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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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| Published in: | The journal of behavioral health services & research 2003-07, Vol.30 (3), p.321-331 |
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| cites | cdi_FETCH-LOGICAL-c341t-1ec844b26ac938e2fc92a087ce1e04c05f1049d6d54c56bdf789af99b8ffd59e3 |
| container_end_page | 331 |
| container_issue | 3 |
| container_start_page | 321 |
| container_title | The journal of behavioral health services & research |
| container_volume | 30 |
| creator | Crandall, Lee A Metsch, Lisa R McCoy, Clyde B Chitwood, Dale D Tobias, Hayley |
| description | 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. |
| doi_str_mv | 10.1007/BF02287320 |
| format | article |
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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.</description><identifier>ISSN: 1094-3412</identifier><identifier>EISSN: 1556-3308</identifier><identifier>DOI: 10.1007/BF02287320</identifier><identifier>PMID: 12875099</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>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</subject><ispartof>The journal of behavioral health services & research, 2003-07, Vol.30 (3), p.321-331</ispartof><rights>Copyright Aspen Publishers, Inc. 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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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Chronic Disease</subject><subject>Cocaine</subject><subject>Comparative studies</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug testing</subject><subject>Drug use</subject><subject>Family planning</subject><subject>Female</subject><subject>Females</subject><subject>Florida - epidemiology</subject><subject>Genital Diseases, Female - epidemiology</subject><subject>Genital Diseases, Female - ethnology</subject><subject>Genital Diseases, Female - prevention & control</subject><subject>Genital Diseases, Female - therapy</subject><subject>Health care</subject><subject>Health care 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behavioral health services & research</jtitle><addtitle>J Behav Health Serv Res</addtitle><date>2003-07-01</date><risdate>2003</risdate><volume>30</volume><issue>3</issue><spage>321</spage><epage>331</epage><pages>321-331</pages><issn>1094-3412</issn><eissn>1556-3308</eissn><abstract>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. 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| fulltext | fulltext |
| identifier | ISSN: 1094-3412 |
| ispartof | The journal of behavioral health services & research, 2003-07, Vol.30 (3), p.321-331 |
| issn | 1094-3412 1556-3308 |
| language | eng |
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| source | Criminology Collection; EBSCOhost Business Source Ultimate; Applied Social Sciences Index & Abstracts (ASSIA); ABI/INFORM Global; Springer Nature; Social Science Premium Collection (Proquest) (PQ_SDU_P3); Sociology Collection |
| 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 |
| title | Chronic drug use and reproductive health care among low-income women in Miami, Florida: a comparative study of access, need, and utilization |
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