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Risk factors, attendance, and abstinence patterns of low-income women in perinatal addiction treatment: lessons from

D A Nardi1

  • 1Project Hope, Columbus Hospital, Chicago, Illinois, USA. dnardi@haw1.iun.indiana.edu

The purpose of this article is to describe the risk factors, attendance, and abstinence patterns of 40 women who attended a model outpatient perinatal addiction treatment program throughout the 5 years it was funded. Data were regularly collected through use of semistructured interviews, randomly scheduled urine toxicology tests, document reviews, and self-reports, in a descriptive field study design. Mean age of the women was 29 years. They remained in the program an average of 7.89 months. A majority had two or more children, most (90%) were single parents, and 70% were currently in an abusive relationship. Abstinence was positively associated with length of time in the program (r = .4208; p < .01). Attendance was also positively correlated with length of stay (r = .6723; p < .001) as well as abstinence (r = .4454; p < .01). Results suggest that program attendance can be a powerful influence on abstinence, even in the face of the environmental stressors and developmental risk factors that place each woman at increased risk of relapse.

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