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Substance, Alcohol and Tobacco Misuse and Associated Syndemic Issues in Maternal Populations

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Women's Health".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 14680

Special Issue Editor

Dr. Yukiko Washio

E-Mail Website
Guest Editor
Substance Use, Gender and Applied Research, RTI International, Research Triangle Park, NC 27709, USA
Interests: maternal infant health; women’s health; substance, alcohol and tobacco misuse; gender-based violence; syndemic issues; breastfeeding

Special Issue Information

Dear Colleagues,

In the last year, behavioral, psychosocial, and mental health have been severely impacted by the COVID-19 pandemic, resulting in increases in overall health disparities, particularly substance and alcohol misuse, gender-based violence, and other associated syndemic issues among women living in underserved communities. The evidence so far suggests that women who misuse substance, alcohol, and tobacco are more likely to be exposed to gender-based violence and other associated syndemic issues, including HIV/AIDS, sexually transmitted infections (STI), and mental health issues. Maternal populations, including women who are pregnant or those who are postpartum for less than one year, are not an exception, facing additional health consequences such as adverse gestational, birth, and infant outcomes as a result of exposure to misuse during pregnancy and lactation. More research is needed especially in the state of art on substance, alcohol, and tobacco co-use, as well as associated syndemic issues, including HIV/AIDS, STI, mental health, and maternal infant health issues; changes in these matters since COVID-19; interventions that address these matters; use of telehealth or telemedicine to address these matters relevant to COVID-19; and implementation and cost-effectiveness of effective interventions. Papers addressing these topics in the form of cross-sectional studies, clinical trials, intervention development studies, implementation studies, systematic reviews, and meta-analyses are invited for this Special Issue, especially those with a high academic standard, developing concrete and practical suggestions and solutions for improvements.

Dr. Yukiko Washio
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Substance misuse
  • Alcohol misuse
  • Tobacco misuse
  • Gender-based violence
  • HIV/AIDS
  • STI
  • Mental health
  • Pregnancy
  • Postpartum
  • Breastfeeding
  • Lactation
  • Gestational outcomes
  • Birth outcomes
  • Infant outcomes

Published Papers (5 papers)

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Research

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12 pages, 354 KiB  
Article
Feasibility and Acceptability of Using Ecological Momentary Assessment to Evaluate Alcohol Use with American Indian Women
by Jessica D. Hanson, Amy Harris, Rebecca J. Gilbertson, Megan Charboneau and Marcia O’Leary
Int. J. Environ. Res. Public Health 2023, 20(12), 6071; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph20126071 - 07 Jun 2023
Cited by 1 | Viewed by 1399
Abstract
Background: Ecological momentary assessments (EMA) are one way to collect timely and accurate alcohol use data, as they involve signaling participants via cell phones to report on daily behaviors in real-time and in a participant’s natural environment. EMA has never been used with [...] Read more.
Background: Ecological momentary assessments (EMA) are one way to collect timely and accurate alcohol use data, as they involve signaling participants via cell phones to report on daily behaviors in real-time and in a participant’s natural environment. EMA has never been used with American Indian populations to evaluate alcohol consumption. The purpose of this project was to determine the feasibility and acceptability of EMA for American Indian women. Methods: Eligible participants were American Indian women between the ages of 18 and 44 who were not pregnant and had consumed more than one drink within the past month. All participants received a TracFone and weekly automated messages. Self-reported measures of daily quantity and frequency of alcohol consumption, alcohol type, and context were assessed once per week for four weeks. Baseline measurements also included the Drinking Motives Questionnaire-Revised (DMQ-R) and the Interpersonal Support Evaluation List (ISEL). Results: Fifteen participants were enrolled in the study. All but one participant completed all data collection time points, and drinking patterns were consistent across the study period. A total of 420 records were completed across 86 drinking days and 334 non-drinking days. Participants reported drinking an average of 5.7 days over the 30-day period and typically consumed 3.99 drinks per drinking occasion. Sixty-six percent of participants met gender-specific cut-points for heavy episodic drinking, with an average of 2.46 binge drinking occasions across the four week study period. Conclusions: This proof-of-concept project showed that EMA was both feasible and acceptable for collecting alcohol data from American Indian women. Additional studies are necessary to fully implement EMA with American Indian women to better understand the drinking motives, contexts, patterns, and risk factors in this population. Full article
(This article belongs to the Special Issue Substance, Alcohol and Tobacco Misuse and Associated Syndemic Issues in Maternal Populations)
13 pages, 348 KiB  
Article
Major Depression in Postpartum Women during the COVID-19 Pandemic: Can Social Support Buffer Psychosocial Risks and Substance Use?
by Krista J. Howard, Caleb Leong, Sidney Chambless, Timothy J. Grigsby, Millie Cordaro, Jessica K. Perrotte and Jeffrey T. Howard
Int. J. Environ. Res. Public Health 2022, 19(23), 15748; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph192315748 - 26 Nov 2022
Cited by 5 | Viewed by 1772
Abstract
Rates of mood disorders and substance use increased during the COVID-19 pandemic for postpartum women. The present study’s aims were to: (1) examine the prevalence of major depressive disorder (MDD) in postpartum women during the COVID-19 pandemic, and (2) evaluate whether social support [...] Read more.
Rates of mood disorders and substance use increased during the COVID-19 pandemic for postpartum women. The present study’s aims were to: (1) examine the prevalence of major depressive disorder (MDD) in postpartum women during the COVID-19 pandemic, and (2) evaluate whether social support can buffer the associations between MDD, psychosocial factors (perceived stress, generalized anxiety, and intimate partner violence) and substance use (alcohol and drug use). A nationwide survey included 593 postpartum mothers (within 12 months from birth). Participants were assessed for a provisional diagnosis of MDD, and provided responses on validated instruments measuring stress, intimate partner violence, suicidal ideation, generalized anxiety, social support, and substance use. A hierarchical logistic regression model assessed the association of psychosocial factors and substance use with MDD. The final model shows that social support attenuates the association of MDD with perceived stress, alcohol use, and drug use, but does not buffer the relationship of MDD with anxiety or intimate partner violence. Social support was shown to significantly attenuate the effects of stress, alcohol use, and drug use on MDD, suggesting that the presence of a strong, supportive social network should be an area of increased focus for public health and healthcare professionals when caring for postpartum women. Full article
(This article belongs to the Special Issue Substance, Alcohol and Tobacco Misuse and Associated Syndemic Issues in Maternal Populations)

Review

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14 pages, 755 KiB  
Review
Are the Effects of DES Over? A Tragic Lesson from the Past
by Pilar Zamora-León
Int. J. Environ. Res. Public Health 2021, 18(19), 10309; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph181910309 - 30 Sep 2021
Cited by 17 | Viewed by 5145
Abstract
Diethylstilbestrol (DES), a transplacental endocrine-disrupting chemical, was prescribed to pregnant women for several decades. The number of women who took DES is hard to know precisely, but it has been estimated that over 10 million people have been exposed around the world. DES [...] Read more.
Diethylstilbestrol (DES), a transplacental endocrine-disrupting chemical, was prescribed to pregnant women for several decades. The number of women who took DES is hard to know precisely, but it has been estimated that over 10 million people have been exposed around the world. DES was classified in the year 2000 as carcinogenic to humans. The deleterious effects induced by DES are very extensive, such as abnormalities or cancers of the genital tract and breast, neurodevelopmental alterations, problems associated with socio-sexual behavior, and immune, pancreatic and cardiovascular disorders. Not only pregnant women but also their children and grandchildren have been affected. Epigenetic alterations have been detected, and intergenerational effects have been observed. More cohort follow-up studies are needed to establish if DES effects are transgenerational. Even though DES is not currently in use, its effects are still present, and families previously exposed and their later generations deserve the continuity of the research studies. Full article
(This article belongs to the Special Issue Substance, Alcohol and Tobacco Misuse and Associated Syndemic Issues in Maternal Populations)
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15 pages, 510 KiB  
Review
Neonatal Outcomes after Combined Opioid and Nicotine Exposure in Utero: A Scoping Review
by Krystyna R. Isaacs, Sravanthi Atreyapurapu, Amal H. Alyusuf, David M. Ledgerwood, Loretta P. Finnegan, Katie H. K. Chang, Tony X. Ma and Yukiko Washio
Int. J. Environ. Res. Public Health 2021, 18(19), 10215; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph181910215 - 28 Sep 2021
Cited by 7 | Viewed by 2303
Abstract
Background: The majority of women who are pregnant with opioid use disorder (OUD) also smoke tobacco but are rarely offered tobacco cessation counseling. While the effects of exposure to opioids and nicotine in utero are well-understood separately, understanding the impact of the combined [...] Read more.
Background: The majority of women who are pregnant with opioid use disorder (OUD) also smoke tobacco but are rarely offered tobacco cessation counseling. While the effects of exposure to opioids and nicotine in utero are well-understood separately, understanding the impact of the combined exposure to these substances on neonatal outcomes is lacking. Methods: A scoping review was conducted using PubMed and Scopus databases for studies addressing the combined exposure to opioids and nicotine during pregnancy published between 1 January 1980 and 9 July 2019. A total of 29 papers met the eligibility criteria for inclusion, with nine being identified as clinical trials (three from the MOTHER study) and two as secondary data analysis of clinical trial data. Results: Neonatal outcomes for infants who had a combined exposure to opioids and nicotine in utero indicated a reduction in birth weight and birth length. Findings in infants exposed to both nicotine and opioids were mixed with regard to the duration of neonatal abstinence syndrome (NAS), the likelihood of treatment for NAS, doses of medicine used to treat NAS, and NAS scores when compared with infants who had opioid exposure without nicotine. Conclusions: The combined exposure to nicotine and opioids during pregnancy may lead to a reduction in neonatal birth weight and birth length and more severe NAS signs, compared with opioid use alone, but more research is necessary to identify the minimum dosage and length of nicotine exposure to accurately predict these outcomes. Full article
(This article belongs to the Special Issue Substance, Alcohol and Tobacco Misuse and Associated Syndemic Issues in Maternal Populations)
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Other

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5 pages, 269 KiB  
Brief Report
Antiretroviral Therapy (ART) Adherence and Prenatal Alcohol Use among Women Who Are Pregnant with HIV in South Africa
by Yukiko Washio, Felicia A. Browne, Jacqueline Ndirangu, Tracy L. Kline and Wendee M. Wechsberg
Int. J. Environ. Res. Public Health 2021, 18(14), 7446; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18147446 - 13 Jul 2021
Cited by 1 | Viewed by 2689
Abstract
This brief report emphasizes the need to focus on women with HIV who are pregnant who use alcohol or other drugs. A recently completed implementation science study tested a gender-focused behavioral intervention, the Women’s Health CoOp (WHC), to improve antiretroviral therapy (ART) adherence [...] Read more.
This brief report emphasizes the need to focus on women with HIV who are pregnant who use alcohol or other drugs. A recently completed implementation science study tested a gender-focused behavioral intervention, the Women’s Health CoOp (WHC), to improve antiretroviral therapy (ART) adherence and reduce alcohol use among women with HIV. The study identified 33 participants who had a positive pregnancy test result at the baseline assessment, of whom five participants remained pregnant during the 6-month duration of the study. Of the 33 pregnant participants at the baseline assessment, 55% reported past-month alcohol use, with 27% reporting a history of physical abuse and 12% reporting a history of sexual abuse. The five women who remained pregnant at 6 months showed improved ART adherence and reduced prenatal alcohol use. The gender-focused WHC intervention shows promise as a cost-effective, sustainable, behavioral intervention to address these intersecting syndemic issues. Future research should focus on identifying the needs of women with HIV who are pregnant who use alcohol or other drugs and developing tailored evidence-based behavioral interventions such as the WHC for preventing FASD in addition to improving ART adherence in this key population of women and reducing the economic burden on society. Full article
(This article belongs to the Special Issue Substance, Alcohol and Tobacco Misuse and Associated Syndemic Issues in Maternal Populations)
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