Carrington B W, Loftman P O, Jones K, Williams D, Mitchell J L
Special Prenatal Clinic, Harlem Hospital Center, Columbia University, New York, New York, USA.
J Womens Health. 1998 Mar;7(2):189-93. doi: 10.1089/jwh.1998.7.189.
We aimed to determine if the trend in substance use in this central core of a large inner-city area confirmed an increase in marijuana use among young women < 22 years of age as childbearing years were beginning or if marijuana use and harder drug use were greatest among women beyond the teens and the early second decade of life and to describe one prenatal care intervention. Statistical reports for the Special Prenatal Clinic, a Harlem clinic for women with a current or past history of substance use, were reviewed from 1985 (the clinic's inception) through March 1996 to determine the trends, patterns, and types of drug use. Findings chronicled the beginning and rise in crack cocaine use, especially after 1986, confirmed an increase in marijuana use by adolescents since 1992, and suggest that the risk for use of hard drugs increases with age, predominantly in the childbearing years. Intervention by the Special Prenatal Clinic aided case-finding, allowed for comprehensive care, offered women opportunities for behavior change, and increased their chances of keeping their babies after delivery.
我们旨在确定，在这个大城市中心区的核心地带，物质使用趋势是否证实，随着生育年龄开始，22岁以下年轻女性中使用大麻的情况有所增加；或者大麻使用和更难获取的毒品使用是否在十几岁及生命第二个十年初期之后的女性中最为普遍，并描述一种产前护理干预措施。我们回顾了哈莱姆一家针对有当前或过往物质使用史女性的特殊产前诊所1985年（该诊所成立之年）至1996年3月的统计报告，以确定药物使用的趋势、模式和类型。研究结果记录了快克可卡因使用的开始和增加情况，尤其是1986年之后，证实自1992年以来青少年中使用大麻的情况有所增加，并表明使用更难获取毒品的风险随年龄增长而增加，主要是在生育年龄。特殊产前诊所的干预有助于病例发现，提供全面护理，为女性提供行为改变的机会，并增加她们产后留住婴儿的几率。
