title: Tobacco use for identifying pregnant women at risk of substance abuse.
abstract: OBJECTIVE
  To examine the effectiveness of current smoking status as a rapid screening tool to identify pregnant women at risk of heavy alcohol and/or illicit drug use.
  
  
  METHODS
  Women (N = 92) seeking prenatal care were interviewed to assess lifetime and recent tobacco, alcohol and illicit drug use. Rates of recent heavy alcohol and illicit drug use were compared in current smokers and nonsmokers.
  
  
  RESULTS
  All subjects reporting recent heavy alcohol and/or illicit drug use were current smokers; none were nonsmokers.
  
  
  CONCLUSIONS
  Obstetric screening of pregnant women for current smoking status seems to be a cost-effective method of identifying those at risk of antepartum heavy alcohol and/or illicit drug use.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
authors.forename: D
authors.initials: D
authors.lastname: Svikis
authors.forename: J
authors.initials: J
authors.lastname: Henningfield
authors.forename: P
authors.initials: P
authors.lastname: Gazaway
authors.forename: G
authors.initials: G
authors.lastname: Huggins
authors.forename: K
authors.initials: K
authors.lastname: Sosnow
authors.forename: J
authors.initials: J
authors.lastname: Hranicka
authors.forename: C
authors.initials: C
authors.lastname: Harrow
authors.forename: R
authors.initials: R
authors.lastname: Pickens
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011295:Prenatal Care; D012306:Risk; D012907:Smoking / Q000453:epidemiology; D015813:Substance Abuse Detection; D019966:Substance-Related Disorders / Q000453:epidemiology