Chronic drug use and reproductive health care among low-income women in Miami, Florida: a comparative study of access, need, and utilization

Interviews of low-income women in Miami, FL, addressed reproductive health issues in a stratified, network-referred sample of chronic drug users (CDUs) and socially and ethnically similar women who were not CDUs. Women who were not CDUs were significantly more likely to report a regular source of he...

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Bibliographic Details
Published in:The journal of behavioral health services & research 2003-07, Vol.30 (3), p.321-331
Main Authors: Crandall, Lee A, Metsch, Lisa R, McCoy, Clyde B, Chitwood, Dale D, Tobias, Hayley
Format: Article
Language:English
Subjects:
Adolescent
Adult
Chronic Disease
Cocaine
Comparative studies
Drug abuse
Drug addiction
Drug testing
Drug use
Family planning
Female
Females
Florida - epidemiology
Genital Diseases, Female - epidemiology
Genital Diseases, Female - ethnology
Genital Diseases, Female - prevention & control
Genital Diseases, Female - therapy
Health care
Health care access
Health services
Health Services Accessibility
Health Services Needs and Demand
Health Services Research
Humans
Imprisonment
Interviews
Interviews as Topic
Low income groups
Low income women
Miami
Narcotics
Poverty
Pregnancy
Prenatal care
Prenatal Care - utilization
Preventive Health Services - supply & distribution
Preventive Health Services - utilization
Public policy
Regression analysis
Reproductive health
Reproductive Health Services - supply & distribution
Reproductive Health Services - utilization
Reproductive system
Studies
Substance-Related Disorders - epidemiology
Substance-Related Disorders - ethnology
Urban Population
USA
Variables
Womens health
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Summary:Interviews of low-income women in Miami, FL, addressed reproductive health issues in a stratified, network-referred sample of chronic drug users (CDUs) and socially and ethnically similar women who were not CDUs. Women who were not CDUs were significantly more likely to report a regular source of health care than CDUs. About one third of each group reported experiencing reproductive health problems (other than pregnancy) in the 12 months preceding their interview. Chronic drug users were twice as likely to report that these problems remained untreated. Measures of use of preventive services (physical exam, breast exam, pelvic exam, family planning visit) consistently showed lower use by CDUs. A higher proportion of women who were not CDUs reported pregnancies in the 12 months preceding interview. The 32 pregnant CDUs were much less likely to have received prenatal care than the 42 pregnant women who were not CDUs. For women who reported a pregnancy in the year preceding interview, logistic regression analysis showed a strong and robust negative effect of being a CDU on receiving prenatal care even when the effects of having a usual source of care and having third-party coverage were controlled.
ISSN:1094-3412
1556-3308
DOI:10.1007/BF02287320