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Protective factors against tobacco and alcohol use among pregnant women from a tribal nation in the Central United States

Identifying social determinants of tobacco and alcohol use during pregnancy is critical to improving health outcomes for the next generation. This is especially important on a rural Tribal Nation where influences such as isolation, cultural barriers, and historical trauma have made it uniquely chall...

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Autores principales: Jorda, Mariah, Conant, Bradley J., Sandstrom, Anne, Klug, Marilyn G., Angal, Jyoti, Burd, Larry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7877617/
https://www.ncbi.nlm.nih.gov/pubmed/33571225
http://dx.doi.org/10.1371/journal.pone.0243924
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author Jorda, Mariah
Conant, Bradley J.
Sandstrom, Anne
Klug, Marilyn G.
Angal, Jyoti
Burd, Larry
author_facet Jorda, Mariah
Conant, Bradley J.
Sandstrom, Anne
Klug, Marilyn G.
Angal, Jyoti
Burd, Larry
author_sort Jorda, Mariah
collection PubMed
description Identifying social determinants of tobacco and alcohol use during pregnancy is critical to improving health outcomes for the next generation. This is especially important on a rural Tribal Nation where influences such as isolation, cultural barriers, and historical trauma have made it uniquely challenging to prevent substance use during pregnancy. The purpose of this study is to identify population-specific factors that are protective against smoking and drinking during pregnancy. We used data from 421 pregnancies collected as a part of the Safe Passages study from a rural Tribal Nation in the central United States. Pregnant women were classified as women who did not smoke (n = 84), women who quit during pregnancy (n = 23), women who smoked during pregnancy (n = 314), and women who both smoked and drank alcohol during pregnancy (n = 149). Demographic data revealed that 28.8% of the mothers were currently employed, and 91.8% of mothers reported a household income of less than $3,000 per year. Substance use rates were higher than national averages: 74.6% smoked during pregnancy and 35.4% of the women both smoked and drank alcohol during pregnancy. Five factors were identified as being protective against substance use during pregnancy: 1) living with someone (81% less likely to smoke and 92% less likely to smoke and drink), 2) having at least 12 years of education (128% less likely to smoke, and 126% less likely to smoke and drink), 3) having over 12 years of education (235% less likely to smoke, and 206% less likely to smoke and drink), 4) being employed (158% less likely to smoke, and 111% less likely to smoke and drink), and 5) not being depressed (214% less likely to smoke, and 229% less likely to smoke and drink). These social determinants should be considered for intervention research to decrease rates of substance use during pregnancy.
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spelling pubmed-78776172021-02-19 Protective factors against tobacco and alcohol use among pregnant women from a tribal nation in the Central United States Jorda, Mariah Conant, Bradley J. Sandstrom, Anne Klug, Marilyn G. Angal, Jyoti Burd, Larry PLoS One Research Article Identifying social determinants of tobacco and alcohol use during pregnancy is critical to improving health outcomes for the next generation. This is especially important on a rural Tribal Nation where influences such as isolation, cultural barriers, and historical trauma have made it uniquely challenging to prevent substance use during pregnancy. The purpose of this study is to identify population-specific factors that are protective against smoking and drinking during pregnancy. We used data from 421 pregnancies collected as a part of the Safe Passages study from a rural Tribal Nation in the central United States. Pregnant women were classified as women who did not smoke (n = 84), women who quit during pregnancy (n = 23), women who smoked during pregnancy (n = 314), and women who both smoked and drank alcohol during pregnancy (n = 149). Demographic data revealed that 28.8% of the mothers were currently employed, and 91.8% of mothers reported a household income of less than $3,000 per year. Substance use rates were higher than national averages: 74.6% smoked during pregnancy and 35.4% of the women both smoked and drank alcohol during pregnancy. Five factors were identified as being protective against substance use during pregnancy: 1) living with someone (81% less likely to smoke and 92% less likely to smoke and drink), 2) having at least 12 years of education (128% less likely to smoke, and 126% less likely to smoke and drink), 3) having over 12 years of education (235% less likely to smoke, and 206% less likely to smoke and drink), 4) being employed (158% less likely to smoke, and 111% less likely to smoke and drink), and 5) not being depressed (214% less likely to smoke, and 229% less likely to smoke and drink). These social determinants should be considered for intervention research to decrease rates of substance use during pregnancy. Public Library of Science 2021-02-11 /pmc/articles/PMC7877617/ /pubmed/33571225 http://dx.doi.org/10.1371/journal.pone.0243924 Text en © 2021 Jorda et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Jorda, Mariah
Conant, Bradley J.
Sandstrom, Anne
Klug, Marilyn G.
Angal, Jyoti
Burd, Larry
Protective factors against tobacco and alcohol use among pregnant women from a tribal nation in the Central United States
title Protective factors against tobacco and alcohol use among pregnant women from a tribal nation in the Central United States
title_full Protective factors against tobacco and alcohol use among pregnant women from a tribal nation in the Central United States
title_fullStr Protective factors against tobacco and alcohol use among pregnant women from a tribal nation in the Central United States
title_full_unstemmed Protective factors against tobacco and alcohol use among pregnant women from a tribal nation in the Central United States
title_short Protective factors against tobacco and alcohol use among pregnant women from a tribal nation in the Central United States
title_sort protective factors against tobacco and alcohol use among pregnant women from a tribal nation in the central united states
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7877617/
https://www.ncbi.nlm.nih.gov/pubmed/33571225
http://dx.doi.org/10.1371/journal.pone.0243924
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