Adolescent substance use and unplanned pregnancy: strategies for risk reduction.

Autor:	Connery HS; Division of Alcohol and Drug Abuse, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA. Electronic address: hconnery@mclean.harvard.edu., Albright BB; Massachusetts General Hospital/McLean Hospital Adult Psychiatry Residency Program, 15 Parkman Street, Wang 812, Boston, MA 02114, USA., Rodolico JM; Division of Child and Adolescent Psychiatry, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA; Clinical Psychology, Harvard Medical School, Boston, MA, USA.
Jazyk:	angličtina
Zdroj:	Obstetrics and gynecology clinics of North America [Obstet Gynecol Clin North Am] 2014 Jun; Vol. 41 (2), pp. 191-203. Date of Electronic Publication: 2014 Apr 06.
DOI:	10.1016/j.ogc.2014.02.011
Abstrakt:	Substance use among adolescents increases the risk of unplanned pregnancies, which then increases the risk of fetal exposure to addictive, teratogenic substances. Specific interventions are necessary to target pregnancy planning and contraception among reproductive-age substance users. Screening for substance use using the CRAFFT is recommended in all health care settings treating adolescent patients. Screening for tobacco and nicotine use is also recommended along with the provision of smoking cessation interventions. Using motivational interviewing style and strategies is recommended to engage adolescents in discussions related to reducing substance use, risky sexual behavior, and probability of unplanned pregnancy or late-detection pregnancy. (Copyright © 2014 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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