Relationship of Street Drug Use, Hospitalization, and Psychosocial Factors to Low Birthweight Among Low-Income Women

Authors

  • Betty Lia-Hoagberg R.N., Ph.D.,

    1. Betty Lia-Hoagberg is Assistant Professor of Maternal and Child Health, School of Public Health, University of Minnesota, Box 197 Mayo, Minneapolis, MN 55455. Karen Knoll is Program Manager for Maternal Child Health, Sheldon Swaney is Supervisor of Public Health Statistics, and Gertrude Carlson was Assistant Biostatistician. Knoll, Swaney, and Carlson are at the Minneapolis Health Department, and Sara Mullett is a graduate of the School of Public Health, Minneapolis.
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  • Karen Knoll R.N., M.P.H.,

    1. Betty Lia-Hoagberg is Assistant Professor of Maternal and Child Health, School of Public Health, University of Minnesota, Box 197 Mayo, Minneapolis, MN 55455. Karen Knoll is Program Manager for Maternal Child Health, Sheldon Swaney is Supervisor of Public Health Statistics, and Gertrude Carlson was Assistant Biostatistician. Knoll, Swaney, and Carlson are at the Minneapolis Health Department, and Sara Mullett is a graduate of the School of Public Health, Minneapolis.
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  • Sheldon Swaney B.A.,

    1. Betty Lia-Hoagberg is Assistant Professor of Maternal and Child Health, School of Public Health, University of Minnesota, Box 197 Mayo, Minneapolis, MN 55455. Karen Knoll is Program Manager for Maternal Child Health, Sheldon Swaney is Supervisor of Public Health Statistics, and Gertrude Carlson was Assistant Biostatistician. Knoll, Swaney, and Carlson are at the Minneapolis Health Department, and Sara Mullett is a graduate of the School of Public Health, Minneapolis.
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  • Gertrude Carlson B.S.,

    1. Betty Lia-Hoagberg is Assistant Professor of Maternal and Child Health, School of Public Health, University of Minnesota, Box 197 Mayo, Minneapolis, MN 55455. Karen Knoll is Program Manager for Maternal Child Health, Sheldon Swaney is Supervisor of Public Health Statistics, and Gertrude Carlson was Assistant Biostatistician. Knoll, Swaney, and Carlson are at the Minneapolis Health Department, and Sara Mullett is a graduate of the School of Public Health, Minneapolis.
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  • Sara Mullett B.S.N., M.P.H.

    1. Betty Lia-Hoagberg is Assistant Professor of Maternal and Child Health, School of Public Health, University of Minnesota, Box 197 Mayo, Minneapolis, MN 55455. Karen Knoll is Program Manager for Maternal Child Health, Sheldon Swaney is Supervisor of Public Health Statistics, and Gertrude Carlson was Assistant Biostatistician. Knoll, Swaney, and Carlson are at the Minneapolis Health Department, and Sara Mullett is a graduate of the School of Public Health, Minneapolis.
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  • This study was supported by BRSG S07 RR 055448 awarded by the Biomedical Research Support Grant Program, Division of Research Resources, National Institutes of Health.

Abstract

ABSTRACT: A retrospective study was conducted to determine differences in psychosocial and medical factors among low-income women with low and normal birthweight infants. The matched sample included 65 women in each group and data was collected on medical, demographic and detailed psychosocial information. Street drug use and hospitalization during pregnancy were significantly related to low birthweight after matching for 8 factors. Psychosocial factors from a patient's past background included mother's history of drug abuse, poor parenting by her mother and father, and being abused as a child. Psychosocial factors noted during the current pregnancy were major financial concerns, street drug use; poor relationships, particularly with father of the baby; and emotional and physical abuse. Study results suggest the need for more in-depth psychosocial assessment during pregnancy, and prenatal interventions designed to address these special psychosocial factors.

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