Adolescent mothers have differing risks and responsibilities
compared to adolescent women without children that may impact substance use
treatment. This study sought to describe characteristics of adolescent women in
a substance use treatment program and determine the effect of adolescent
motherhood on treatment program outcomes.
Data were collected from standardized interviews of female
adolescents in a case management criminal justice diversion program for
substance-using adolescents and adults. Variables included sociodemographic
factors (ie, race/ethnicity, age, financial support, education, insurance,
marital status, sexual abuse), Diagnostic and Statistical Manual-IV (DSM-IV)
substance use disorder diagnoses, and motherhood (ie, childbirth and residence
with a child). Treatment program outcome was documented by case workers at the
end of the participants' time in the program. Chi-square analyses and analysis
of variances determined associations between variables. Logistic regression was
used to assess characteristics associated with negative treatment program
outcome.
Data from 1080 adolescent women aged 16-21 years (mean 19.7
years, SD = 1.16) were analyzed; 403 (37%) were mothers. After controlling for
sociodemographic factors and substance use disorder diagnoses, adolescent
mothers were less likely to successfully complete the treatment program than
nonmothers. Adolescent women with reliance on family or friends for financial
support, lower education status, and cannabis and cocaine use disorders had
worse treatment program outcomes.
Childbirth and parenting adversely affect substance use
treatment outcomes for adolescent women in the criminal justice system. Future
research should explore tailored substance use treatments for adolescents with
children. Job training and educational support may improve outcomes.
Via: http://goo.gl/l6Wt3r Purchase
full article at: http://goo.gl/vf85YP
- 1Department of Pediatrics (R.J.S., N.D.), University of Alabama at Birmingham, Birmingham, Alabama, USA; Department of Psychiatry (C.B.C., P.N., K.C.), University of Alabama at Birmingham Sparks Center, Birmingham, Alabama, USA; Department of Child and Adolescent Psychiatry (P.N.), Johns Hopkins.
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