Chronic drug use and reproductive health care among low-income women in Miami, Florida

A comparative study of access, need, and utilization

Lee A. Crandall, Lisa R. Metsch, Clyde B McCoy, Dale D. Chitwood, Hayley Tobias

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Interviews of low-income women in Miami, FL, addressed reproductive health issues in a stratified, network-referred sample of chronic drug users (CDUs) and socially and ethnically similar women who were not CDUs. Women who were not CDUs were significantly more likely to report a regular source of health care than CDUs. About one third of each group reported experiencing reproductive health problems (other than pregnancy) in the 12 months preceding their interview. Chronic drug users were twice as likely to report that these problems remained untreated. Measures of use of preventive services (physical exam, breast exam, pelvic exam, family planning visit) consistently showed lower use by CDUs. A higher proportion of women who were not CDUs reported pregnancies in the 12 months preceding interview. The 32 pregnant CDUs were much less likely to have received prenatal care than the 42 pregnant women who were not CDUs. For women who reported a pregnancy in the year preceding interview, logistic regression analysis showed a strong and robust negative effect of being a CDU on receiving prenatal care even when the effects of having a usual source of care and having third-party coverage were controlled.

Original languageEnglish
Pages (from-to)321-331
Number of pages11
JournalJournal of Behavioral Health Services and Research
Volume30
Issue number3
StatePublished - Jul 1 2003

Fingerprint

Reproductive Health
Drug Users
drug use
low income
utilization
health care
drug
Delivery of Health Care
Pharmaceutical Preparations
Interviews
pregnancy
Prenatal Care
interview
Pregnancy
Gynecological Examination
Family Planning Services
health
family planning
Pregnant Women
regression analysis

ASJC Scopus subject areas

  • Health(social science)
  • Health Professions(all)

Cite this

Chronic drug use and reproductive health care among low-income women in Miami, Florida : A comparative study of access, need, and utilization. / Crandall, Lee A.; Metsch, Lisa R.; McCoy, Clyde B; Chitwood, Dale D.; Tobias, Hayley.

In: Journal of Behavioral Health Services and Research, Vol. 30, No. 3, 01.07.2003, p. 321-331.

Research output: Contribution to journalArticle

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