Comparison of Questionnaire Screening and Urine Toxicology for Detection of Pregnancy Complicated by Substance Use
OBJECTIVE:To compare the efficacy of structured questionnaire screening and prenatal urine toxicology for the detection of substance use by pregnant women, and to describe substance use patterns in a group of women presenting to a university-based obstetric clinic. METHODS:All patients presenting to...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1992-11, Vol.80 (5), p.750-754 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | CHRISTMAS, JAMES T KNISELY, JANET S DAWSON, KATHRYN S DINSMOOR, MARA J WEBER, SANDY E SCHNOLL, SIDNEY H |
| description | OBJECTIVE:To compare the efficacy of structured questionnaire screening and prenatal urine toxicology for the detection of substance use by pregnant women, and to describe substance use patterns in a group of women presenting to a university-based obstetric clinic.
METHODS:All patients presenting to our obstetric clinic for their first prenatal visit were evaluated for evidence of current use of alcohol or any illicit substances. Nursing personnel administered an extensive questionnaire, which included detailed questions about past and current substance use patterns. Urine samples were examined by a commercial laboratory for alcohol and a number of illicit substances. Current users were defined as those who admitted use within the past 30 days or who had positive urine toxicology.
RESULTS:Fifty-eight of 302 patients (19.2%) were identified as current users of alcohol or illicit substances. Only 17 of 41 women (41.5%) with toxicologic evidence of recent use admitted to current use. Only 17 of 34 (50.0%) admitting to current use had toxicology positive for any substance. Patients with a history of multiple past substance use were significantly more likely to have positive urine toxicology than those without such a history (26.1 versus 7.4%; P |
| format | Article |
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METHODS:All patients presenting to our obstetric clinic for their first prenatal visit were evaluated for evidence of current use of alcohol or any illicit substances. Nursing personnel administered an extensive questionnaire, which included detailed questions about past and current substance use patterns. Urine samples were examined by a commercial laboratory for alcohol and a number of illicit substances. Current users were defined as those who admitted use within the past 30 days or who had positive urine toxicology.
RESULTS:Fifty-eight of 302 patients (19.2%) were identified as current users of alcohol or illicit substances. Only 17 of 41 women (41.5%) with toxicologic evidence of recent use admitted to current use. Only 17 of 34 (50.0%) admitting to current use had toxicology positive for any substance. Patients with a history of multiple past substance use were significantly more likely to have positive urine toxicology than those without such a history (26.1 versus 7.4%; P<.005). Among current users, multiple substance use (34.5%) and cigarette smoking (52%) were common.
CONCLUSION:A screening combination of structured questionnaire and universal urine toxicology identifies more current users than either technique alone, and neither is clearly superior to the other. A history of multiple substance use may be an important indicator of current use.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 1407909</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: The American College of Obstetricians and Gynecologists</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Management. Prenatal diagnosis ; Medical sciences ; Pregnancy - urine ; Pregnancy. Fetus. Placenta ; Substance Abuse Detection - methods ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - urine ; Surveys and Questionnaires</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1992-11, Vol.80 (5), p.750-754</ispartof><rights>1992 The American College of Obstetricians and Gynecologists</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4385454$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1407909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CHRISTMAS, JAMES T</creatorcontrib><creatorcontrib>KNISELY, JANET S</creatorcontrib><creatorcontrib>DAWSON, KATHRYN S</creatorcontrib><creatorcontrib>DINSMOOR, MARA J</creatorcontrib><creatorcontrib>WEBER, SANDY E</creatorcontrib><creatorcontrib>SCHNOLL, SIDNEY H</creatorcontrib><title>Comparison of Questionnaire Screening and Urine Toxicology for Detection of Pregnancy Complicated by Substance Use</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>OBJECTIVE:To compare the efficacy of structured questionnaire screening and prenatal urine toxicology for the detection of substance use by pregnant women, and to describe substance use patterns in a group of women presenting to a university-based obstetric clinic.
METHODS:All patients presenting to our obstetric clinic for their first prenatal visit were evaluated for evidence of current use of alcohol or any illicit substances. Nursing personnel administered an extensive questionnaire, which included detailed questions about past and current substance use patterns. Urine samples were examined by a commercial laboratory for alcohol and a number of illicit substances. Current users were defined as those who admitted use within the past 30 days or who had positive urine toxicology.
RESULTS:Fifty-eight of 302 patients (19.2%) were identified as current users of alcohol or illicit substances. Only 17 of 41 women (41.5%) with toxicologic evidence of recent use admitted to current use. Only 17 of 34 (50.0%) admitting to current use had toxicology positive for any substance. Patients with a history of multiple past substance use were significantly more likely to have positive urine toxicology than those without such a history (26.1 versus 7.4%; P<.005). Among current users, multiple substance use (34.5%) and cigarette smoking (52%) were common.
CONCLUSION:A screening combination of structured questionnaire and universal urine toxicology identifies more current users than either technique alone, and neither is clearly superior to the other. A history of multiple substance use may be an important indicator of current use.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Management. Prenatal diagnosis</subject><subject>Medical sciences</subject><subject>Pregnancy - urine</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Substance Abuse Detection - methods</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - urine</subject><subject>Surveys and Questionnaires</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kFtLw0AQhRdRaq3-BGEffA3sLcnuo9QrFFTagm9hs5m0q-lu2E3Q_HsTWnwaZr5zDjNzhuZU5jxhnH-eozkhTCW5FOISXcX4RQihmeIzNKOC5IqoOQpLf2h1sNE77Gv80UPsrHdO2wB4bQKAs26HtavwNlgHeON_rfGN3w249gE_QAdmckzu9wA7p50Z8JTaWKM7qHA54HVfxm4EgLcRrtFFrZsIN6e6QJunx83yJVm9Pb8u71dJyyQRieJ1zlNGs7wCaVLKeKlqk4GQUldMVdpArstaZjVNuahA0JwxKoFUgmUp4wt0e4xt-_IAVdEGe9BhKE6nj_zuxHU0uqnDuJ-N_zLBZSpSMcrEUfbjmw5C_G76HwjFHnTT7YvxoyRjKUmoUozSsUumkeB_WtZzyQ</recordid><startdate>199211</startdate><enddate>199211</enddate><creator>CHRISTMAS, JAMES T</creator><creator>KNISELY, JANET S</creator><creator>DAWSON, KATHRYN S</creator><creator>DINSMOOR, MARA J</creator><creator>WEBER, SANDY E</creator><creator>SCHNOLL, SIDNEY H</creator><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>199211</creationdate><title>Comparison of Questionnaire Screening and Urine Toxicology for Detection of Pregnancy Complicated by Substance Use</title><author>CHRISTMAS, JAMES T ; KNISELY, JANET S ; DAWSON, KATHRYN S ; DINSMOOR, MARA J ; WEBER, SANDY E ; SCHNOLL, SIDNEY H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2804-93f7352167de8c5123b9fc6e488ad29dace7abf86f1534de4172218e0d426523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Management. Prenatal diagnosis</topic><topic>Medical sciences</topic><topic>Pregnancy - urine</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Substance Abuse Detection - methods</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - urine</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CHRISTMAS, JAMES T</creatorcontrib><creatorcontrib>KNISELY, JANET S</creatorcontrib><creatorcontrib>DAWSON, KATHRYN S</creatorcontrib><creatorcontrib>DINSMOOR, MARA J</creatorcontrib><creatorcontrib>WEBER, SANDY E</creatorcontrib><creatorcontrib>SCHNOLL, SIDNEY H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CHRISTMAS, JAMES T</au><au>KNISELY, JANET S</au><au>DAWSON, KATHRYN S</au><au>DINSMOOR, MARA J</au><au>WEBER, SANDY E</au><au>SCHNOLL, SIDNEY H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Questionnaire Screening and Urine Toxicology for Detection of Pregnancy Complicated by Substance Use</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1992-11</date><risdate>1992</risdate><volume>80</volume><issue>5</issue><spage>750</spage><epage>754</epage><pages>750-754</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>OBJECTIVE:To compare the efficacy of structured questionnaire screening and prenatal urine toxicology for the detection of substance use by pregnant women, and to describe substance use patterns in a group of women presenting to a university-based obstetric clinic.
METHODS:All patients presenting to our obstetric clinic for their first prenatal visit were evaluated for evidence of current use of alcohol or any illicit substances. Nursing personnel administered an extensive questionnaire, which included detailed questions about past and current substance use patterns. Urine samples were examined by a commercial laboratory for alcohol and a number of illicit substances. Current users were defined as those who admitted use within the past 30 days or who had positive urine toxicology.
RESULTS:Fifty-eight of 302 patients (19.2%) were identified as current users of alcohol or illicit substances. Only 17 of 41 women (41.5%) with toxicologic evidence of recent use admitted to current use. Only 17 of 34 (50.0%) admitting to current use had toxicology positive for any substance. Patients with a history of multiple past substance use were significantly more likely to have positive urine toxicology than those without such a history (26.1 versus 7.4%; P<.005). Among current users, multiple substance use (34.5%) and cigarette smoking (52%) were common.
CONCLUSION:A screening combination of structured questionnaire and universal urine toxicology identifies more current users than either technique alone, and neither is clearly superior to the other. A history of multiple substance use may be an important indicator of current use.</abstract><cop>New York, NY</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>1407909</pmid><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 1992-11, Vol.80 (5), p.750-754 |
| issn | 0029-7844 1873-233X |
| language | eng |
| recordid | cdi_pubmed_primary_1407909 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Biological and medical sciences Female Gynecology. Andrology. Obstetrics Humans Management. Prenatal diagnosis Medical sciences Pregnancy - urine Pregnancy. Fetus. Placenta Substance Abuse Detection - methods Substance-Related Disorders - epidemiology Substance-Related Disorders - urine Surveys and Questionnaires |
| title | Comparison of Questionnaire Screening and Urine Toxicology for Detection of Pregnancy Complicated by Substance Use |
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