Thomas Sue, Zaugg Claudia, Roberts Sarah C M
Pacific Institute for Research and Evaluation, Santa Cruz, California, USA.
University of California San Francisco School of Medicine, Oakland, California, USA.
Subst Use Misuse. 2025;60(6):937-942. doi: 10.1080/10826084.2024.2447925. Epub 2024 Dec 30.
Prior to the U.S. Comprehensive Addiction and Reovery Act of 2016 (CARA) , policymaking on alcohol and drug use during pregnancy was more concentrated on alcohol than drug use policy - although the overlap between the two types of policy was high. Further, the highest levels of legislative activity were requirements to report pregnant women who used alcohol or other drugs and child abuse/neglect policy. This research brief uses rigorous legal epidemiology methodology to explore state policy activity on alcohol and other drug use during pregnancy after the U.S. Comprehensive Addiction and Recovery Act of 2016 (CARA) amended the 2010 Child Abuse Prevention and Treatment Act Reauthorization (CAPTA). Since CARA, policymaking has been more concentrated on drug policy than alcohol policy, although the overlap between the two is still high. Further, since CARA, states have concentrated policy activity on priority treatment for drugs and reporting requirements. Even though CARA does not require reporting for the purposes of child welfare investigations, several states adopted such requirements during these years.
在美国2016年《综合成瘾与康复法案》（CARA）出台之前，孕期酒精和药物使用方面的政策制定更多地集中在酒精上，而非药物使用政策——尽管这两类政策之间的重叠度很高。此外，立法活动的最高水平是要求报告使用酒精或其他药物的孕妇以及虐待儿童/忽视儿童政策。本研究简报运用严谨的法律流行病学方法，探讨在美国2016年《综合成瘾与康复法案》（CARA）修订2010年《预防和治疗虐待儿童法案再授权》（CAPTA）之后，各州在孕期酒精和其他药物使用方面的政策活动。自CARA出台以来，政策制定更多地集中在药物政策而非酒精政策上，尽管两者之间的重叠度仍然很高。此外，自CARA出台以来，各州已将政策活动集中在药物的优先治疗和报告要求上。尽管CARA并不要求为儿童福利调查进行报告，但在这些年里，有几个州采用了此类要求。
