Contraceptive use and pregnancy outcomes among opioid drug-using women: a retrospective cohort study

The contraceptive needs of illicit opioid users differ from non-drug users but are poorly understood. The aim of this study was to describe contraceptive use and pregnancy outcomes in opioid-using women, and to examine their association with a range of risk factors. This retrospective cohort study u...

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Bibliographic Details
Published in:PloS one 2015-03, Vol.10 (3), p.e0116231-e0116231
Main Authors: Cornford, Charles S, Close, Helen J, Bray, Roz, Beere, Deborah, Mason, James M
Format: Article
Language:English
Subjects:
Abortion
Addictions
Adult
Birth control
Children
Children & youth
Cocaine
Cohort analysis
Contraception
Contraception - utilization
Contraceptives
Disease transmission
Drug abuse
Drug use
Families & family life
Family medicine
Family planning
Female
Females
Health aspects
Hepatitis
Humans
Imprisonment
Infections
Medical screening
Mens health
Middle Aged
Narcotics
Neonatal abstinence syndrome
Opioid-Related Disorders - epidemiology
Opioids
Oral contraceptives
Pharmacy
Population
Pregnancy
Pregnancy Outcome - epidemiology
Pregnant women
Public health
Retrospective Studies
Risk analysis
Risk factors
Sex industry
Sexually transmitted diseases
STD
Sterilization
Substance abuse treatment
Womens health
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Summary:The contraceptive needs of illicit opioid users differ from non-drug users but are poorly understood. The aim of this study was to describe contraceptive use and pregnancy outcomes in opioid-using women, and to examine their association with a range of risk factors. This retrospective cohort study used UK general practice records, Treatment Outcomes Profile and National Drug Treatment Monitoring System data, and a nested data validation exercise. A cohort of 376 women aged 20-61 years were in active treatment for opioid addiction in October 2010 at two specialised primary care practices in North-East England. Outcomes were age-adjusted prevalence estimates for contraceptive use and pregnancy outcomes in users of illicit opioids. The association between lifestyle-related risk factors and contraception was explored. Drug-using women made lower use of planned (non-condom) contraception (24% vs 50%, p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0116231