The Prevalence of Illicit-Drug or Alcohol Use During Pregnancy and Discrepancies in Mandatory Reporting in Pinellas County, Florida
Chasnoff, Ira J.
Landress, Harvey J.
Barrett, Mark E.
New England Journal of Medicine. 1990 Apr 26; 322(17): 1202-1206.
Florida requires the reporting of births to mothers who use drugs or alcohol during pregnancy. This study was conducted to estimate the prevalence of substance abuse among pregnant women in Florida's Pinellas County, and to correlate this information with the number of new mothers reported to health authorities for substance abuse during pregnancy. Urine samples were collected from 380 pregnant women attending public clinics, and from 335 women receiving private prenatal care. The samples were tested for alcohol, opiates, cocaine, and cannabinoids. While the study findings revealed that substance abuse is common among pregnant women regardless of race and socioeconomic status, black and poor women are reported to health authorities most often. The authors conclude that, if legally mandated reporting is to be free of racial or economic bias, it must be based on objective medical criteria. (KIE abstract)
Alcohol Abuse; Child Abuse; Confidentiality; Drug Abuse; Drugs; Discrimination; Epidemiology; Government; Government Regulation; Health; Health Facilities; Indigents; Injuries; Mandatory Reporting; Mass Screening; Mothers; Patient Care; Pregnant Women; Prenatal Care; Prenatal Injuries; Prevalence; Public Health; Public Policy; Pregnancy; Regulation; Reporting; Socioeconomic Factors; State Government; Survey;
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The Prevalence of Illicit-Drug or Alcohol Use During Pregnancy and Discrepancies in Mandatory Reporting in Pinellas County, Florida Chasnoff, Ira J.; Landress, Harvey J. and Barrett, Mark E. (1990-04-26)