北卡罗来纳州孕妇中的暴力行为与药物使用情况
Violence and substance use among North Carolina pregnant women.
作者信息
Martin S L, English K T, Clark K A, Cilenti D, Kupper L L
机构信息
Department of Maternal and Child Health, School of Public Health, University of North Carolina, Chapel Hill 27599-7400, USA.
出版信息
Am J Public Health. 1996 Jul;86(7):991-8. doi: 10.2105/ajph.86.7.991.
OBJECTIVES
Prenatal patients were studied to examine the proportion of women who had been violence victims, women's patterns of substance use (cigarettes, alcohol, and illegal drugs) before and during pregnancy, and relationships between violence and substance use.
METHODS
More than 2000 prenatal patients in North Carolina were screened for violence and substance use. Relationships between violence and patterns of substance use before and during pregnancy were examined, as well as women's continuation of substance use during pregnancy as a function of violence and sociodemographic factors.
RESULTS
Twenty-six percent of the women had been violence victims during their lives. Before pregnancy, 62% of the women had used one or more substances; during pregnancy, 31% had used one or more substances. Both before and during pregnancy, violence victims were significantly more likely to use multiple substances than nonvictims. Continuation of substance use during pregnancy was significantly more likely among violence victims than nonvictims.
CONCLUSIONS
Care providers should screen women for violence as well as for substance use and should ensure that women are provided with appropriate interventions.
目的
对产前患者进行研究，以调查曾遭受暴力侵害的女性比例、女性在怀孕前及孕期的物质使用模式（香烟、酒精和非法药物），以及暴力与物质使用之间的关系。
方法
对北卡罗来纳州2000多名产前患者进行了暴力和物质使用筛查。研究了暴力与怀孕前及孕期物质使用模式之间的关系，以及女性孕期物质使用的持续情况与暴力和社会人口学因素的关系。
结果
26%的女性曾在生活中遭受暴力侵害。怀孕前，62%的女性使用过一种或多种物质；孕期，31%的女性使用过一种或多种物质。在怀孕前和孕期，暴力受害者使用多种物质的可能性均显著高于非受害者。暴力受害者在孕期持续使用物质的可能性也显著高于非受害者。
结论
医疗服务提供者应筛查女性的暴力情况以及物质使用情况，并应确保为女性提供适当的干预措施。
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