Cigarette, alcohol and other drug use among small city pregnant adolescents

Patricia K. Kokotailo*, Rebecca E. Langhough, Narra Smith Cox, Susan R. Davidson, Michael F. Fleming

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Purpose: To determine the prevalence of cigarette, alcohol and other drug use and associated factors of use among predominantly Caucasian small-city pregnant adolescents, a little-studied population. Methods: At the initial prenatal visit 117 enrouees completed a self-administered questionnaire. Patients provided urine samples for drug metabolites. Chart review determined medical provider documentation of substance use. Results: Thirty-five percent of patients were positive for alcohol or other drug use by questionnaire self-report, provider report or initial urine drug screening test. Thirteen percent of patients were positive for at least one drug metabolite in the urine. Multiple logistic regression analysis indicated a model with four significant risk factors associated with pregnant adolescent alcohol and other drug use: lack of closeness with the father of the baby, neither parent in the home, patient experiencing consequences of alcohol and other drug use, and father of the baby experiencing consequences of alcohol and other drug use. Conclusions: The high prevalence of cigarette, alcohol and other drug use in this predominantly Caucasian sample was comparable to previous inner city data. Awareness of risk factors may improve identification and management of substance use among pregnant adolescents.

Original languageEnglish (US)
Pages (from-to)366-373
Number of pages8
JournalJournal of Adolescent Health
Volume15
Issue number5
DOIs
StatePublished - Jul 1994

Keywords

  • Adolescent pregnancy Cigarette use Alcohol use Drug use

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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