Subscribe to RSS
DOI: 10.1055/s-0039-1692685
Self-Reported Alcohol, Tobacco, and Marijuana Use in Pregnant Women with Depressive Symptomatology
Funding The authors would also like to thank the Zoma Foundation and the Denver Health Foundation for their grant support in the completion of this project. The contents of this report represent the views of the authors and do not represent the views of the Zoma Foundation or the Denver Health Foundation.
Abstract
Objective Substance use disorders often coexist with depression. The objective of this study was to establish whether pregnant women who report depressive symptomatology were more likely to report use of alcohol, tobacco, and marijuana during pregnancy.
Study Design This was a secondary analysis of prospectively collected data from the Maternal-Fetal Medicine Units Network Preterm Prediction Study. Self-reported history of alcohol, tobacco, and marijuana use was compared between pregnant women with and without depressive symptomatology with adjustment for demographic factors.
Results After adjustment for demographic factors, women with depressive symptomatology were more likely to report: any alcohol use (odds ratio [OR]: 1.4, 95% confidence interval [CI]: 1.1–1.8), >1 drink per week (OR: 1.3, 95% CI: 1.0–1.8), and >1 drink per day (OR: 2.2, 95% CI: 1.5–3.4). Women with depressive symptomatology were also more likely to report use of marijuana (OR: 1.8, 95% CI: 1.2–2.6) and cigarettes (OR: 1.4, 95% CI: 1.1–1.7).
Conclusion Depressive symptomatology was associated with an increase in self-reported the use of alcohol, tobacco, and marijuana during pregnancy. These data reveal the importance of targeted screening of pregnant women with depressive symptomatology for substance use.
Publication History
Received: 22 February 2019
Accepted: 14 May 2019
Article published online:
25 June 2019
© 2020. Thieme. All rights reserved.
Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.
-
References
- 1 American College of Obstetricians and Gynecologists. Committee on Health Care for Underserved Women. Committee opinion no. 496: at-risk drinking and alcohol dependence: obstetric and gynecologic implications. Obstet Gynecol 2011; 118 (2 Pt 1): 383-388
- 2 Goodman DJ, Wolff KB. Screening for substance abuse in women's health: a public health imperative. J Midwifery Womens Health 2013; 58 (03) 278-287
- 3 Varner MW, Silver RM, Rowland Hogue CJ. , et al; Eunice Kennedy Shriver National Institute of Child Health and Human Development Stillbirth Collaborative Research Network. Association between stillbirth and illicit drug use and smoking during pregnancy. Obstet Gynecol 2014; 123 (01) 113-125
- 4 American College of Obstetricians and Gynecologists (ACOG). Alcohol abuse and other substance use disorders: ethical issues in obstetric and gynecologic practice. Committee Opinion No. 633. Obstet Gynecol 2015; 125: 1529-1537
- 5 Grant BF, Harford TC. Comorbidity between DSM-IV alcohol use disorders and major depression: results of a national survey. Drug Alcohol Depend 1995; 39 (03) 197-206
- 6 Bell S, Britton A, Kubinova R. , et al. Drinking pattern, abstention and problem drinking as risk factors for depressive symptoms: evidence from three urban Eastern European populations. PLoS One 2014; 9 (08) e104384
- 7 Boden JM, Fergusson DM. Alcohol and depression. Addiction 2011; 106 (05) 906-914
- 8 Goodwin RD, Cheslack-Postava K, Nelson DB. , et al. Smoking during pregnancy in the United States, 2005-2014: the role of depression. Drug Alcohol Depend 2017; 179: 159-166
- 9 Oh S, Salas-Wright CP, Vaughn MG, DiNitto DM. Marijuana use during pregnancy: a comparison of trends and correlates among married and unmarried pregnant women. Drug Alcohol Depend 2017; 181: 229-233
- 10 Copper RL, Goldenberg RL, Das A. , et al; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. The preterm prediction study: maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks' gestation. Am J Obstet Gynecol 1996; 175 (05) 1286-1292
- 11 Brugha TS, Sharp HM, Cooper SA. , et al. The Leicester 500 Project. Social support and the development of postnatal depressive symptoms, a prospective cohort survey. Psychol Med 1998; 28 (01) 63-79
- 12 Dennis CL, Dowswell T. Psychosocial and Psychological Interventions for Preventing Postpartum Depression. Chichester, UK: John Wiley & Sons, Ltd.; 1996
- 13 Warner R, Appleby L, Whitton A, Faragher B. Demographic and obstetric risk factors for postnatal psychiatric morbidity. Br J Psychiatry 1996; 168 (05) 607-611
- 14 U.S. Department Of Health And Human Services, National Institute on Alcohol Abuse and Alcoholism. 10th Special Report to the U.S. Congress on Alcohol and Health from the Secretary of Health and Human Services. 2000 . Available at: https://pubs.niaaa.nih.gov/publications/10report/intro.pdf . Accessed February 6, 2019
- 15 McCormack C, Hutchinson D, Burns L. , et al. Prenatal alcohol consumption between conception and recognition of pregnancy. Alcohol Clin Exp Res 2017; 41 (02) 369-378
- 16 Crozier SR, Robinson SM, Borland SE, Godfrey KM, Cooper C, Inskip HM. SWS Study Group. Do women change their health behaviours in pregnancy? Findings from the Southampton Women's Survey. Paediatr Perinat Epidemiol 2009; 23 (05) 446-453
- 17 Hanna EZ, Faden VB, Dufour MC. The motivational correlates of drinking, smoking, and illicit drug use during pregnancy. J Subst Abuse 1994; 6 (02) 155-167
- 18 Tong VT, Farr SL, Bombard J, DʼAngelo D, Ko JY, England LJ. Smoking before and during pregnancy among women reporting depression or anxiety. Obstet Gynecol 2016; 128 (03) 562-570