Jones Hendrée E, Browne Felicia A, Myers Bronwyn J, Carney Tara, Ellerson Rachel Middlesteadt, Kline Tracy L, Poulton Winona, Zule William A, Wechsberg Wendee M
Substance Abuse Treatment Evaluations & Interventions Program, RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA.
Int J Pediatr. 2011;2011:353410. doi: 10.1155/2011/353410. Epub 2011 Apr 6.
The multiple risks associated with methamphetamine use are of serious concern for women. These risks and consequences are magnified during pregnancy. This secondary analysis of a parent study compared 26 pregnant to 356 nonpregnant women in Cape Town, South Africa, on selected demographic, psychosocial, and HIV-risk domains to identify their treatment service needs. Proportionally, more pregnant than nonpregnant women are using methamphetamine, P = .01, although a very high rate of women used methamphetamine. Women reported similar monthly rates of sexual intercourse, but pregnant women were significantly less likely to report condom use, P < .0001, maintaining their risky behavior. Both groups reported elevated Center for Epidemiological Studies Depression Scale CES-D means, suggesting a need for depression treatment. Results demonstrate a pervasive need for women's comprehensive treatment, regardless of pregnancy status. Moreover, findings support the urgent need for women-focused and pregnancy-specific treatment services for methamphetamine use. Finally, a job-skills training/employment component focus is suggested.
与使用甲基苯丙胺相关的多种风险是女性严重关切的问题。这些风险和后果在孕期会被放大。这项对一项母研究的二次分析，比较了南非开普敦的26名孕妇和356名非孕妇在选定的人口统计学、心理社会和艾滋病毒风险领域的情况，以确定她们的治疗服务需求。按比例计算，使用甲基苯丙胺的孕妇比非孕妇更多，P = 0.01，尽管使用甲基苯丙胺的女性比例非常高。女性报告的每月性交率相似，但孕妇报告使用避孕套的可能性显著更低，P < 0.0001，她们维持着危险行为。两组报告的流行病学研究中心抑郁量表（CES-D）均值都有所升高，表明需要进行抑郁症治疗。结果表明，无论怀孕状况如何，女性都普遍需要综合治疗。此外，研究结果支持迫切需要针对女性和特定孕期的甲基苯丙胺使用治疗服务。最后，建议关注职业技能培训/就业部分。
