title: Prevalence of cocaine and marijuana use among pregnant women in a military health care setting.
abstract: BACKGROUND
  Illicit drug use is common in the United States. The degree of substance abuse among pregnant women, its prevention, and treatment are currently matters of great concern.
  
  
  METHODS
  We conducted a blinded cross-sectional study on the prevalence of cocaine and marijuana metabolites in the urines of an obstetric population served by a military community hospital. Ninety percent of patients screened were nonactive-duty family members.
  
  
  RESULTS
  An overall illicit drug use prevalence of 1.6 percent was found. This contrasts to prevalences of 10 to 15 percent reported in civilian obstetric populations.
  
  
  CONCLUSIONS
  Job site drug screening of the active-duty soldier may be the reason for differences between the military and nonmilitary populations.
authors.affiliation: Department of Family and Community Medicine, Silas B. Hays Army Community Hospital, Fort Ord, CA.
authors.forename: R E
authors.initials: RE
authors.lastname: Brunader
authors.forename: J A
authors.initials: JA
authors.lastname: Brunader
authors.forename: J P
authors.initials: JP
authors.lastname: Kugler
mesh_terms: D002140:California / Q000453:epidemiology; D003042:Cocaine; D003430:Cross-Sectional Studies; D005190:Family; D005260:Female; D006764:Hospitals, Community; D006772:Hospitals, Military; D006801:Humans; D007124:Immunoenzyme Techniques; D002189:Marijuana Abuse / Q000453:epidemiology* / Q000517:prevention & control / Q000652:urine; D008889:Military Personnel / Q000706:statistics & numerical data*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000517:prevention & control / Q000652:urine; D015995:Prevalence; D015813:Substance Abuse Detection; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000517:prevention & control / Q000652:urine
chemical_list: D003042:Cocaine