196073 A comparative analysis of risks associated with tobacco, alcohol and illicit drug use during pregnancy in a population of African American mothers in the District of Columbia

Tuesday, November 10, 2009

Ayman El-Mohandes, MD, MBBCh, MPH , College of Public Health, University of Nebraska Medical Center, Omaha, NE
Marie Gantz, PhD , Statistics and Epidemiology Unit, RTI International, Rockville, MD
M. Nabil El-Khorazaty, PhD , Statistics and Epidemiology Unit, RTI International, Rockville, MD
Michele Kiely, DrPH , Division of Epidemiology, Statistics & Prevention Research, National Institute of Child Health and Human Development/NIH, Rockville, MD
The use of substances during pregnancy continues to represent a significant challenge to health providers caring for high risk populations. More information is needed on the comparison of risk exposure to tobacco, alcohol and illicit drugs. Such information would be useful to health providers and can be used to educate pregnant women receiving care. We followed 1,044 African American women during pregnancy if they were >18 years, spoke English, <28 weeks pregnant and screened positively for smoking, environmental tobacco smoke, depression or intimate partner violence. Of mothers with known pregnancy outcomes (n=909), 18.3% smoked during pregnancy, 21.9% admitted to consuming alcohol during pregnancy and 12.2% admitted to illicit drug use during pregnancy. Compared to US African American rates for 2003, the women in this study who smoked tobacco had strikingly high rates of neonatal death (1.8% vs. 0.9%), of perinatal death (3.6% vs. 1.2%) and low birth weight (17.9% vs. 13.4%). For women using illicit drugs during pregnancy, low birth weight was 20.4% vs. 13.4% for the US African Americans in 2003. Health providers need to screen pregnant women for tobacco smoking and illicit drug use.

Learning Objectives:
1. Identify the associated risks of tobacco, alcohol and illicit drug use as important contributors to poor pregnancy outcomes. 2. Differentiate the role that these substance use factors during pregnancy may play in impacting poor pregnancy outcome.

Keywords: African American, Substance Abuse

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an author on the content of this abstract as a Prinicpal Investigator on the NIH grant for the study under which the data were collected and analyzed.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.