Ellis Jennifer Danielle, Grekin Emily R, Resko Stella M
Department of Psychology, Wayne State University, Detroit, Michigan, USA.
Merrill Palmer Skillman Institute, Wayne State University, Detroit, Michigan, USA.
Crim Behav Ment Health. 2019 Dec;29(5-6):261-275. doi: 10.1002/cbm.2133. Epub 2019 Dec 1.
Being pregnant while under community supervision after conviction for a criminal offence can be a highly stressful experience, and pregnant women under community supervision are at an elevated risk for substance use.
AIMS/HYPOTHESES: To test for relationships between psychological distress and use of tobacco, alcohol, or marijuana during the month prior to a research assessment among pregnant women under community supervision, controlling for demographic characteristics.
Data from the National Survey on Drug Use and Health were aggregated for the years 2008-2016, inclusive. Logistic regression analyses were conducted to examine correlates of past-month use of each substance.
Of all 505,796 people in the survey, 6,974 were pregnant women of whom 280 reported being under community supervision for a criminal offence; relevant data were available for 271 of these cases. The pregnant women under community supervision reported higher rates of past-month substance use of each kind and of psychological distress than pregnant women not under community supervision. Past-month serious psychological distress, but not remitted psychological distress, corresponded strongly with past-month alcohol use even when controlling for demographic characteristics and other substance use.
Our findings add to the very sparse literature about a group of women likely to be exceptionally vulnerable during pregnancy and underscore the importance of screening for symptoms of substance use and of psychological distress amongst them. Among women under community supervision, alcohol use was less likely in the second or third trimester than the first, but as those using alcohol were more likely to report past month psychological distress, it may be important to provide additional resources and treatment services for these women.
因刑事犯罪被定罪后在社区监管下怀孕可能是一段压力极大的经历，且处于社区监管下的孕妇使用毒品的风险更高。
目的/假设：在控制人口统计学特征的情况下，测试处于社区监管下的孕妇在研究评估前一个月内心理困扰与烟草、酒精或大麻使用之间的关系。
汇总了2008年至2016年（含）期间的全国药物使用和健康调查数据。进行逻辑回归分析以检查过去一个月每种物质使用的相关因素。
在调查的所有505,796人中，有6,974名孕妇，其中280人报告因刑事犯罪而处于社区监管之下；这些案例中有271个可获得相关数据。与未处于社区监管下的孕妇相比，处于社区监管下的孕妇报告过去一个月各类物质使用及心理困扰的发生率更高。即使在控制人口统计学特征和其他物质使用的情况下，过去一个月的严重心理困扰而非缓解的心理困扰与过去一个月的酒精使用密切相关。
我们的研究结果补充了关于一类在孕期可能格外脆弱的女性的极少文献，并强调了对她们进行物质使用症状和心理困扰筛查的重要性。在处于社区监管下的女性中，妊娠中期或晚期饮酒的可能性低于妊娠早期，但由于饮酒者更有可能报告过去一个月的心理困扰，为这些女性提供额外资源和治疗服务可能很重要。
