ArticleJournal of addiction medicine
Is Preconception Substance Use Associated With Unplanned or Poorly Timed Pregnancy?
Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 29 citations in OpenAlex.
- Alcohol and drug use and attainment of pregnancy preferences in the southwestern United States: A longitudinal cohort study.Addiction (Abingdon, England) · 2025Article
- Prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda.BMC public health · 2023Article
- Alcohol consumption during pregnancy: the result of a risky consumption trajectory?Cadernos de saude publica · 2023Article
- Association of Prepregnancy Substance Use and Substance Use Disorders with Pregnancy Timing and Intention.Journal of women's health (2002) · 2022Article
- Sex in the Context of Substance Use: A Study of Perceived Benefits and Risks, Boundaries, and Behaviors among Adolescents Participating in an Internet-Based Intervention.Archives of sexual behavior · 2022Article
- Social support reduces the risk of unintended pregnancy in a low-income population.Public health nursing (Boston, Mass.) · 2021Article
- Postpartum contraceptive planning of women with substance abuse disorders.International journal of clinical pharmacy · 2021Article
- Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon.Scientific reports · 2021Article
- Gender Differences in Factors Influencing Self-Efficacy Toward Pregnancy Planning among College Students in Korea.International journal of environmental research and public health · 2020Article
- Is Periconceptional Substance Use Associated with Unintended Pregnancy?Women's health reports (New Rochelle, N.Y.) · 2020Article
- Preconception Substance Use and Risk of Unintended Pregnancy: Pregnancy Risk Assessment Monitoring System 2016-17.Journal of addiction medicineArticle
- Adverse Childhood Experiences and Pregnancy Intentions among Pregnant Women Seeking Prenatal Care.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveUnplanned and poorly timed pregnancies are associated with adverse maternal and neonatal outcomes. Further understanding of preconception substance use with unplanned and poorly timed pregnancy is warranted.
methodsData were analyzed from a prospective study enrolling women early in pregnancy. Preconception tobacco, alcohol, marijuana, opioid, and cocaine use was ascertained. Participants reported whether their current pregnancy was planned and whether it was a good time to be pregnant. Multivariable logistic regression modeling generated risk estimates for preconception substance use, and pregnancy planning and timing, adjusting for confounders.
resultsOverall, 37.2% reported unplanned pregnancy, 13.0% poorly timed pregnancy, and 39.0% reported either unplanned and/or poorly timed pregnancy. Within 6 months preconception, one-fifth (20.2%) reported nicotine cigarette use. In the month before conception, 71.8% reported alcohol use, 6.5% marijuana, and approximately 1% opioid or cocaine use. Multivariable analysis demonstrated preconception opioid use was associated with increased odds of poorly timed pregnancy (odds ratio [OR] 2.87, 95% confidence interval [CI] 1.03-7.99). Binge drinking the month before conception was associated with increased odds of poorly timed pregnancy and unplanned pregnancy (OR 1.75, 95% CI 1.01-3.05; and OR 1.68, 95% CI 1.01-2.79, respectively). Marijuana use 2 to 3 times in the month preconception was associated with increased risk of unplanned pregnancy, and unplanned and/or poorly timed pregnancy compared with nonuse (OR 1.78, 95% CI 1.03-3.08; and OR 1.79, 95% CI 1.01-3.17, respectively). Preconception tobacco or cocaine use was not associated with unplanned or poorly timed pregnancy following adjustment.
conclusionsWe demonstrate increased odds of unplanned or poorly timed pregnancy among women with preconception binge drinking, marijuana use, and opioid use; however, no association is observed with other substances after multivariable adjustment, including tobacco. Further research to evaluate high-level preconception substance use and substance disorders with pregnancy planning and timing is warranted. Focused efforts optimizing preconception health behaviors and reducing risk of unplanned or poorly timed pregnancy are needed.
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Registered trials
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