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Factors associated with attrition rate in a supportive care service for substance using pregnant women in Brazil
Author(s) -
Avilla Rosa Marina,
Surjan Juliana,
de Fátima Ratto Padin Maria,
Canfield Martha,
Laranjeira Ronaldo Ramos,
Mitsuhiro SandroSendin
Publication year - 2017
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/ajad.12579
Subject(s) - attrition , medicine , substance use , pregnancy , psychological intervention , prenatal care , family medicine , service (business) , psychiatry , environmental health , population , genetics , economy , dentistry , economics , biology
Background and Objectives Retaining substance using women in antenatal care remains a major challenge. This study explored factors associated with attrition rate among women with substance use problems attending a supportive care service during pregnancy and soon after the birth of the infant. Methods Records of 166 women's antenatal consultations were analyzed. Results Attrition rate was high (75/166, 45.2%), and was associated with women having no schooling/primary schooling only, no family contact, having child(ren), crack‐cocaine use, poly drug use, and substance use problems by the expected child's father. Discussion and Conclusions Attrition may be the outcome of socio‐demographic, family, individual, and substance use issues not fully addressed in prenatal interventions. Scientific Significance Identification of who are at risk for dropping out affords services with an opportunity to prevent its occurrence. (Am J Addict 2017;26:676–679)