Substance Use in Pregnancy: Luna County, NM September 2008 – June 2013 Ira J. Chasnoff, MD

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Presentation transcript:

Substance Use in Pregnancy: Luna County, NM September 2008 – June 2013 Ira J. Chasnoff, MD

Population N 2,395 N 2,395 Mean age22.8 years (12 – 49) Mean age22.8 years (12 – 49) Payment Payment Medicaid60% Medicaid60% Self-pay24% Self-pay24% DoH11% DoH11% Commercial 6% Commercial 6% Race/ethnicity Race/ethnicity Hispanic84% Hispanic84% Caucasian/non-Hispanic14% Caucasian/non-Hispanic14% Other 2% Other 2% (C) NTI Upstream, 2013

Screening Results (N = 2,395) Positive Screen: 35% (C) NTI Upstream, 2013

Polydrug Use Patterns Among Women with a Positive Screen (C) NTI Upstream, 2013

Assessment Results (C) NTI Upstream, 2013

Assessment Results: Alcohol (C) NTI Upstream, 2013

Alcohol Use Patterns After Knowledge of Pregnancy (N=380) (C) NTI Upstream, 2013

Substance Use Rates by Provider Site (C) NTI Upstream, 2013

Substance Use by Insurance (C) NTI Upstream, 2013

Substance Use by Age (C) NTI Upstream, 2013

Depression 16% Domestic Violence 8% (C) NTI Upstream, 2013

Substance Use by DV and Depression (C) NTI Upstream, 2013

State Data (C) NTI Upstream, 2013

Substance Use Rates by Race/Ethnicity p<.0001 (C) NTI Upstream, 2013

Hispanic Women: A National View (C) NTI Upstream, 2013

Substance Use Rates by Primary Language among Hispanic Women (N = 2,000) p<.001 (C) NTI Upstream, 2013

Substance Use Rates Among Hispanic Women by Primary Language: LC vs. Other Sites (C) NTI Upstream, 2013