Cited by 125Maternal Mental Health During Pregnancy and PostpartumSubstance Abuse Treatment and OutcomesPrenatal Substance Exposure Effects

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Postpartum Substance Use and Depressive Symptoms: A Review

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Chapman, Shawna L. Carroll, Wu, Li-Tzy·2013·Women & Health

DOI 10.1080/03630242.2013.804025PMC PMC3742364

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Abstract

National survey data suggest that new mothers have high prevalences of alcohol and illicit drug use. Depression correlates with substance use, and new mothers with postpartum depression may be at high risk for substance use. Understanding postpartum substance use and its relationship to postpartum depression can inform future research and intervention. A literature search was conducted resulting in 12 studies published from 1999-2012 examining postpartum alcohol use, drug use, or combined postpartum depression and substance use. Postpartum alcohol (prevalence range 30.1%-49%) and drug use (4.5%-8.5%) were lower than use among not pregnant, not postpartum women (41.5%-57.5%, 7.6%-10.6%, respectively) but higher than use among pregnant women (5.4%-11.6%, 3.7%-4.3%, respectively). Correlates of postpartum problem drinking were being unemployed, unmarried, and a cigarette smoker. Prevalence of drug use was highest among white new mothers, followed by blacks and Hispanics, but black new mothers appeared at greater risk of drug use. No identified studies examined correlates of postpartum drug use beyond race/ethnicity. Postpartum depressive symptoms were prevalent among postpartum substance users and those with a substance use history (19.7%-46%). The postpartum period is a critical time. Prevalent substance use and the scarcity of studies warrant research to identify means to reduce maternal substance use.

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Authors: Chapman, S. L. C., & Wu, L.-T.
Affiliations: Duke University (US)
Corresponding author: Chapman, Shawna L. Carroll
ORCID: Wu, Li-Tzy
Venue: Women & Health
Publisher: Informa UK Limited
Published: 2013-07
Volume: 53
Issue: 5
Pages: 479-503
ISSN: 0363-0242 (ISSN-L)
1541-0331
DOI: 10.1080/03630242.2013.804025
PMC: PMC3742364
OpenAlex: W1981164640
Cited by: 125
References: 45
Citations by year: 2026: 5 · 2025: 11 · 2024: 15 · 2023: 13 · 2022: 19 · 2021: 21 · 2020: 10 · 2019: 13 · 2018: 6 · 2017: 5 · 2016: 1 · 2015: 2 · 2014: 4
FWCI: 2.38
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Women & Health (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R01DA019623, R33DA027503, R01DA019901)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Keywords: postpartum depression, illicit drug use, maternal substance use, depressive symptoms, prevalence, racial and ethnic differences, smoking, unemployment, marital status, pregnant women
MeSH terms: Adaptation, Psychological, Alcohol Drinking, Female, Humans, Mothers, Pregnancy, Depression, Postpartum, Substance-Related Disorders, Postpartum Period

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