Obstetrician-gynecologists’ practices and attitudes on substance use screening during pregnancy

Details

• Alternative Title:
  J Perinatol
• Personal Author:
  Ko, Jean Y. ; Tong, Van T. ; Haight, Sarah C. ; Terplan, Mishka ; Stark, Lauren ; Snead, Carrie ; Schulkin, Jay
• Description:
  Objective:
  
  To describe obstetrician-gynecologists’ practices and attitudes related to substance use screening in pregnant patients.
  
  Study Design:
  
  A 2017 cross-sectional survey assessed U.S. obstetrician-gynecologists’ (n=462; response rate=34%) practices (substance use screening frequency and methods) and attitudes (practice priority of screening, confidence in treating, and responsibility statements). Chi-squared tests and adjusted modified Poisson regression were used to estimate associations between practices and attitudes.
  
  Results:
  
  Of 353 respondents with screening information, 79% frequently screen for substance use and 11% used a validated instrument. Confidence was highest for treating pregnant patients using tobacco (81%). Respondents whose practices make it a high priority to screen for all substances were 1.2 times as likely to frequently screen as their counterparts (95% CI: 1.1–1.3).
  
  Conclusions:
  
  Four out of five obstetricians-gynecologists reported a high frequency of substance use screening in pregnant patients. Findings highlight the importance of increasing priority of substance use screening by obstetrician-gynecologists.
  
  
• Subjects:
  Alcohol Drinking Analgesics, Opioid Attitude Of Health Personnel Clinical Competence Cross-Sectional Studies Female Gynecology Health Care Surveys Humans Obstetrics Practice Patterns, Physicians' Pregnancy Substance Abuse Detection Tobacco Smoking United States

  More +
• Source:
  J Perinatol. 40(3):422-432
• Pubmed ID:
  31666646
• Pubmed Central ID:
  PMC7047638
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; UA6MC31609/U.S. Department of Health & Human Services ; Health Resources & Services Administration ; Maternal and Child Health Bureau (MCHB)International/ ; UA6MC19010/U.S. Department of Health & Human Services ; Health Resources & Services Administration ; Maternal and Child Health Bureau (MCHB)International/ ; #200-2015-M-63715/U.S. Department of Health & Human Services ; Centers for Disease Control and Prevention (CDC)International/
• Volume:
  40
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c06a9cd5303b44a3a0f90b23be6173240b15dd8328ce8efd3efad94d00336a22
• Download URL:
  https://stacks.cdc.gov/view/cdc/85477/cdc_85477_DS1.pdf
• File Type:
  [PDF - 194.89 KB ]