Ohio University Heritage College of Osteopathic Medicine, Dublin, OH (LRP); Department of Social Medicine, Ohio University Heritage College of Osteopathic Medicine, Dublin, OH (ZTH).
J Addict Med. 2021;15(3):233-240. doi: 10.1097/ADM.0000000000000752.
The prevalence of drug use is at alarmingly high levels in the United States. Of particular concern is prenatal drug use, which exposes the underdeveloped organ systems of the fetus to harsh chemicals. Identifying factors associated with illicit drug use during pregnancy is critical to identify and treat at-risk pregnant women and improve maternal and infant health outcomes. The goal of this study was to examine the association between unmet mental health care needs and substance use during pregnancy.
The present cross-sectional study analyzed secondary data from the 2002 to 2014 National Survey on Drug Use and Health (n = 10,516). The main outcome of interest was self-reported illicit drug use in the last 30 days. The independent variable was unmet mental health care needs in the last 12 months.
Overall, 6.4% of the participants reported a history of unmet mental health care needs and 4.5% used a substance during pregnancy. The odds of illicit drug use during pregnancy were higher among women who had an unmet mental health care needs compared to women without a history of unmet mental health care needs, multivariable-adjusted odds ratio (95% CI) 4.06 (3.01 to 5.48; P < 0.001). The observed association between unmet mental health care needs and illicit drug use persisted in subgroup analyses by age, race/ethnicity and education.
In a nationally representative cross-sectional sample of pregnant women, having unmet mental health care needs was positively associated with illicit drug use during pregnancy after adjusting for potential confounders.
美国的药物滥用率处于惊人的高位。尤其令人担忧的是产前药物使用，这会使胎儿尚未发育完全的器官系统接触到有害化学物质。确定与怀孕期间非法药物使用相关的因素对于识别和治疗高危孕妇以及改善母婴健康结果至关重要。本研究旨在探讨未满足的心理健康护理需求与怀孕期间物质使用之间的关联。
本横断面研究分析了 2002 年至 2014 年全国药物使用和健康调查（n=10516）的二次数据。主要观察结果为过去 30 天内自我报告的非法药物使用。自变量为过去 12 个月内未满足的心理健康护理需求。
总体而言，6.4%的参与者报告有未满足的心理健康护理需求，4.5%的参与者在怀孕期间使用了物质。与没有未满足的心理健康护理需求史的女性相比，有未满足的心理健康护理需求的女性在怀孕期间使用非法药物的可能性更高，多变量调整后的优势比（95%可信区间）为 4.06（3.01 至 5.48；P<0.001）。在按年龄、种族/族裔和教育程度进行的亚组分析中，观察到的未满足的心理健康护理需求与非法药物使用之间的关联仍然存在。
在一个具有全国代表性的孕妇横断面样本中，在调整了潜在混杂因素后，未满足的心理健康护理需求与怀孕期间非法药物使用呈正相关。
