Alcohol Research Group, 6475 Christie Ave., Suite 400, Emeryville, CA 94608, USA.
Matern Child Health J. 2011 Nov;15(8):1127-34. doi: 10.1007/s10995-010-0720-6.
Agencies and organizations promoting universal screening for alcohol and drug use in prenatal care argue that universal screening will reduce White versus Black racial disparities in reporting to Child Protective Services (CPS) at delivery. Yet, no published research has assessed the impact of universal screening on reporting disparities or explored plausible mechanisms. This review defines two potential mechanisms: Equitable Surveillance and Effective Treatment and identifies assumptions underlying each mechanism. It reviews published literature relating to each assumption. Research relating to assumptions underlying each mechanism is primarily inconclusive or contradictory. Thus, available research does not support the claim that universal screening for alcohol and drug use in prenatal care reduces racial disparities in CPS reporting at delivery. Reducing these reporting disparities requires more than universal screening.
倡导在产前护理中进行酒精和药物使用普遍筛查的机构和组织认为，普遍筛查将减少在分娩时向儿童保护服务（CPS）报告方面的白人与黑人之间的种族差异。然而，尚未有研究评估普遍筛查对报告差异的影响，也未探讨可能的机制。本综述定义了两种潜在机制：公平监测和有效治疗，并确定了每种机制的基本假设。它回顾了与每种机制相关的假设的已发表文献。与每种机制相关的假设研究主要是不确定或矛盾的。因此，现有研究并不能支持在产前护理中进行酒精和药物使用普遍筛查可减少分娩时 CPS 报告中种族差异的说法。减少这些报告差异需要的不仅仅是普遍筛查。
