Agreement between Maternal Cannabis Use during Pregnancy according to Self-Report and Urinalysis in a Population-Based Cohort: The Generation R Study

Marroun, Hanan El; Tiemeier, Henning; Jaddoe, Vincent W.V.; Hofman, Albert; Verhulst, Frank C.; Brink, Wim van den; Huizink, Anja C.

doi:10.1159/000320550

Cited by 71 publications

(53 citation statements)

References 49 publications

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“…Prior studies have typically focused on only one or two drug classes (Bibb et al, 1994; El Marroun et al, 2010), or combined all drug classes into a single ‘any drug use’ category (Christmas, 1992; Horrigan & Piazza, 1999). This study thus contributes a more complex understanding of variability in self-report for different types of drugs.…”

Section: Discussionmentioning

confidence: 99%

Validity of Self-Reported Drug Use Information Among Pregnant Women

Garg

Garrison

Leeman

et al. 2015

Matern Child Health J

127

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Introduction This study assesses validity of self-report for the use of major classes of illicit drugs and opioid-maintenance therapy among pregnant women at a substance abuse treatment program. Methods Analyses used data collected from 83 pregnant women in a prospective cohort study at the University of New Mexico. Study participants with a history of substance abuse were screened and, if eligible, enrolled during an early prenatal care visit. A follow-up interview was conducted shortly after delivery. Self-reported information about drug use later in pregnancy was compared with urine drug screen (UDS) results collected during the third trimester. Simple kappa (k) and prevalence-and-bias-adjusted kappa (PABAK) coefficients were calculated as the measures of agreement. Sensitivity and specificity of self-report for each drug class were estimated using UDS as the ‘gold standard’. Results The sample included a large proportion of ethnic minority (80% Hispanic/Latina and 7% American Indian) and socially disadvantaged (50% < less than high school education and 94% Medicaid-insured) pregnant women. On average, patients had 4.8 ± 3.0 urine drug screens during the third trimester. Sensitivity of self-report was low (<60%) for all classes of illicit drugs; however, marijuana and opioids demonstrated slightly higher sensitivity (57.9% and 58.3%, respectively) than other classes (<47%). Conclusions This study found substantial underreporting for all classes of illicit drugs among pregnant women in a substance abuse treatment program. Rates of underreporting are expected to be higher among the general population of pregnant women.

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Section: Discussionmentioning

confidence: 99%

Validity of Self-Reported Drug Use Information Among Pregnant Women

Garg

Garrison

Leeman

et al. 2015

Matern Child Health J

127

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“…Convenience sampling limits generalizability as our sample is not representative of all WIC-eligible postpartum women in the U.S. Also, under-reporting of maternal substance use has been documented, which may also be relevant to the present findings. (Bessa et al, 2010; El Marroun et al, 2011; Garg et al, 2016). We did not ask about other settings women might like to get tested for HIV which is an important topic for future research Due to the nature of focus group data collection methods, we did not have the ability to identify demographic information related to each comment expressed in focus groups, which may have limited our ability parse out the influence of factors such as age, employment status or education in connection with their views.…”

Section: Discussionmentioning

confidence: 99%

Perspectives on HIV Testing Among WIC-Enrolled Postpartum Women: Implications for Intervention Development

Washio

Wright

Flores

et al. 2017

AIDS Education and Prevention

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Low-income minority women are disproportionately represented among those living with HIV in the U.S and also at-risk for substance abuse and intimate partner violence – collectively called the SAVA syndemic which may impede HIV testing uptake. Views about HIV testing were assessed among women (ages 18–29) enrolled in a federally funded nutrition program for women, infants and children (WIC) in a large Mid-Atlantic city. A survey (n=80) and 3 focus groups were conducted in WIC offices located in neighborhoods with high HIV prevalence. Among this primarily minority sample, most would be interested in getting an HIV test if offered at WIC. Benefits included knowing one’s HIV status, convenience, and accessible location while transportation and peer/ partner encouragement were enabling factors. Barriers included privacy concerns and intimate partner violence. Findings will be used to design an intervention to promote HIV testing among women who attend WIC and that proactively addresses reported barriers.

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“…útero a canabinóides exógenos pode perturbar o desenvolvimento e função cerebral, prejudicando a cognição e aumentando a sensibilidade a drogas de abuso. [13][14][15][16] A proliferação do consumo de drogas psicoativas, como a cocaína, aumentou entre as mulheres em idade fértil, o que ocasionou vários desafios médicos e sociais na relação entre uso de drogas e saúde materno-infantil. Em nosso estudo, o uso de cocaína e/ou crack foi revelado por 13 (4,1%) das gestantes consultadas, o que está um pouco abaixo do encontrado em outros estudos, que evidenciaram prevalências de aproximadamente 10%.…”

Section: Discussionunclassified

Descrição do uso de drogas em gestantes atendidas em hospital de ensino do interior do Rio Grande do Sul

Renner¹,

Costa²,

Figueira³

et al. 2016

Rev Epidemiol Control Infect

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http: //dx.doi.org/10.17058/reci.v6i2.6976 presente estudo teve como objetivo avaliar a prevalência do uso de drogas durante a gestação entre as puér-peras atendidas em um hospital de ensino do interior do Rio Grande do Sul. Métodos: Trata-se de um estudo transversal com 314 puérperas e seus neonatos, atendidos pelo Sistema Único de Saúde, no primeiro semestre de 2014. A coleta de dados deu-se pela análise de prontuários, aplicação de questionários semi-estruturados e entrevistas com parturientes usuárias de drogas de abuso. Resultados: Notou-se que a substância mais consumida foi o álcool, com 151 usuárias (48,1%), seguido pelo tabaco (44,6%). A droga ilícita mais consumida na gestação foi a maconha (8,0%). Ademais, constatou-se que 53,8% da amostra tinha convívio com fumantes e verificou-se uma tendência pelas gestantes de abandonar as drogas ilícitas mais precocemente do que as lícitas. Conclusão: Diante do exposto, evidencia-se a importância do rastreamento precoce do uso de drogas na gestação e da discussão, por parte dos profissionais de saúde com a comunidade, a fim de torná-la mais esclarecida dos malefícios que as drogas de abuso oferecem, bem como da importância da abstinência durante o período gestacional.Background and Objectives: Drug addiction and abuse have become a major public health problem that becomes even more significant when it is related to pregnant women, since almost all drugs cross the placenta and cause effects on the fetus, which can compromise its development. Thus, this study aimed to evaluate the prevalence of drug use during pregnancy among pregnant women treated at a teaching hospital in the countryside of Rio Grande do Sul. Methods: This is a cross-sectional study of 314 women and their newborns, treated by the Unified Health System (SUS) in the first semester of 2014. Data collection was carried out through the analysis of medical records, application of semi-structured questionnaires and interviews with women using drugs of abuse. Results: It was observed that the most often consumed substance was alcohol, with 151 users (48.1%), followed by tobacco (44.6%). The most often used illicit drug during pregnancy was marijuana (8.0%). Furthermore, it was observed that 53.8% of the sample had contact with smokers and there was a tendency among the pregnant women to abandon illicit drugs earlier than non-illicit ones. Conclusion:The abovementioned facts highlight the importance of early screening of drug use during pregnancy and discussion of health professionals with the community in order to make it clearer the harm that drug abuse offers to pregnant women, as well as the importance of abstinence during pregnancy. RESUMO ABSTRACT

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Agreement between Maternal Cannabis Use during Pregnancy according to Self-Report and Urinalysis in a Population-Based Cohort: The Generation R Study

Cited by 71 publications

References 49 publications

Validity of Self-Reported Drug Use Information Among Pregnant Women

Validity of Self-Reported Drug Use Information Among Pregnant Women

Perspectives on HIV Testing Among WIC-Enrolled Postpartum Women: Implications for Intervention Development

Descrição do uso de drogas em gestantes atendidas em hospital de ensino do interior do Rio Grande do Sul

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