We examined the risk and protective factors and mental health problems of 105 low SES, urban adolescents whose mothers were coping with alcohol abuse and other drug problems. Approximately half of the mothers were also HIV-infected. As hypothesized, there were few differences between adolescents of HIV-infected and HIV-uninfected mothers in background characteristics, mental health issues and current substance use risk behaviors. In addition to maternal substance abuse, youth in both groups experienced similar risk factors including early foster care placement and high levels of maltreatment. Current patterns of emerging risk behaviors were evident among youth in both groups as well as signs of resiliency including high levels of school attendance. These results underscore the importance of interventions for youth of substance abusing mothers, particularly those living in urban poverty.
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http://dx.doi.org/10.1016/j.adolescence.2007.07.001 | DOI Listing |
Attention-deficit/hyperactivity disorder (ADHD) is a treatable pediatric condition, but children with racial-ethnic minority backgrounds often do not receive timely or consistent treatment. Understanding how systemic racism impacts care and learning from families of color about their experiences can provide critical insights for improving clinical practice and engaging patients equitably in ADHD care. We interweave a mother's experience navigating ADHD care for her son with commentary from an interprofessional team about what clinicians can do for families to reduce the impact of systemic racism on care.
View Article and Find Full Text PDFSubst Use Misuse
January 2025
Substance Use, Gender and Applied Research, RTI International, Research Triangle Park, NC, USA.
Recognizing the severe consequences of alcohol consumption during pregnancy, such as fetal alcohol spectrum disorders (FASDs), the present study explored the role of drinking attitudes, trait impulsivity, and decision-making toward instant gratification in alcohol craving and consumption during pregnancy among mothers of reproductive age. Utilizing participants from Amazon Mechanical Turk ( = 141), we first categorized mothers into three groups: those who neither craved nor consumed alcohol during their last pregnancy, those who craved but did not consume, and those who craved and consumed alcohol. Using binomial logistic regression, we then examined what factors, if any, could differentiate between (a) mothers who craved alcohol during pregnancy and those who did not and (b) mothers who resisted alcohol cravings and those who yielded to them.
View Article and Find Full Text PDFEnviron Res
January 2025
Department of Environmental and Occupational Health, University of California, Irvine, CA, USA; Department of Statistics, University of California, Irvine, CA, USA; Department of Epidemiology and Biostatistics, University of California, Irvine, CA, USA.
When drinking water is uncontaminated, exposure to PFAS is thought to occur primarily via ingestion of food and indoor dust. To understand the background exposure during prenatal periods, this study examined whether published estimates of PFAS exposure rates from dietary and dust ingestion provide reasonable predictions of PFAS serum concentrations among pregnant women in the general population. This study estimated serum concentrations of four PFAS during pregnancy based on published PFAS intake rates for food and indoor dust reported in the peer-reviewed literature, a pharmacokinetic model using two different sets of parameters, and Monte Carlo simulation to account for variability/uncertainty.
View Article and Find Full Text PDFSouth Med J
January 2025
Department of Obstetrics and Gynecology, East Tennessee State University, Johnson City.
Objectives: In this study, buprenorphine was the primary source of maternal opioid exposure at the time of initial prenatal evaluation. Current recommendations advise that level II ultrasounds be performed in patients with substance use disorders. For some patients, distance, transportation, and costs associated with obtaining ultrasounds from a specialist pose significant barriers.
View Article and Find Full Text PDFMatern Health Neonatol Perinatol
January 2025
Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, USA.
Background: Perinatal mental health conditions and substance use are leading causes, often co-occurring, of pregnancy-related and pregnancy-associated deaths in the United States. This study compares odds of hospitalization with a mental health condition or substance use disorder or both during the first year postpartum between patients with and without severe maternal morbidity (SMM) during delivery hospitalization.
Methods: Data are from the Maryland's State Inpatient Database and include patients with a delivery hospitalization during 2016-2018 (n = 197,749).
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