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. 2022 Sep 19;176(11):1123–1130. doi: 10.1001/jamapediatrics.2022.3396

Table. Characteristics of Women Reporting Prenatal Substance Use by State Prenatal Substance Use Policies for 4155 Birthsa.

Characteristic Child abuse policy only (n = 987 births) Mandated reporting policy only (n = 610 births) Both policies (n = 1276 births) Neither policy (n = 1282 births)
No. % (95% CI) No. % (95% CI) No. % (95% CI) No. % (95% CI)
Age, y
18-24 298 32.2 (28.1-36.4) 166 31.6 (24.3-38.9) 407 31.0 (26.7-35.4) 408 35.9 (31.6-40.2)
25-29 331 34.3 (30.2-38.4) 213 36.2 (28.9-43.5) 436 31.9 (27.4-36.4) 407 30.9 (26.9-35.0)
30-34 243 23.0 (19.5-26.6) 143 16.7 (12.0-21.4) 289 23.4 (19.4-27.3) 298 22.4 (18.8-26.1)
≥35 115 10.5 (7.9-13.0) 88 15.5 (9.9-21.1) 144 13.7 (10.3-17.2) 169 10.7 (8.2-13.3)
Education
<High school 172 17.8 (14.3-21.3) 92 20.4 (13.3-27.5) 208 13.7 (10.5-16.9) 184 14.0 (10.9-17.2)
High school diploma or GED 335 38.7 (34.4-42.9) 204 32.6 (25.7-39.4) 442 36.7 (31.9-41.4) 476 37.8 (33.5-42.1)
Some college or more 475 43.5 (37.1-50.0) 305 47.1 (35.8-58.3) 607 49.6 (41.6-57.7) 613 48.2 (41.1-55.3)
Per capita household income (quartiles)
<$4000 223 21.6 (18.0-25.2) 98 15.3 (9.4-21.2) 248 16.1 (12.4-19.7) 240 21.7 (17.9-25.5)
$4000 to <$8000 218 23.1 (19.3-26.8) 163 31.9 (24.6-39.3) 319 24.0 (20.0-28.0) 316 26.6 (22.5-30.7)
$8000 to <$15 000 244 28.5 (24.5-32.5) 150 26.4 (19.5-33.3) 345 30.1 (25.6-34.6) 319 25.2 (21.3-29.1)
≥$15 000 235 26.8 (23.0-30.7) 180 26.4 (20.6-32.2) 277 29.9 (25.3-34.4) 328 26.5 (22.5-30.4)
Race and ethnicity
Non-Hispanic Black 192 19.6 (16.3-22.9) 115 16.3 (11.0-21.5) 401 15.0 (13.1-17.0) 80 5.9 (3.9-8.0)
Hispanic 71 6.9 (5.0-8.8) 44 6.6 (2.6-10.5) 131 7.4 (5.8-9.1) 78 5.9 (3.7-8.0)
Non-Hispanic White 500 64.5 (60.6-68.3) 259 68.5 (62.5-74.5) 346 65.6 (63.1-68.2) 929 80.7 (77.4-84.0)
Other or multiple raceb 222 9.0 (7.0-11.1) 185 8.7 (6.5-10.9) 385 11.9 (10.5-13.3) 188 7.5 (5.5-9.5)
Pregnancy intention
Not intended 606 63.1 (58.9-67.3) 351 59.3 (52.3-66.4) 745 54.0 (49.2-58.9) 719 56.6 (52.2-61.0)
Intended 357 36.9 (32.7-41.1) 245 40.7 (33.6-47.7) 512 46.0 (41.1-50.8) 545 43.4 (39.0-47.8)
Felt down or depressed before pregnancy
No 632 65.4 (61.3-69.5) 376 61.0 (53.5-68.5) 847 64.1 (59.3-68.9) 764 62.3 (58.0-66.6)
Yes 348 34.6 (30.5-38.7) 229 39.0 (31.5-46.5) 417 35.9 (31.1-40.7) 514 37.7 (33.4-42.0)
Experienced violence before pregnancy
No 819 83.5 (80.2-86.8) 522 84.3 (78.3-90.4) 1097 89 (86.4-91.6) 1111 87.3 (84.2-90.3)
Yes 165 16.5 (13.2-19.8) 86 15.7 (9.6-21.7) 176 11.0 (8.4-13.6) 157 12.7 (9.7-15.8)
Month of prenatal care initiation, mean (95% CI) 3.3 3.1-3.5 3.1 2.8-3.5 2.9 2.8-3.1 2.8 2.7-3.0
Adequacy of prenatal care
Not adequate 336 35.9 (31.6-40.2) 202 33.6 (26.3-40.9) 385 24.9 (20.8-29.0) 319 25.0 (21.2-28.8)
Adequate 594 64.1 (59.8-68.4) 376 66.4 (59.1-73.7) 827 75.1 (71.0-79.2) 955 75.0 (71.2-78.8)
Postpartum health care visit
No 216 21.0 (17.5-24.6) 112 19.2 (12.8-25.6) 245 14.5 (11.3-17.6) 213 16.4 (13.1-19.7)
Yes 765 79.0 (75.4-82.5) 495 80.8 (74.4-87.2) 1027 85.5 (82.4-88.7) 1060 83.6 (80.3-86.9)

Abbreviation: GED, General Educational Development.

a

All numbers are weighted and all percentages and means are weighted to account for the complex sampling design of the Pregnancy Risk Assessment Monitoring System survey.

b

Includes women who self-reported multiple races and women who self-reported their race as Alaska Native, American Indian, Chinese, Filipino, Hawaiian, Japanese, other Asian, race other than White, or mixed race.