OBJECTIVE: To determine the prevalence of psychiatric disorders during pregnancy, the prevalence of cocaine and marijuana use during the third trimester of gestation and the socio-demographic characteristics of a population of low-income teenagers. METHOD: One thousand pregnant teenagers were evaluated using the Composite International Diagnostic Interview, and a socio-demographic and socio-economic questionnaire at the obstetric center of a public hospital in São Paulo, Brazil. Hair sample was collected for analysis. RESULTS: Of the 1000 pregnant teenagers interviewed, 53.6% were poor, 90.4% were unemployed, 92.5% were financially dependent and 60.2% dropped out of school. Those using drugs during the third trimester of pregnancy were equal to 6% (marijuana: 4%, cocaine: 1.7%, both: 0.3%). Those having at least one psychiatric disorder equaled 27.6%. The most frequent diagnoses were depression (12.9%), posttraumatic stress disorder (10.0%) and anxiety disorders (5.6%). DISCUSSION: Unstructured families, dropping out of school, unemployment and a low level of professional training are all contributing factors to the maintenance of an unfavorable socio-economic environment in which there is a high prevalence of cocaine and marijuana use during the third trimester of pregnancy and an abnormally high incidence of psychiatric disorders.
OBJECTIVE: To determine the prevalence of psychiatric disorders during pregnancy, the prevalence of cocaine and marijuana use during the third trimester of gestation and the socio-demographic characteristics of a population of low-income teenagers. METHOD: One thousand pregnant teenagers were evaluated using the Composite International Diagnostic Interview, and a socio-demographic and socio-economic questionnaire at the obstetric center of a public hospital in São Paulo, Brazil. Hair sample was collected for analysis. RESULTS: Of the 1000 pregnant teenagers interviewed, 53.6% were poor, 90.4% were unemployed, 92.5% were financially dependent and 60.2% dropped out of school. Those using drugs during the third trimester of pregnancy were equal to 6% (marijuana: 4%, cocaine: 1.7%, both: 0.3%). Those having at least one psychiatric disorder equaled 27.6%. The most frequent diagnoses were depression (12.9%), posttraumatic stress disorder (10.0%) and anxiety disorders (5.6%). DISCUSSION: Unstructured families, dropping out of school, unemployment and a low level of professional training are all contributing factors to the maintenance of an unfavorable socio-economic environment in which there is a high prevalence of cocaine and marijuana use during the third trimester of pregnancy and an abnormally high incidence of psychiatric disorders.
Authors: Maria A Nunes; Cleusa P Ferri; Patricia Manzolli; Rafael M Soares; Michele Drehmer; Caroline Buss; Andressa Giacomello; Juliana F Hoffmann; Silvia Ozcariz; Cristiane Melere; Carlo N Manenti; Suzi Camey; Bruce B Duncan; Maria I Schmidt Journal: BMC Psychiatry Date: 2010-08-31 Impact factor: 3.630
Authors: Gisleine V S Freitas; Carlos F S Cais; Sabrina Stefanello; Neury J Botega Journal: Eur Child Adolesc Psychiatry Date: 2008-04-21 Impact factor: 4.785
Authors: Stephanie Pabon; Mary A Parpinelli; Martha B Narvaez; Charles M'poca Charles; Jose P Guida; Maria F Escobar; Jose G Cecatti; Maria L Costa Journal: Biomed Res Int Date: 2020-07-17 Impact factor: 3.411
Authors: Talita Baptista; Lucas Araújo de Azeredo; Aline Zaparte; Thiago Wendt Viola; Sayra Catalina Coral; Maria Aparecida Nagai; Flávia Rotea Mangone; Ana Carolina Pavanelli; Jaqueline B Schuch; Victor Mardini; Claudia M Szobot; Rodrigo Grassi-Oliveira Journal: Front Cell Dev Biol Date: 2021-06-04