在新南威尔士州监狱的孕妇中使用物质
So Bi Kim1, Bethany White2, Jillian Roberts3
1Drug and Alcohol Services, Justice Health Forensic Mental Health Network, Sydney, NSW, Australia; Specialty of Addiction Medicine, Central Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; Edith Collins Centre (Translational Research Centre in Alcohol Drugs and Toxicology), Sydney Local Health District, Camperdown, NSW, Australia.
The International journal on drug policy
|November 4, 2023
概括
大多数被拘留的孕妇报告说最近使用过毒品,许多在被监禁时不知道自己怀孕了. 这凸显了需要及时对毒品和酒精进行评估,并为被监禁的孕妇提供更好的避孕措施.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 生殖健康 生殖健康
背景情况:
- 关于被拘留的孕妇的数据有限,特别是关于使用物质的流行率和需求.
- 了解有毒物质使用史的被监禁孕妇的特征对于有针对性的干预至关重要.
研究的目的:
- 确定在澳大利亚新南威尔士州 (NSW) 进入惩戒设施的有毒物质使用史的孕妇的患病率和特征.
- 确定使用的物质类型,并评估监禁时对怀孕的认识.
主要方法:
- 对2020年1月至2021年6月期间入住新南威尔士州惩戒机构的孕妇医疗健康记录的回顾性审查.
- 数据收集包括人口统计,自我报告的物质使用和怀孕状态.
主要成果:
- 确定了141名孕妇 (158次接待);42%是土著或托雷斯海峡岛民.
- 84%的受访者表示最近使用过毒品,36%的受访者注射过毒品. 常见的物质包括 (甲基) 胺 (60%),大麻 (40%) 和阿片类药物 (28%).
- 大多数女性 (88%) 报告有意外怀孕,52%的女性在被监禁前不知道自己怀孕了. 在初始查和药物使用专家评估之间发现了差异.
结论:
- 在被监禁的孕妇中,使用物质的高患病率需要迅速评估和治疗毒品和酒精.
- 许多妇女在进入监护时不知道自己怀孕,强调需要综合生殖健康服务.
- 改善获得避孕和综合护理的机会对于减轻母亲和胎儿的风险至关重要.
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