Adolescent Substance Use and Unplanned Pregnancy Strategies for Risk Reduction

被引:45
|
作者
Connery, Hilary Smith [1 ,2 ]
Albright, Brittany B. [3 ]
Rodolico, John M. [4 ,5 ]
机构
[1] McLean Hosp, Div Alcohol & Drug Abuse, Belmont, MA 02478 USA
[2] Harvard Univ, Sch Med, Dept Psychiat, Boston, MA 02115 USA
[3] Massachusetts Gen Hosp, McLean Hosp, Adult Psychiat Residency Program, Boston, MA 02114 USA
[4] McLean Hosp, Div Child & Adolescent Psychiat, Belmont, MA 02478 USA
[5] Harvard Univ, Sch Med, Boston, MA USA
关键词
Adolescents; Substance use; Unintended pregnancy; Contraception; Motivational interviewing; ALCOHOL-EXPOSED PREGNANCIES; UNINTENDED PREGNANCY; MENTAL-HEALTH; UNITED-STATES; SEXUAL RISK; MOTIVATIONAL INTERVENTION; CONTRACEPTIVE USE; YOUNG-WOMEN; DRUG-USE; ABUSE;
D O I
10.1016/j.ogc.2014.02.011
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Substance use among adolescents increases the risk of unplanned pregnancies, which then increases the risk of fetal exposure to addictive, teratogenic substances. Specific interventions are necessary to target pregnancy planning and contraception among reproductive-age substance users. Screening for substance use using the CRAFFT is recommended in all health care settings treating adolescent patients. Screening for tobacco and nicotine use is also recommended along with the provision of smoking cessation interventions. Using motivational interviewing style and strategies is recommended to engage adolescents in discussions related to reducing substance use, risky sexual behavior, and probability of unplanned pregnancy or late-detection pregnancy.
引用
收藏
页码:191 / +
页数:14
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