不同種族婦女懷孕期間物質使用和身體受虐的情況與其嬰兒出生體重之關係

The Prevalence of Substance Use and Physical Abuse during Pregnancy and the Effects on Birth Weight in Ethnic Groups

陳瓊華(Chiung-Hua Chen) ； 徐南麗(Nan-Ly Hsu) ； 楊燦(Tsan Yang) ； 鍾蝶起(Tieh-Chi Chung)

《台灣公共衛生雜誌》 26卷1期 (2007/02) Pp. 58-65

https://doi.org/10.6288/TJPH2007-26-01-07

摘要

Objectives: Substance use and physical abuse during pregnancy are known health problems that detrimentally affect maternal health and birth outcomes; however, many health professionals pay little attention to these problems. The aims of this study were to estimate the prevalence of substance use and physical abuse during pregnancy in different ethnic groups and to explore the effects on birth weight. Methods: A total of 481 pregnant women from the Taitung area, including 112 aboriginal and 369 Fukien-Taiwanese women, were recruited between November 2000 and August 2001. A substance use questionnaire, an abuse assessment screening questionnaire, and socio-demographic data were used in the analysis. Results: The prevalence of substance use in aboriginal women during pregnancy was significantly higher than in Fukien-Taiwanese women. There was also a significantly higher rate of physical abuse in aboriginal women (p＜0.001). We determined that the birth weight was significantly lower in newborns of mothers who smoked cigarettes or chewed betel quid during pregnancy (p＜0.05), but there was no significant association between birth weight and physical abuse. Conclusions: The findings of this study increases knowledge about substance use and physical abuse in pregnant women and provides an incentive to promote maternal and infant health care in the community, especially in aboriginal women.

關鍵字

物質使用 ； 受虐 ； 出生體重 ； 原住民

並列摘要

Objectives: Substance use and physical abuse during pregnancy are known health problems that detrimentally affect maternal health and birth outcomes; however, many health professionals pay little attention to these problems. The aims of this study were to estimate the prevalence of substance use and physical abuse during pregnancy in different ethnic groups and to explore the effects on birth weight. Methods: A total of 481 pregnant women from the Taitung area, including 112 aboriginal and 369 Fukien-Taiwanese women, were recruited between November 2000 and August 2001. A substance use questionnaire, an abuse assessment screening questionnaire, and socio-demographic data were used in the analysis. Results: The prevalence of substance use in aboriginal women during pregnancy was significantly higher than in Fukien-Taiwanese women. There was also a significantly higher rate of physical abuse in aboriginal women (p＜0.001). We determined that the birth weight was significantly lower in newborns of mothers who smoked cigarettes or chewed betel quid during pregnancy (p＜0.05), but there was no significant association between birth weight and physical abuse. Conclusions: The findings of this study increases knowledge about substance use and physical abuse in pregnant women and provides an incentive to promote maternal and infant health care in the community, especially in aboriginal women.

並列關鍵字

substance use ； physical abuse ； birth weight ； aborigines

參考文獻

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Amaro H,Fried LE,Cabral H,Zuckerman B(1987).Violence during pregnancy and substance use.(Am J Public Health).

Armstrong BG,McDonald AD,Sloan M(1992).Cigarette, alcohol and coffee consumption and spontaneous abortion.(Am J Public Health).

Berenson AB,Stiglich NJ,Wilkinson GS,Anderson GD(1991).Drug abuse and other risk factors for physical abuse in pregnancy among white non-Hispanic, black, and Hispanic women.(Am J Obstet Gynecol).