This case-control study tested the hypothesis that pregnant inner-city women with low utilization of prenatal care are likely to be frequent drug users.
Cases registered consecutively for prenatal care at >=28 weeks gestation or had <4 prenatal visits.
Controls were matched to cases by date of delivery. 24/81 (30%) cases and 16/128 (12%) controls were frequent drug users (adjusted odds ratio=2.5; 95% CI, 1.2-5.4).
Drug use (P=0.01) and socioeconomic status (P=0.001) were significantly correlated with prenatal care utilization.
Self-report alone failed to note as many drug users as toxicology screen alone.
Both substance use history and toxicology screen are advisable in women with low utilization of prenatal care.
Mots-clés Pascal : Toxicomanie, Alcoolisme, Gestation, Facteur risque, Utilisation, Soin, Prénatal, Statut socioéconomique, Dépistage, Femme, Homme, Milieu urbain, Environnement social
Mots-clés Pascal anglais : Drug addiction, Alcoholism, Pregnancy, Risk factor, Use, Care, Prenatal, Socioeconomic status, Medical screening, Woman, Human, Urban environment, Social environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0544544
Code Inist : 002B18C05. Création : 199406.