A Typology of Substance Use Among Pregnant Teens in the United States

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• 作者：Christopher P. Salas-Wright ; Michael G. Vaughn…
• 关键词：Alcohol ; Pregnancy ; Adolescents ; Substance use disorders ; Neonatal health
• 刊名：Maternal and Child Health Journal
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：20
• 期：3
• 页码：646-654
• 全文大小：767 KB
• 参考文献：1.Amaro, H., Zuckerman, B., & Cabral, H. (1989). Drug use among adolescent mothers: Profile of risk. Pediatrics, 84(1), 144–151.PubMed
  2.American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders DSM-IV-TR fourth edition (text revision). Washington, DC: American Psychiatric Association.CrossRef
  3.Barnet, B., Duggan, A. K., Wilson, M. D., & Joffe, A. (1995). Association between postpartum substance use and depressive symptoms, stress, and social support in adolescent mothers. Pediatrics, 96(4), 659–666.PubMed
  4.Bessa, M. A., Mitsuhiro, S. S., Chalem, E., Barros, M. M., Guinsburg, R., & Laranjeira, R. (2010). Underreporting of use of cocaine and marijuana during the third trimester of gestation among pregnant adolescents. Addictive Behaviors, 35(3), 266–269.CrossRef PubMed
  5.Blinn-Pike, L., Berger, T. J., Hewett, J., & Oleson, J. (2004). Sexually abstinent adolescents an 18-month follow-up. Journal of Adolescent Research, 19(5), 495–511.CrossRef
  6.Chapman, S. L. C., & Wu, L. T. (2013). Substance use among adolescent mothers: A review. Children and Youth Services Review, 35(5), 806–815.PubMedCentral CrossRef PubMed
  7.De Genna, N. M., Cornelius, M. D., & Donovan, J. E. (2009). Risk factors for young adult substance use among women who were teenage mothers. Addictive Behaviors, 34(5), 463–470.PubMedCentral CrossRef PubMed
  8.DeLisi, M., Vaughn, M. G., & Salas-Wright, C. P. (2015). Rumble: Prevalence and correlates of group fighting among adolescents in the United States. Behavioral Sciences, 5(2), 214–229.PubMedCentral CrossRef PubMed
  9.Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26, 399–419.CrossRef PubMed
  10.Gilchrist, L. D., Hussey, J. M., Gillmore, M. R., Lohr, M. J., & Morrison, D. M. (1996). Drug use among adolescent mothers: Prepregnancy to 18 months postpartum. Journal of Adolescent Health, 19(5), 337–344.CrossRef PubMed
  11.Guo, J., Stanton, B., Cottrell, L., Clemens, R. L., Li, X., Harris, C., et al. (2005). Substance use among rural adolescent virgins as a predictor of sexual initiation. Journal of Adolescent Health, 37(3), 252–255.CrossRef PubMed
  12.Hawkins, J. D., Catalano, R. F., & Arthur, M. W. (2002). Promoting science-based prevention in communities. Addictive Behaviors, 27(6), 951–976.CrossRef PubMed
  13.Houck, C. D., Lescano, C. M., Brown, L. K., Tolou-Shams, M., Thompson, J., DiClemente, R., et al. (2006). “Islands of risk”: Subgroups of adolescents at risk for HIV. Journal of Pediatric Psychology, 31(6), 619–629.CrossRef PubMed
  14.Huizink, A. C., & Mulder, E. J. (2006). Maternal smoking, drinking or cannabis use during pregnancy and neurobehavioral and cognitive functioning in human offspring. Neuroscience and Biobehavioral Reviews, 30(1), 24–41.CrossRef PubMed
  15.Jung, T., & Wickrama, K. A. S. (2008). An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass, 2(1), 302–317.CrossRef
  16.Kaiser, M. M., & Hays, B. J. (2005). Health-risk behaviors in a sample of first-time pregnant adolescents. Public Health Nursing, 22(6), 483–493.CrossRef PubMed
  17.Morrison, D. M., Spencer, M. S., & Gillmore, M. R. (1998). Beliefs about substance use among pregnant and parenting adolescents. Journal of Research on Adolescence, 8(1), 69–95.CrossRef PubMed
  18.Odgers, C. L., Caspi, A., Nagin, D. S., Piquero, A. R., Slutske, W. S., Milne, B. J., et al. (2008). Is it important to prevent early exposure to drugs and alcohol among adolescents? Psychological Science, 19(10), 1037–1044.PubMedCentral CrossRef PubMed
  19.Poulin, C., & Graham, L. (2001). The association between substance use, unplanned sexual intercourse and other sexual behaviours among adolescent students. Addiction, 96(4), 607–621.CrossRef PubMed
  20.Resnick, M. D., Bearman, P. S., Blum, R. W., Bauman, K. E., Harris, K. M., Jones, J., et al. (1997). Protecting adolescents from harm: Findings from the National Longitudinal Study on Adolescent Health. Journal of the American Medical Association, 278(10), 823–832.CrossRef PubMed
  21.Salas-Wright, C. P., Hernandez, L., Maynard, B. R., Saltzman, L. Y., & Vaughn, M. G. (2014). Alcohol use among Hispanic early adolescents in the United States: An examination of behavioral risk and protective profiles. Substance Use and Misuse, 49(7), 864–877.PubMedCentral CrossRef PubMed
  22.Salas-Wright, C. P., Olate, R., & Vaughn, M. G. (2014). Substance use, violence, and HIV risk behavior among at-risk youth in El Salvador and the United States: Cross-national profiles of the SAVA Syndemic. Victims & Offenders. doi:10.​1080/​15564886.​2014.​940435 .
  23.Salas-Wright, C. P., Vaughn, M. G., Hodge, D. R., & Perron, B. E. (2012). Religiosity profiles of American youth in relation to substance use, violence, and delinquency. Journal of Youth and Adolescence, 41(12), 1560–1575.CrossRef PubMed
  24.Salas-Wright, C. P., Vaughn, M., Ugalde, J., & Todic, J. (2015). Substance use and teen pregnancy in the United States: Evidence from the NSDUH 2002–2012. Addictive Behaviors, 45, 218–225.CrossRef PubMed
  25.Substance Abuse and Mental Health Services Administration, Office of Applied Studies (SAMHSA). (2011). Results from the 2010 National Survey on Drug Use and Health: National findings. Rockville, MD: Substance Abuse and Mental Health Services Administration.
  26.Smith, L. M., LaGasse, L. L., Derauf, C., Grant, P., Shah, R., Arria, A., et al. (2008). Prenatal methamphetamine use and neonatal neurobehavioral outcome. Neurotoxicology and Teratology, 30(1), 20–28.PubMedCentral CrossRef PubMed
  27.Spears, G. V., Stein, J. A., & Koniak-Griffin, D. (2010). Latent growth trajectories of substance use among pregnant and parenting adolescents. Psychology of Addictive Behaviors, 24(2), 322.PubMedCentral CrossRef PubMed
  28.Stueve, A., & O’Donnell, L. N. (2005). Early alcohol initiation and subsequent sexual and alcohol risk behaviors among urban youths. American Journal of Public Health, 95(5), 887.PubMedCentral CrossRef PubMed
  29.Thompson, J. C., Kao, T. C., & Thomas, R. J. (2005). The relationship between alcohol use and risk-taking sexual behaviors in a large behavioral study. Preventive Medicine, 41(1), 247–252.CrossRef PubMed
  30.Vaughn, M. G., Salas-Wright, C. P., DeLisi, M., & Maynard, B. R. (2014). Violence and externalizing behavior among youth in the United States: Is there a severe 5%? Youth Violence and Juvenile Justice, 12(1), 3–21.CrossRef
  
• 作者单位：Christopher P. Salas-Wright (1)
  Michael G. Vaughn (2)
  Jenny Ugalde (1)
  
  1. School of Social Work, University of Texas at Austin, 1925 San Jacinto Blvd D3500, Austin, TX, 78712-0358, USA
  2. School of Social Work, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, USA
  
• 刊物主题：Public Health; Sociology, general; Population Economics; Pediatrics; Gynecology; Maternal and Child Health;
• 出版者：Springer US
• ISSN：1573-6628

文摘

Objectives Previous research suggests that, in general, youth who become pregnant during their teenage years tend to report elevated levels of substance use prior to conception and substantial reductions in use during pregnancy. While such studies provide insight into aggregate patterns of adolescent substance use in relation to pregnancy, they may have the unintended effect of masking the behavioral heterogeneity of pregnant teens. Methods The present study employs data from a large, population-based study of adolescents in the United States. We employ latent class analysis to identify subgroups of pregnant adolescents (ages 12–17; n = 810) on the basis of variables measuring the past 12-month and past 30-day use of an extensive array of substances. Results Results revealed a four class solution. Classes were identified as Class 1: Abstainers (n = 344, 42.47 %), Class 2: Drinkers (n = 303, 37.41 %), Class 3: Alcohol and Cannabis Users (n = 77, 9.51 %), and Class 4: Polydrug Users (n = 86, 10.62 %). The Abstainers class had the highest proportion of Hispanic youth (34.3 %) as well as the highest proportion of youth residing in households earning less than $20,000 per year (44.2 %). The Polydrug Users class had the highest proportion of youth who were in late adolescence (75.58 %), non-Hispanic white (54.65 %), high-income (13.95 %), and in their first trimester of pregnancy (58.33 %). Conclusions for Practice Findings point to an important degree of heterogeneity among pregnant teens and may have implications for the development of interventions designed for youth exhibiting disconcerting patterns of substance use prior to pregnancy. Keywords Alcohol Pregnancy Adolescents Substance use disorders Neonatal health