title: Pregnant and non-pregnant women with substance use disorders: the gap between treatment need and receipt.
abstract: Differences in pregnant and non-pregnant women's alcohol and drug use, substance treatment need, and treatment receipt were examined using The National Survey of Drug Use and Health (2002-2006). Treatment need and receipt were defined by either self-report or DSM-IV criteria. Pregnant women were less likely to use alcohol and drugs than non-pregnant women. Among women who use drugs, pregnant women were more likely to need treatment (odds ratio (OR) = 1.92; 95% confidence interval (CI): 1.46, 2.52), however they were not more likely to receive treatment (OR = 0.90; 95% CI: 0.54, 1.51). Overall, there is an unmet need for treatment among reproductive-aged substance users.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, and Department of Epidemiology and Public Health, The University of Maryland School of Medicine, Baltimore, Maryland 21201, USA. mterplan@fpi.umaryland.edu
authors.forename: Mishka
authors.initials: M
authors.lastname: Terplan
authors.forename: Erica J
authors.initials: EJ
authors.lastname: McNamara
authors.forename: Margaret S
authors.initials: MS
authors.lastname: Chisolm
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D002648:Child; D004812:Epidemiologic Methods; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D054625:Healthcare Disparities / Q000706:statistics & numerical data; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000534:rehabilitation; D011295:Prenatal Care; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation; D014481:United States / Q000453:epidemiology; D055815:Young Adult