PURPOSE: Little is known about the substance use patterns of adolescent mothers, particularly in the postpartum period. This study provides descriptive, longitudinal data on the substance use behavior of a cohort of adolescent mothers. METHODS: A total of 241 pregnant adolescents, under 18 years old and planning to carry the pregnancy to term, completed the initial interview. Respondents were interviewed again at 1, 6, 12, and 18 months postpartum. The data reported here are based on the 229 respondents who completed all five interviews. RESULTS: Use of all substances decreased substantially during pregnancy, but increased steadily in the first 6 months postpartum. A similar pattern was observed for regular use of multiple substances. Regular use before and after the pregnancy, but not during it, was the most common pattern of substance use. CONCLUSIONS: The prevalence of substance use among adolescent mothers is significant. To capitalize on the large decreases in use during pregnancy, drug prevention programs for adolescent mothers should target the first 6 months postpartum.
PURPOSE: Little is known about the substance use patterns of adolescent mothers, particularly in the postpartum period. This study provides descriptive, longitudinal data on the substance use behavior of a cohort of adolescent mothers. METHODS: A total of 241 pregnant adolescents, under 18 years old and planning to carry the pregnancy to term, completed the initial interview. Respondents were interviewed again at 1, 6, 12, and 18 months postpartum. The data reported here are based on the 229 respondents who completed all five interviews. RESULTS: Use of all substances decreased substantially during pregnancy, but increased steadily in the first 6 months postpartum. A similar pattern was observed for regular use of multiple substances. Regular use before and after the pregnancy, but not during it, was the most common pattern of substance use. CONCLUSIONS: The prevalence of substance use among adolescent mothers is significant. To capitalize on the large decreases in use during pregnancy, drug prevention programs for adolescent mothers should target the first 6 months postpartum.
Keywords:
Adolescent Pregnancy; Adolescents; Adolescents, Female; Age Factors; Alcohol Drinking; Americas; Behavior; Demographic Factors; Developed Countries; Drug Usage; Family And Household; Family Characteristics; Family Planning; Family Planning Programs; Family Relationships; Fertility; Measurement; Mothers; North America; Northern America; Parents; Population; Population Characteristics; Population Dynamics; Postpartum Programs; Postpartum Women; Pregnancy; Prevalence; Prospective Studies; Puerperium; Reproduction; Reproductive Behavior; Research Methodology; Research Report; Smoking; Studies; United States; Youth
Authors: Trace S Kershaw; Jeannette R Ickovics; Jessica B Lewis; Linda M Niccolai; Stephanie Milan; Kathleen A Ethier Journal: J Behav Med Date: 2004-10