OBJECTIVE The American College of Obstetricians and Gynecologists (ACOG) recommends providers screen their prenatal patients for 11 psychosocial issues because they affect patient mental and physical well-being. The prevalence and co-occurrence of these issues have rarely been compared among pregnant women who do and do not report recent illicit substance use. METHOD Seven psychosocial issues identified by ACOG were operationalized using National Survey on Drug Use and Health variables. We report weighted prevalence and adjusted risk ratios (ARR) for these issues in pregnant women who did versus did not report past-month illicit substance use. RESULTS Pregnant women (n = 3,657) who reported past-month illicit substance use (6.3%; 95% CI [5.4-7.3]) had significantly higher prevalence of almost all psychosocial issues examined, including past-month cigarette smoking (44.9% versus 9.5%; ARR = 2.84, 95% CI [2.21-3.65]); past-month alcohol use, 36.1% versus 7.9%; ARR = 4.71 (3.59-6.18); serious past-month distress, 23.0% versus 5.0%; ARR = 3.51 (2.39-5.15); no health insurance, 11.7% versus 6.2%; ARR = 1.71 (1.07-2.74); and receipt of food stamps, 45.0% versus 24.0%; ARR = 1.40 (1.18-1.67). Moving 3 + times in the past year followed a similar pattern, but results were compatible with there being no difference, 10.6% versus 5.5%; ARR = 1.39 (0.86-2.25). The majority of pregnant women reporting illicit substance use endorsed experiencing ≥ 2 psychosocial issues while the majority of those who did not report illicit substance use did not endorse any. CONCLUSIONS Pregnant women who use illicit substances experience higher prevalence and greater co-occurrence of psychosocial issues compared to those who do not, reinforcing recommendations for multidisciplinary approaches to care. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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使用和不使用非法药物的孕妇中心理社会问题的患病率。

目的 美国妇产科医师学会 (ACOG) 建议医疗服务提供者对产前患者进行 11 项社会心理问题筛查，因为这些问题会影响患者的身心健康。很少对最近报告和未报告非法药物使用的孕妇之间这些问题的普遍性和同时发生进行比较。方法 ACOG 确定的七个社会心理问题通过国家药物使用和健康变量调查得以实施。我们报告了过去一个月报告非法药物使用情况和未报告非法物质使用情况的孕妇中这些问题的加权患病率和调整后风险比 (ARR)。结果 报告过去一个月非法药物使用的孕妇（n = 3,657）（6.3%；95% CI [5.4-7.3]）几乎所有受检查的心理社会问题的患病率均显着较高，包括过去一个月吸烟（44.9% vs. 9.5%；ARR = 2.84，95% CI [2.21-3.65]）；过去一个月的饮酒情况，分别为 36.1% 和 7.9%；ARR = 4.71 (3.59-6.18)；过去一个月有严重困扰，分别为 23.0% 和 5.0%；ARR = 3.51（2.39-5.15）；没有健康保险，分别为 11.7% 和 6.2%；ARR = 1.71（1.07-2.74）；收到食品券，分别为 45.0% 和 24.0%；ARR = 1.40 (1.18-1.67)。去年搬家 3 次以上也遵循类似的模式，但结果与没有差异一致，分别为 10.6% 和 5.5%；ARR = 1.39 (0.86-2.25)。大多数报告非法药物使用的孕妇表示经历过 ≥ 2 种社会心理问题，而大多数未报告非法药物使用的孕妇则不表示有任何心理问题。结论 与不使用非法药物的孕妇相比，使用非法药物的孕妇出现心理社会问题的几率更高，同时出现的情况也更多，这强化了对多学科护理方法的建议。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。