吸毒孕妇的成瘾严重程度指数综合评分可预测其性行为风险和药物使用行为。
Addiction severity index composite scores as predictors for sexual-risk behaviors and drug-use behaviors in drug-using pregnant patients.
机构信息
Johns Hopkins University, Baltimore, Maryland, USA.
出版信息
Am J Drug Alcohol Abuse. 2010 Jan;36(1):25-30. doi: 10.3109/00952990903544810.
BACKGROUND
HIV sexual-risk and drug-use behavior predictors have been studied in non-pregnant but not pregnant drug-dependent populations.
OBJECTIVE
Examine the ability of the ASI composite scores to predict HIV sexual- and drug-risk scores as well as the individual items of a modified version of the Risk Assessment Battery in drug-using pregnant women.
METHODS
Pregnant women (N = 76) completing pretreatment ASI and HIV-risk questionnaires.
RESULTS
The Legal composite score was the sole significant predictor of the sexual-risk score, with a 1 SD increase in the Legal composite score resulting in a 24% increase in sexual-risk, p < .001. The Medical, Drug, and Legal composite scores were each significant predictors of the drug-risk score, with a 1 SD increase resulting in a 31% decrease, and 121% and 73% increases, respectively, in drug-risk, all ps < .05.
CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE
Drug-using pregnant women and their fetuses are vulnerable to the consequences of both sexual-risk behaviors and drug-use. The ASI may help screen such patients for HIV sexual-risk and drug-use behaviors as a first step in tailoring treatment to address these issues.
背景
已对非怀孕吸毒人群的 HIV 性风险和药物使用行为预测因素进行了研究，但尚未对怀孕吸毒人群进行研究。
目的
检验 ASI 综合评分在预测怀孕吸毒女性的 HIV 性风险和药物风险评分，以及预测经改良的风险评估电池的各个项目方面的能力。
方法
对接受治疗前的 ASI 和 HIV 风险问卷调查的 76 名孕妇进行评估。
结果
法律综合评分是性风险评分的唯一显著预测因素，法律综合评分每增加一个标准差，性风险就会增加 24%，p <.001。医疗、药物和法律综合评分都是药物风险评分的显著预测因素，每个标准差的增加会导致药物风险分别降低 31%，增加 121%和 73%，所有 p 值均<.05。
结论和科学意义
吸毒的孕妇及其胎儿容易受到性风险行为和药物使用的后果的影响。ASI 可能有助于筛选此类患者的 HIV 性风险和药物使用行为，作为针对这些问题进行治疗的第一步。
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