Kokotailo P K, Langhough R E, Cox N S, Davidson S R, Fleming M F
Department of Pediatrics, University of Wisconsin-Madison 53792-4116.
J Adolesc Health. 1994 Jul;15(5):366-73. doi: 10.1016/1054-139x(94)90259-3.
To determine the prevalence of cigarette, alcohol and other drug use and associated factors of use among predominantly Caucasian small-city pregnant adolescents, a little-studied population.
At the initial prenatal visit 117 enrollees completed a self-administered questionnaire. Patients provided urine samples for drug metabolites. Chart review determined medical provider documentation of substance use.
Thirty-five percent of patients were positive for alcohol or other drug use by questionnaire self-report, provider report or initial urine drug screening test. Thirteen percent of patients were positive for at least one drug metabolite in the urine. Multiple logistic regression analysis indicated a model with four significant risk factors associated with pregnant adolescent alcohol and other drug use: lack of closeness with the father of the baby, neither parent in the home, patient experiencing consequences of alcohol and other drug use, and father of the baby experiencing consequences of alcohol and other drug use.
The high prevalence of cigarette, alcohol and other drug use in this predominantly Caucasian sample was comparable to previous inner city data. Awareness of risk factors may improve identification and management of substance use among pregnant adolescents.
在主要为白人的小城市怀孕青少年这一研究较少的人群中，确定吸烟、饮酒及其他药物使用的流行情况及其相关使用因素。
在初次产前检查时，117名登记参与者完成了一份自我管理的问卷。患者提供了用于检测药物代谢物的尿液样本。病历审查确定了医疗服务提供者关于物质使用的记录。
通过问卷自我报告、提供者报告或初次尿液药物筛查测试，35%的患者存在饮酒或其他药物使用阳性情况。13%的患者尿液中至少有一种药物代谢物呈阳性。多因素逻辑回归分析表明，一个模型中有四个与怀孕青少年饮酒及其他药物使用相关的显著风险因素：与婴儿父亲关系不亲密、家中没有父母、患者经历过饮酒及其他药物使用的后果、婴儿父亲经历过饮酒及其他药物使用的后果。
在这个主要为白人的样本中，吸烟、饮酒及其他药物使用的高流行率与之前市中心的数据相当。了解风险因素可能会改善对怀孕青少年物质使用的识别和管理。
