄24岁）。使用事件史日历来测量1996年至1999年3年期间每月的暴饮、每日吸烟、使用大麻和分娩模式。
在该时间段内，131名女性和77名男性报告了生育情况。分层广义线性模型分析表明，男性的暴饮和使用大麻率不受其伴侣怀孕的影响。怀孕降低了女性使用毒品的可能性，但产后2年内使用率恢复到孕前水平。
男性使用毒品不受其伴侣怀孕的影响。怀孕降低了女性使用毒品的可能性，但相当比例的吸烟和使用大麻的女性在孕期仍使用这些物质。许多孕期戒毒的女性在孩子出生后又恢复了使用。
