Gilchrist L D, Hussey J M, Gillmore M R, Lohr M J, Morrison D M
School of Social Work, University of Washington, Seattle, 98105-6299, USA.
J Adolesc Health. 1996 Nov;19(5):337-44. doi: 10.1016/S1054-139X(96)00052-3.
Little is known about the substance use patterns of adolescent mothers, particularly in the postpartum period. This study provides descriptive, longitudinal data on the substance use behavior of a cohort of adolescent mothers.
A total of 241 pregnant adolescents, under 18 years old and planning to carry the pregnancy to term, completed the initial interview. Respondents were interviewed again at 1, 6, 12, and 18 months postpartum. The data reported here are based on the 229 respondents who completed all five interviews.
Use of all substances decreased substantially during pregnancy, but increased steadily in the first 6 months postpartum. A similar pattern was observed for regular use of multiple substances. Regular use before and after the pregnancy, but not during it, was the most common pattern of substance use.
The prevalence of substance use among adolescent mothers is significant. To capitalize on the large decreases in use during pregnancy, drug prevention programs for adolescent mothers should target the first 6 months postpartum.
对于青少年母亲的物质使用模式，尤其是产后阶段的情况，人们了解甚少。本研究提供了关于一组青少年母亲物质使用行为的描述性纵向数据。
共有241名18岁以下且计划足月分娩的怀孕青少年完成了初次访谈。在产后1个月、6个月、12个月和18个月时对受访者再次进行访谈。此处报告的数据基于完成了所有五次访谈的229名受访者。
在孕期，所有物质的使用都大幅减少，但在产后的前6个月稳步增加。多种物质的经常使用也观察到类似模式。怀孕前后（而非孕期）的经常使用是最常见的物质使用模式。
青少年母亲中物质使用的患病率很高。为了利用孕期使用量的大幅下降，针对青少年母亲的药物预防项目应针对产后的前6个月。
