Substance Use among Adolescent Mothers: A Review.

dc.contributor.author

Chapman, Shawna L Carroll

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Wu, Li-Tzy

dc.date.accessioned

2020-02-03T04:47:21Z

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2020-02-03T04:47:21Z

dc.date.issued

2013-05

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2020-02-03T04:47:19Z

dc.description.abstract

Maternal substance abuse is a critical problem, and adolescent mothers appear to be at high risk for such behaviors. We review studies on postpartum adolescent substance use to explore the extent of this problem and avenues for new research. Authors screened 1,300 studies, identifying 12 articles on substance use among postpartum adolescent mothers for this review. Adolescent mothers reported greater substance use before pregnancy compared to other adolescent females. Although some adolescents continued substance use during pregnancy, most stopped using only to resume within six months after birth. Comparisons of use to national samples of nulliparous adolescent females showed a higher prevalence of substance use in this population. Substances used often varied by race/ethnicity, with white mothers more likely to smoke cigarettes and use marijuana, and Black mothers more likely than whites to drink and use drugs. Of all identified studies, only one focused on Hispanics. Beliefs about drug use grew less negative as girls transitioned from pregnancy to parenthood. As they transitioned to adulthood, substance use remained prevalent and stable. Psychological distress and low self-esteem appeared to influence continued use. Friends' cigarette smoking predicted early initiation of and persistent smoking, while increased education predicted quitting. Early initiation of substances often predicted problem behaviors. Adolescent mothers are a vulnerable population, implicating use of problem behavior theory or the self-medication hypothesis in future research. Multiple avenues for new studies are needed to help identify effective treatment and intervention for this understudied population.

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0190-7409

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1873-7765

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https://hdl.handle.net/10161/19968

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eng

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Elsevier BV

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Children and youth services review

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10.1016/j.childyouth.2013.02.004

dc.subject

Adolescent

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drug use

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postnatal

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postpartum

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substance abuse

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substance use

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Substance Use among Adolescent Mothers: A Review.

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Journal article

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Wu, Li-Tzy|0000-0002-5909-2259

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806

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815

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5

pubs.organisational-group

School of Medicine

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Duke

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Center for Child and Family Policy

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Sanford School of Public Policy

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Duke Clinical Research Institute

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Institutes and Centers

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Duke Institute for Brain Sciences

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Psychiatry & Behavioral Sciences, Social and Community Psychiatry

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Psychiatry & Behavioral Sciences

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Clinical Science Departments

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Medicine, General Internal Medicine

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Medicine

pubs.publication-status

Published

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35

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