Interconnections between unintended pregnancy, alcohol and other drug use, and pregnancy, birth, infant, childhood and socioeconomic outcomes: a scoping review.

IF 3.4 3区 医学 Q1 FAMILY STUDIES BMJ Sexual & Reproductive Health Pub Date : 2024-10-15 DOI:10.1136/bmjsrh-2023-202140
Kelly A McNamara, Bridin Murnion, Penelope Fotheringham, Mishka Terplan, Nicholas Lintzeris, Ju Lee Oei, Diana M Bond, Natasha Nassar, Kirsten I Black
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Abstract

Background: Unintended pregnancy (UIP) and substance use disorder share underlying root causes with similar impacts for women and their offspring in pregnancy, birth and beyond. Furthermore, intoxication with alcohol and other drugs (AOD) increases the risk of UIP.

Objectives: To assess the available evidence on associations between UIP and health, social and economic outcomes, in women who use AOD.

Search strategy: The review utilised the Joanna Briggs Institute Methodology for Scoping Reviews and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting guidelines. The search was conducted across multiple databases, including Scopus and Medline, and limited to studies published between January 2000 to June 2023.

Selection criteria: Studies reporting on interactions between AOD use and UIP, and pregnancy, birth, infant, childhood, social or economic outcomes. All patterns and types of AOD use, except isolated use of tobacco, were included. Studies were available in English and conducted in high-income countries.

Data collection and analysis: Selected articles were reviewed, and data collected by two independent reviewers using a standardised data extraction sheet. Findings were summarised and reported descriptively.

Main results: A total of 2536 titles and abstracts were screened, 97 full texts were reviewed, and three studies were selected for inclusion in the scoping review. There was heterogeneity in types and patterns of AOD use, differences in study design and tools to assess pregnancy intention, and each focused on disparate outcomes. No study assessed or reported on birth outcomes.

Conclusion: There is a paucity of data examining the intersection between AOD use and UIP and further research is needed.

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意外怀孕、酗酒和使用其他药物与妊娠、分娩、婴儿、儿童和社会经济结果之间的相互联系:范围界定审查。
背景:意外怀孕(UIP)和药物使用失调有着共同的根本原因,对妇女及其后代在怀孕、生产及以后的生活有着相似的影响。此外,酒精和其他药物(AOD)中毒会增加意外怀孕的风险:评估使用酒精和其他药物的妇女 UIP 与健康、社会和经济后果之间关系的现有证据:本综述采用了乔安娜-布里格斯研究所(Joanna Briggs Institute)的范围界定综述方法和 PRISMA(系统综述和元分析首选报告项目)报告指南。检索在 Scopus 和 Medline 等多个数据库中进行,仅限于 2000 年 1 月至 2023 年 6 月间发表的研究:报告使用 AOD 和 UIP 与怀孕、出生、婴儿、儿童、社会或经济结果之间相互作用的研究。除单独使用烟草外,所有使用 AOD 的模式和类型均包括在内。数据收集与分析:由两名独立审查员使用标准化数据提取表对所选文章进行审查并收集数据。对研究结果进行了总结和描述性报告:共筛选了 2536 篇标题和摘要,审阅了 97 篇全文,并选择了三项研究纳入范围界定综述。使用 AOD 的类型和模式不尽相同,研究设计和评估妊娠意向的工具也不尽相同,而且每项研究关注的结果也不尽相同。没有一项研究对分娩结果进行评估或报告:研究使用 AOD 与 UIP 之间相互关系的数据很少,需要进一步研究。
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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
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