• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of amjphAmerican Journal of Public Health Web SiteAmerican Public Health Association Web SiteSubmissionsSubscriptionsAbout Us
Am J Public Health. 1996 July; 86(7): 991–998.
PMCID: PMC1380441

Violence and substance use among North Carolina pregnant women.

Abstract

OBJECTIVES. Prenatal patients were studied to examine the proportion of women who had been violence victims, women's patterns of substance use (cigarettes, alcohol, and illegal drugs) before and during pregnancy, and relationships between violence and substance use. METHODS. More than 2000 prenatal patients in North Carolina were screened for violence and substance use. Relationships between violence and patterns of substance use before and during pregnancy were examined, as well as women's continuation of substance use during pregnancy as a function of violence and sociodemographic factors. RESULTS. Twenty-six percent of the women had been violence victims during their lives. Before pregnancy, 62% of the women had used one or more substances; during pregnancy, 31% had used one or more substances. Both before and during pregnancy, violence victims were significantly more likely to use multiple substances than nonvictims. Continuation of substance use during pregnancy was significantly more likely among violence victims than nonvictims. CONCLUSIONS. Care providers should screen women for violence as well as for substance use and should ensure that women are provided with appropriate interventions.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.9M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Hillard PJ. Physical abuse in pregnancy. Obstet Gynecol. 1985 Aug;66(2):185–190. [PubMed]
  • Helton AS, McFarlane J, Anderson ET. Battered and pregnant: a prevalence study. Am J Public Health. 1987 Oct;77(10):1337–1339. [PMC free article] [PubMed]
  • Helton AS, Snodgrass FG. Battering during pregnancy: intervention strategies. Birth. 1987 Sep;14(3):142–147. [PubMed]
  • Amaro H, Fried LE, Cabral H, Zuckerman B. Violence during pregnancy and substance use. Am J Public Health. 1990 May;80(5):575–579. [PMC free article] [PubMed]
  • Berenson AB, Stiglich NJ, Wilkinson GS, Anderson GD. Drug abuse and other risk factors for physical abuse in pregnancy among white non-Hispanic, black, and Hispanic women. Am J Obstet Gynecol. 1991 Jun;164(6 Pt 1):1491–1499. [PubMed]
  • Bayatpour M, Wells RD, Holford S. Physical and sexual abuse as predictors of substance use and suicide among pregnant teenagers. J Adolesc Health. 1992 Mar;13(2):128–132. [PubMed]
  • McFarlane J, Parker B, Soeken K, Bullock L. Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care. JAMA. 1992 Jun 17;267(23):3176–3178. [PubMed]
  • Berenson AB, San Miguel VV, Wilkinson GS. Prevalence of physical and sexual assault in pregnant adolescents. J Adolesc Health. 1992 Sep;13(6):466–469. [PubMed]
  • Parker B, McFarlane J, Soeken K. Abuse during pregnancy: effects on maternal complications and birth weight in adult and teenage women. Obstet Gynecol. 1994 Sep;84(3):323–328. [PubMed]
  • Sampselle CM, Petersen BA, Murtland TL, Oakley DJ. Prevalence of abuse among pregnant women choosing certified nurse-midwife or physician providers. J Nurse Midwifery. 1992 Jul-Aug;37(4):269–273. [PubMed]
  • Stewart DE, Cecutti A. Physical abuse in pregnancy. CMAJ. 1993 Nov 1;149(9):1257–1263. [PMC free article] [PubMed]
  • Dye TD, Tollivert NJ, Lee RV, Kenney CJ. Violence, pregnancy and birth outcome in Appalachia. Paediatr Perinat Epidemiol. 1995 Jan;9(1):35–47. [PubMed]
  • Gazmararian JA, Adams MM, Saltzman LE, Johnson CH, Bruce FC, Marks JS, Zahniser SC. The relationship between pregnancy intendedness and physical violence in mothers of newborns. The PRAMS Working Group. Obstet Gynecol. 1995 Jun;85(6):1031–1038. [PubMed]
  • Campbell JC, Poland ML, Waller JB, Ager J. Correlates of battering during pregnancy. Res Nurs Health. 1992 Jun;15(3):219–226. [PubMed]
  • Gielen AC, O'Campo PJ, Faden RR, Kass NE, Xue X. Interpersonal conflict and physical violence during the childbearing year. Soc Sci Med. 1994 Sep;39(6):781–787. [PubMed]
  • Webster J, Sweett S, Stolz TA. Domestic violence in pregnancy. A prevalence study. Med J Aust. 1994 Oct 17;161(8):466–470. [PubMed]
  • Hilberman E. Overview: the "wife-beater's wife" reconsidered. Am J Psychiatry. 1980 Nov;137(11):1336–1347. [PubMed]
  • Lamb NJ, Fernandez A, Watrin A, Labbé JC, Cavadore JC. Microinjection of p34cdc2 kinase induces marked changes in cell shape, cytoskeletal organization, and chromatin structure in mammalian fibroblasts. Cell. 1990 Jan 12;60(1):151–165. [PubMed]
  • Stark E, Flitcraft A, Frazier W. Medicine and patriarchal violence: the social construction of a "private" event. Int J Health Serv. 1979;9(3):461–493. [PubMed]
  • Burge SK. Violence against women as a health care issue. Fam Med. 1989 Sep-Oct;21(5):368–373. [PubMed]
  • Senay EC. Drug abuse and public health. A global perspective. Drug Saf. 1991;6 (Suppl 1):1–65. [PubMed]
  • Bullock LF, McFarlane J. The birth-weight/battering connection. Am J Nurs. 1989 Sep;89(9):1153–1155. [PubMed]
  • Morey MA, Begleiter ML, Harris DJ. Profile of a battered fetus. Lancet. 1981 Dec 5;2(8258):1294–1295. [PubMed]
  • Press BH. United States: old needs, new expectations. J Public Health Dent. 1988 Spring;48(2):103–105. [PubMed]
  • Frank DA, Zuckerman BS, Amaro H, Aboagye K, Bauchner H, Cabral H, Fried L, Hingson R, Kayne H, Levenson SM, et al. Cocaine use during pregnancy: prevalence and correlates. Pediatrics. 1988 Dec;82(6):888–895. [PubMed]
  • Forastiere F, Agabiti N, Corbo GM, Pistelli R, Dell'Orco V, Ciappi G, Perucci CA. Passive smoking as a determinant of bronchial responsiveness in children. Am J Respir Crit Care Med. 1994 Feb;149(2 Pt 1):365–370. [PubMed]
  • Berenson AB, San Miguel VV, Wilkinson GS. Violence and its relationship to substance use in adolescent pregnancy. J Adolesc Health. 1992 Sep;13(6):470–474. [PubMed]
  • Armstrong BG, Sloan M. Ordinal regression models for epidemiologic data. Am J Epidemiol. 1989 Jan;129(1):191–204. [PubMed]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles