1. Which women are missed by primary health-care based interventions for alcohol and drug use?
- Author
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Roberts, SCM, Ralph, LJ, Wilsnack, SC, and Foster, DG
- Subjects
Substance Misuse ,Pediatric ,Alcoholism ,Alcohol Use and Health ,Perinatal Period - Conditions Originating in Perinatal Period ,Contraception/Reproduction ,Clinical Research ,Prevention ,3.1 Primary prevention interventions to modify behaviours or promote wellbeing ,Prevention of disease and conditions ,and promotion of well-being ,Cardiovascular ,Reproductive health and childbirth ,Good Health and Well Being ,Abortion ,Induced ,Adult ,Alcohol-Related Disorders ,Cohort Studies ,Female ,Health Services Accessibility ,Humans ,Pregnancy ,Primary Health Care ,Prospective Studies ,Risk Factors ,Substance-Related Disorders ,United States ,Alcohol ,Illicit drug use ,Public Health and Health Services ,Psychology ,Substance Abuse - Abstract
BackgroundWomen of reproductive age who binge drink or have alcohol-related problem symptoms (APS) and who do not use contraception are considered at risk of an alcohol-exposed pregnancy (AEP). In the U.S., efforts to prevent AEPs focus largely on delivering interventions in primary health care settings. While research suggests that these interventions are efficacious for women reached, it is unclear to what extent these interventions are likely to reach women at risk of AEPs.MethodsData are from the Turnaway Study, a study of 956 women seeking pregnancy termination at 30 U.S. facilities between 2008 and 2010, some of whom received and some of whom were denied terminations because they were past the gestational limit. We examined associations between binge drinking, APS, and drug use prior to pregnancy recognition and having a usual source of health care (USOC).ResultsOverall, 59% reported having a USOC. A smaller proportion with than without an APS reported a USOC (44 vs. 60%, p
- Published
- 2016