Trends and correlates of self-reported alcohol and nicotine use among women before and during pregnancy, 2009-2017.
Adult
Alcohol Drinking
/ epidemiology
Cross-Sectional Studies
Educational Status
Ethanol
Female
Humans
Nicotine
Pregnancy
Pregnancy Complications
/ epidemiology
Pregnant Women
Prenatal Care
/ methods
Prevalence
Self Report
Substance-Related Disorders
/ epidemiology
Tobacco Smoking
/ epidemiology
Young Adult
Alcohol
Nicotine
Pregnancy
Prenatal
Screening
Trends
Women
Journal
Drug and alcohol dependence
ISSN: 1879-0046
Titre abrégé: Drug Alcohol Depend
Pays: Ireland
ID NLM: 7513587
Informations de publication
Date de publication:
01 09 2020
01 09 2020
Historique:
received:
31
03
2020
revised:
02
07
2020
accepted:
04
07
2020
pubmed:
1
8
2020
medline:
17
3
2021
entrez:
1
8
2020
Statut:
ppublish
Résumé
To examine trends and correlates of frequency of self-reported alcohol and nicotine use among pregnant women. Cross-sectional study of 363,240 pregnancies from 2009 to 2017 screened for self-reported substance use at their first prenatal visit in Kaiser Permanente Northern California. Poisson regression with a log link function was used to estimate the annual prevalences of self-reported daily, weekly, and ≤ monthly alcohol and nicotine use, adjusting for socio-demographics. Generalized estimating equation models were used to estimate the adjusted odds ratios (aOR) of any self-reported prenatal alcohol or nicotine use among those who self-reported use in the year prior to pregnancy, by frequency of pre-pregnancy substance use and socio-demographics. The sample was 64 % non-White [mean (SD) age = 30.1 (5.6)]. From 2009-2017, alcohol use before pregnancy increased from 63.4%-65.9% (trend p-value = .008), and prenatal alcohol use decreased from 11.6%-8.8% (trend p-value<.0001). Nicotine use before pregnancy decreased from 12.7 % to 7.7 % (trend p-value<.0001), and prenatal use decreased from 4.3 % to 2.0 % (trend p-value<.0001). Trends by use frequency were similar to overall trends. The odds of continued use of alcohol and nicotine during pregnancy were higher among those who used daily or weekly (versus monthly or less) in the year before pregnancy and varied with socio-demographics. Prenatal alcohol and nicotine use decreased from 2009 to 2017. More frequent pre-pregnancy use predicted higher odds of prenatal use. Results suggest that interventions and education about the harms of prenatal substance use for frequent users prior to conception may reduce substance use during pregnancy.
Identifiants
pubmed: 32736316
pii: S0376-8716(20)30333-1
doi: 10.1016/j.drugalcdep.2020.108168
pmc: PMC7423641
mid: NIHMS1613637
pii:
doi:
Substances chimiques
Ethanol
3K9958V90M
Nicotine
6M3C89ZY6R
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
108168Subventions
Organisme : NIDA NIH HHS
ID : K01 DA043604
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors report no conflict of interests.
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