June 2, 2005 |
In Brief |
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Substance use by pregnant women is a leading preventable cause of mental, physical, and psychological problems in infants and children.1,2,3 This report examines illicit drug, alcohol, and cigarette use among pregnant and nonpregnant women aged 15 to 44.4 The National Survey on Drug Use and Health (NSDUH) asks female respondents aged 15 to 44 whether they are currently pregnant. NSDUH also asks respondents about their illicit drug use, alcohol use (including binge alcohol use and heavy alcohol use), and any tobacco use during the past month. NSDUH defines illicit drug use as the use of marijuana/hashish, cocaine (including crack), inhalants, hallucinogens, heroin, or prescription-type drugs used nonmedically. Binge alcohol use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy alcohol use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users also are binge alcohol users. The findings presented in this report are annual averages based on combined 2002 and 2003 NSDUH data.
In 2002 and 2003, 4.3 percent of pregnant women aged 15 to 44 had used an illicit drug during the past month compared with 10.4 percent of nonpregnant women in this age group. Pregnant women aged 15 to 25 (8.0 percent) were more likely to have used an illicit drug during the past month than pregnant women aged 26 to 44 (1.6 percent) (Figure 1). Pregnant white women and Hispanic women had lower rates of past month illicit drug use (4.4 and 3.0 percent, respectively) than nonpregnant white women and Hispanic women (11.6 and 7.4 percent).5 There was little difference in past month illicit drug use between nonpregnant and pregnant black women.
Figure 1. Percentages of Past Month Illicit Drug Use among Women Aged 15 to 44, by Pregnancy Status, Age, and Race/Ethnicity*: 2002 and 2003 | Figure 2. Percentages of Past Month Alcohol Use among Women Aged 15 to 44, by Pregnancy Status: 2002 and 2003 |
Among pregnant women aged 15 to 44, 9.8 percent reported drinking alcohol during the past month, 4.1 percent reported binge alcohol use, and less than 1 percent reported heavy alcohol use (Figure 2). In this age group, pregnant white women, black women, and Hispanic women had lower rates of past month alcohol use, binge alcohol use, and heavy alcohol use than nonpregnant women in these racial/ethnic groups. Pregnant women aged 15 to 25 and aged 26 to 44 reported similar levels of past month alcohol use (10.9 and 8.9 percent, respectively), binge alcohol use (5.0 and 3.3 percent), and heavy alcohol use (0.7 and 0.6 percent).
Among women aged 15 to 44, the rate of past month cigarette use was higher among nonpregnant women (30.7 percent) than pregnant women (18.0 percent). Pregnant women aged 15 to 25 (27.6 percent) were more than twice as likely to have smoked cigarettes during the past month than pregnant women aged 26 to 44 (10.8 percent) (Figure 3). Among women aged 15 to 44, the rate of past month cigarette use was higher among pregnant white women (25.0 percent) than among pregnant black women (9.3 percent) or pregnant Hispanic women (6.8 percent). Pregnant white women, black women, and Hispanic women had lower rates of past month cigarette use than nonpregnant women in these racial/ethnic groups.
Figure 3. Percentages of Past Month Cigarette Use among Women Aged 15 to 44, by Pregnancy Status, Age, and Race/Ethnicity*: 2002 and 2003 | Figure 4. Percentages of Women Aged 15 to 44 Who Reported Past Month Substance Use, by Pregnancy and Recent Motherhood Status**: 2002 and 2003 |
The rates of past month illicit drug, alcohol, and cigarette use were lower among pregnant women aged 15 to 44 than among nonpregnant women who were recent mothers and nonpregnant women who were not recent mothers (Figure 4).6 Among nonpregnant women, substance use rates were lower for recent mothers than for women who were not recent mothers. These data suggest that women aged 15 to 44 increased their substance use during the year after giving birth, although not to the level of nonpregnant women who were not recent mothers.
* The estimates for American Indian or Alaska Native, Native Hawaiian or Other Pacific Islander, and Asian respondents are not shown because of small sample sizes.
** "Pregnant women" were those women aged 15 to 44 who were currently pregnant at the time of the survey. "Nonpregnant, recent mothers" were defined as women aged 15 to 44 who were not currently pregnant and who gave birth during the prior year. "Nonpregnant, not recent mothers" were defined as women aged 15 to 44 who were not currently pregnant and who did not have a biological child under 1 year old in the household.
Source: SAMHSA, 2002 and 2003 NSDUH.
The National Survey on Drug Use and Health (NSDUH) is an annual survey sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA). Prior to 2002, this survey was called the National Household Survey on Drug Abuse (NHSDA). The 2002 data are based on information obtained from 68,126 persons aged 12 or older, including 1,104 pregnant women aged 15 to 44. The 2003 data are based on information obtained from 67,784 persons aged 12 or older, including 1,122 pregnant women aged 15 to 44. The survey collects data by administering questionnaires to a representative sample of the population through face-to-face interviews at their place of residence.
The NSDUH Report is prepared by the Office of Applied Studies (OAS), SAMHSA, and by RTI International in Research Triangle Park, North Carolina. (RTI International is a trade name of Research Triangle Institute.) Information and data for this issue are based on the following publications: Office of Applied Studies. (2004). Results from the 2003 National Survey on Drug Use and Health: National findings (DHHS Publication No. SMA 043964, NSDUH Series H25). Rockville, MD: Substance Abuse and Mental Health Services Administration. Office of Applied Studies. (2003). Results from the 2002 National Survey on Drug Use and Health: National findings (DHHS Publication No. SMA 033836, NSDUH Series H22). Rockville, MD: Substance Abuse and Mental Health Services Administration. Also available online: http://www.oas.samhsa.gov Because of improvements and modifications to the 2002 NSDUH, estimates from the 2002 and 2003 surveys should not be compared with estimates from the 2001 or earlier versions of the survey to examine changes over time. |
The NSDUH Report (formerly The NHSDA Report) is published periodically by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA). All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Additional copies of this report or other reports from the Office of Applied Studies are available on-line: http://www.oas.samhsa.gov. Citation of the source is appreciated. For questions about this report please e-mail: shortreports@samhsa.hhs.gov.
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