美国母亲单一和多重物质使用模式:潜伏类分析
Marina C Jenkins1,2, Deborah B Ehrenthal3, Leonelo E Bautista2
1Department of Population, Family, and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States.
Journal of studies on alcohol and drugs
|January 20, 2025
概括
在怀孕前和怀孕期间,母亲的物质使用表现出不同的模式,包括单一和多重物质使用 (PSU). 识别这些模式对于理解对围产期健康的影响和制定有针对性的干预措施至关重要.
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 药物使用研究研究 药物使用研究
背景情况:
- 药物使用模式在一般人群中是多样化的,但在怀孕期间不太了解.
- 了解产前物质暴露对于婴儿和母亲的健康结果至关重要.
研究的目的:
- 在怀孕前和怀孕期间描述单一物质和多物质使用 (PSU) 模式.
- 为了比较美国最近出生的新生儿中的这些暴露模式.
主要方法:
- 利用了来自怀孕和风险评估监测系统 (PRAMS) 调查 (2016-2018) 的数据.
- 使用隐性类别分析来识别不同的物质使用模式 (香烟,大麻,阿片类药物,安非他命,海洛因,可卡因).
- 根据人口统计和怀孕前的酒精使用情况,研究了模式的差异.
主要成果:
- 确定了七种不同的母体物质使用模式,包括最低限度的使用,仅限于香烟或大麻的使用以及多种物质的使用.
- 最小的吸烟者是最大的群体 (70.7%),而持续吸烟/阿片类药物共用者是最小的群体 (1.0%).
- 在已识别的物质使用模式中观察到显著的人口统计和怀孕前酒精使用差异.
结论:
- 开发了一种关于母亲单一和多重物质使用的新型分类.
- 这种分类可以提高对PSU对围产期健康的影响的理解.
- 促进了针对孕妇在怀孕期间使用物质的针对性干预措施的设计.
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