Correlates of substance use during adolescent pregnancy in São Paulo, Brazil

Bessa, Marco Antonio; Mitsuhiro, Sandro Sendin; Chalem, Elisa; Barros, Marina Carvalho de Moraes; Guinsburg, Ruth; Laranjeira, Ronaldo

doi:10.1590/s1516-44462010000100013

Cited by 6 publications

(7 citation statements)

References 11 publications

(11 reference statements)

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“…Some studies show that one in every three women consumes alcohol [21,25,26]. It is noteworthy that an association exists between mental health disorders and substance use [27,28]. Our results also showed a greater frequency of mental health disorders, compared with the pilot study, which could also have influenced such findings.…”

Section: Discussionsupporting

confidence: 46%

Overall Maternal Morbidity during Pregnancy Identified with the WHO-WOICE Instrument

Pabon

Parpinelli

Narvaez

et al. 2020

BioMed Research International

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Objective. To evaluate the prevalence of nonsevere maternal morbidity (including overall health, domestic and sexual violence, functionality, and mental health) in women during antenatal care and further analyze factors associated with compromised mental functioning and clinical health by administration of the WHO’s WOICE 2.0 instrument. Method. A cross-sectional study was conducted at a referral center in Brazil with an interview and questionnaire administered to pregnant women at 28 weeks of gestation and beyond. Data collection and management were supported by REDCAP software. A descriptive analysis was performed, and a multiple regression analysis also investigated factors associated with impairment in mental conditions, functionality, and clinical health. Results. 533 women at a mean age of 28.9 years (±6.7) were included, and the majority had a partner (77.1%) and secondary education (67.7%). Exposure to violence occurred in 6.8%, and 12.7% reported substance use. Sexual satisfaction was reported by the vast majority (91.7%), although almost one-fifth were sexually abstinent. Overall, women reported very good and good health (72%), despite being told that they had a medical condition (66%). There was an overall rate of anxiety in 29.9%, depression in 39.5%, and impaired functioning in 20.4%. The perception of an abnormal clinical condition was the only factor independently associated with impaired functioning and mental health in the multiple regression model. Obesity was independently associated with clinical impairment. Conclusion. During antenatal care, pregnant women in the study reported having a high rate of anxiety, depression, impaired functioning, and substance use. These issues can affect a woman’s health and should be further addressed for specific interventions and improved quality of care.

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Section: Discussionsupporting

confidence: 46%

Overall Maternal Morbidity during Pregnancy Identified with the WHO-WOICE Instrument

Pabon

Parpinelli

Narvaez

et al. 2020

BioMed Research International

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“…A recent study conducted in São Paulo, Brazil with teenage pregnant women concluded that there are mainly two risk factors related to the use of drugs during pregnancy: age under 14 years and 3 or more life sexual partners. Socioeconomic factors were not associated with higher risk of drug consumption during pregnancy (BESSA et al, 2010).…”

mentioning

confidence: 80%

Assessing the impact of alcohol, tobacco and illegal drugs on miscarriage among pregnant women in São Paulo, Brazil

Cazerta¹,

Claro²,

Andrade³

et al. 2012

Rev. Ter. Ocup. Univ. São Paulo (Online)

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Prevalence of use and misuse of substances may be increasing during pregnancy in Brazil. We describe the patterns of consumption of alcohol, tobacco and illegal drugs among pregnant women attending prenatal care service and explore whether there is a negative impact of these substances on the probability of having a miscarriage. Data from 133 women attending prenatal care in the city of São Paulo, Brazil during 2010 and 2011 were analyzed. Women who consumed crack were 3.23 times more likely than pregnant users of alcohol and other drugs to have a miscarriage, even after controlling for marijuana use, age and education.

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“…La religión -ya sea la afiliación o la práctica habitual-es otro factor frecuentemente mencionado -en ocasiones como factor protector, en otras como elemento que propicia un mayor consumo de sustancias entre seguidores de algunas creencias-. Se encontraron, además, diferencias en raza, origen étnico y situación migratoria (ver Tabla 3; Ali, Davis, Simmons, & Ramroop, 2014;Assanangkornchai, Saingam, Apakupakul, & Edwards, 2016;Bessa et al, 2010;Bottorff et al, 2014;Davie-Gray, Moor, Spencer, & Woodward, 2013;De Santis et al, 2011;Lamy & Thibaut, 2010;Muckle et al, 2011;Onah, Field, van Heyningen, & Honikman, 2016;Peña & Matute, 2010;van Gelder et al, 2010;Wickersham et al, 2016).…”

Section: Consumo De Diversas Sustanciasunclassified

“…institucional a esta problemática (Assanangkornchai et al, 2016;Bessa et al, 2010;Bjønness, 2015;Bottorff et al, 2014;Davie-Gray et al, 2013;De Santis et al, 2011).…”

Section: Factores Vinculados Al Consumo De Drogas En El Embarazounclassified

“…Todas estas brechas necesitan ser visualizadas tanto en la investigación, como en la prevención y la atención (Bessa, et al, 2010); se debe considerar que las mujeres que informan sobre el uso de sustancias durante el embarazo difieren en el fondo demográfico, familiar, social, de comorbilidad física y psiquiátrica y de atención institucional, por lo que requieren de tratamiento y rehabilitación especializados, que den seguimiento a todas las condiciones, preferencias, necesidades y requerimientos pertinentes, por lo que en particular sería necesario indagar cómo son atendidas y si existen protocolos de intervención ya establecidos por organismos internacionales (Bottorf et al, 2014;van Gelder et al, 2010).…”

Section: Discusión Y Conclusionesunclassified

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Factores psicosociales y sociodemográficos vinculados al uso de sustancias psicoactivas en mujeres durante el embarazo. Una revisión narrativa

López-Granados¹,

Cruz-Cortés²

2017

RIIAD

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RESUMENIntroducción: el consumo de sustancias durante el embarazo, sus efectos y consecuencias son un problema social y de salud pública grave y poco visible. Debido a los riesgos y consecuencias, se vuelve importante visibilizar los factores de riesgo del consumo de drogas en este grupo poblacional. Objetivo: identificar factores psicosociales y sociodemográficos del consumo de drogas lícitas e ilícitas en mujeres durante el embarazo. Método: se realizó una búsqueda de artículos de investigación, publicados entre 2010 y 2016, que trataran sobre estos factores en relación con el uso de drogas legales e ilegales durante el embarazo. Resultados: se encontraron 86 artículos, de los cuales se eliminaron los relacionados con efectos y consecuencias médicas y los realizados en animales. Después de la depuración, se concentraron 30 artículos, en los que se identificaron factores como edad, condiciones educativas, familiares, sociales, económicas, características del embarazo y antecedentes del mismo, así como la autopercepción de vulnerabilidad y la actitud favorable hacia el consumo de sustancias durante la gestación. Conclusiones y discusión: es necesario dedicar más esfuerzo al conocimiento de esta problemática y direccionar la búsqueda de raíces sociales complejas, sobre todo en el embarazo de adolescentes y otras poblaciones vulnerables.Palabras clave: embarazo, factores de riesgo, uso de alcohol, uso de tabaco, uso de drogas. Autora de correspondencia:Lourdes María López-Granados. Zempoala Núm. 77, col. Narvarte, del. Benito Juárez, C.P. 03600, Ciudad de México. ABSTRACTIntroduction: substance use during pregnancy is a serious and little visible social and public health problem. Due to the risks and effects it is necessary to recognize the risk factor for drug use in this population group. Objective: to identify psychosocial and socio-demographic risk factors for drug use during pregnancy. Method: a research for articles published from 2010 to 2016 focused on psychosocial and socio-demographic factors correlated with the use of legal and illegal drugs during pregnancy was carried out. Results: 86 articles were found and some were removed from the results as they focused on basic research or medical consequences. 30 articles were considered and factors such as age, formal education, characteristics of pregnancy, positive attitudes towards substance use in pregnancy and family, social and economic conditions were identified. Conclusions and discussion: it is necessary to continue the research in this problem, specially focused in complex social factors and vulnerable populations.

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Correlates of substance use during adolescent pregnancy in São Paulo, Brazil

Cited by 6 publications

References 11 publications

Overall Maternal Morbidity during Pregnancy Identified with the WHO-WOICE Instrument

Overall Maternal Morbidity during Pregnancy Identified with the WHO-WOICE Instrument

Assessing the impact of alcohol, tobacco and illegal drugs on miscarriage among pregnant women in São Paulo, Brazil

Factores psicosociales y sociodemográficos vinculados al uso de sustancias psicoactivas en mujeres durante el embarazo. Una revisión narrativa

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