Comparison of characteristics between adolescent and adult pregnant women who used methamphetamine: a retrospective study in a tertiary hospital

IF 0.8 Q4 PSYCHOLOGY, CLINICAL Advances in Dual Diagnosis Pub Date : 2023-01-09 DOI:10.1108/add-08-2022-0024
Woraphat Ratta-apha, Vinn Jinanarong, Jingswat Sirikunchoat, Piangmas Tasneeyapant, Punyisa Prachgosin, Naratip Sa-guanpanich
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Abstract

Purpose This study aims to examine the characteristics of pregnant women who used methamphetamine to determine the differences in characteristics between teenagers (aged under 20 or 20–25 years) and adult women who used methamphetamine during this period. Design/methodology/approach This retrospective study extracted data from the medical records of obstetric patients who gave birth between 2011 and 2015 in a tertiary hospital in Thailand. All included patients were diagnosed with amphetamine use disorder. Demographic data, history of antenatal care, history of substance use and psychiatric evaluations were recorded. Findings Four hundred and twelve patients were recruited for analysis. Of these, 194 (53.4%) did not attend regular antenatal care, 326 (92.1%) had unplanned pregnancies and 42 (12.5%) had a history of abortions. Socially, 47 patients (21.7%) reported drug use in their families and 160 (49.5%) reported a history of parental separation. Compared with the adult and 20–25 years groups, the < 20 years group tended to have a lower educational level, have experienced parental separation and had more regular antenatal care. Research limitations/implications Pregnant teenagers with methamphetamine use had psychosocial difficulties. Physicians should be aware of these psychosocial issues, including education and family planning. Originality/value These findings showed that pregnant women who used methamphetamine faced psychosocial difficulties, unplanned pregnancies and inadequate antenatal care. Adult and teenage pregnant women who used methamphetamine differed in some ways. For example, teenage pregnant women tended to be of a lower education level, experienced parental separation and had a history of more frequent antenatal care. Further longitudinal research exploring the outcomes of mothers who used methamphetamine and their children is needed to build on the existing evidence.
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青少年和成年孕妇使用甲基苯丙胺的特点比较:一项在三级医院的回顾性研究
目的本研究旨在研究使用甲基苯丙胺的孕妇的特征,以确定在此期间使用甲基苯丙胺的青少年(20岁以下或20 - 25岁)和成年妇女的特征差异。设计/方法/方法本回顾性研究从2011年至2015年在泰国一家三级医院分娩的产科患者的医疗记录中提取数据。所有患者均被诊断为安非他明使用障碍。记录了人口统计数据、产前保健史、药物使用史和精神病学评估。研究结果共招募了112名患者进行分析。其中,194例(53.4%)未接受常规产前保健,326例(92.1%)有计划外妊娠,42例(12.5%)有流产史。社会方面,47例(21.7%)患者报告其家庭有药物使用史,160例(49.5%)报告父母分离史。与成人和20 - 25岁组相比,< 20岁组的受教育程度较低,经历过父母分居,产前保健更定期。研究局限性/意义使用甲基苯丙胺的怀孕青少年有心理障碍。医生应该意识到这些社会心理问题,包括教育和计划生育。这些发现表明,使用甲基苯丙胺的孕妇面临心理社会困难、意外怀孕和产前护理不足。使用甲基苯丙胺的成年孕妇和少女孕妇在某些方面有所不同。例如,少女孕妇往往受教育程度较低,经历过父母分居,有过更频繁的产前护理史。需要在现有证据的基础上进一步进行纵向研究,探索使用甲基苯丙胺的母亲及其子女的结果。
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来源期刊
Advances in Dual Diagnosis
Advances in Dual Diagnosis PSYCHOLOGY, CLINICAL-
CiteScore
1.50
自引率
33.30%
发文量
15
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