{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:55:08Z","timestamp":1785819308087,"version":"3.56.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,8,5]],"date-time":"2016-08-05T00:00:00Z","timestamp":1470355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asia-Pacific Psychiatry"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Substance use during pregnancy contributes to the risk of adverse health outcomes in mothers and children\u2014in utero and during later development. In this study, we investigated the prevalence of substance use and associated factors in pregnant women receiving antenatal care in public hospitals in Thailand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women (3578) attending 7 antenatal care clinics in Songkhla for the first time during their current pregnancy were interviewed with a structured questionnaire focusing on demographic data, obstetric history, use of alcohol, tobacco, and other substances, and the General Health Questionnaire was administered. The use of substances was confirmed with the ultrarapid version of the Alcohol, Smoking, and Substance Involvement Screening Test and urine tests, which were also administered to 1 in 5 to 10 randomly selected women whose screening results were negative.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Based on self\u2010reports and General Health Questionnaire results, the weighted prevalence of alcohol, tobacco, or illicit substance use and that of \u201cmental health problems\u201d were 5.6% (95% confidence interval [CI], 4.9\u20106.4) and 29.2% (95% CI, 27.5\u201030.9), respectively. On the basis of the ultrarapid version of the Alcohol, Smoking, and Substance Involvement Screening Test and urine tests, the prevalence of likely substance use disorder during the 3\u00a0months prior to assessment was 1.2% (95% CI, 0.8\u20101.5) and 7.7% (95% CI, 4.6\u201010.7), respectively. Factors associated with substance use were religion, unmarried status, unplanned pregnancy, previous abortion, and current mental health problem.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our results emphasize the need for identification of substance use and mental health problems, with the help of questionnaires and biological markers, followed by early intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/appy.12247","type":"journal-article","created":{"date-parts":[[2016,8,5]],"date-time":"2016-08-05T11:45:27Z","timestamp":1470397527000},"source":"Crossref","is-referenced-by-count":15,"title":["Alcohol consumption, smoking, and drug use in pregnancy: Prevalence and risk factors in Southern Thailand"],"prefix":"10.1111","volume":"9","author":[{"given":"Sawitri","family":"Assanangkornchai","sequence":"first","affiliation":[{"name":"Epidemiology Unit, Faculty of Medicine Prince of Songkla University  Hat Yai Songkhla Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darika","family":"Saingam","sequence":"additional","affiliation":[{"name":"Epidemiology Unit, Faculty of Medicine Prince of Songkla University  Hat Yai Songkhla Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nualta","family":"Apakupakul","sequence":"additional","affiliation":[{"name":"Epidemiology Unit, Faculty of Medicine Prince of Songkla University  Hat Yai Songkhla Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J Guy","family":"Edwards","sequence":"additional","affiliation":[{"name":"Epidemiology Unit, Faculty of Medicine Prince of Songkla University  Hat Yai Songkhla Thailand"},{"name":"Department of Psychiatry Royal South Hants Hospital and Southampton University Hospitals  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,8,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2013.03.001"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7210847"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-88-470-5322-9_136"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1465-3362.2009.00092.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agq018"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-014-0625-9"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0b013e3181b52930"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000157109.05453.84"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001541"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(92)91679-5"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.317.7162.839"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-936"},{"issue":"1","key":"e_1_2_7_14_1","first-page":"e58","article-title":"Risks\/safety of psychotropic medication use during pregnancy\u2014Motherisk update 2008","volume":"16","author":"Einarson A.","year":"2009","journal-title":"The Canadian Journal of Clinical Pharmacology"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12214"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-015-1799-6"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2008.70"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-242"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548500500155750"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e32834fdc3a"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13525"},{"key":"e_1_2_7_22_1","unstructured":"National Collaborating Centre for Mental Health(2007) National Institute for Health and Clinical Excellence: Guidance.Antenatal and Postnatal Mental Health: The NICE Guideline on Clinical Management and Service Guidance British Psychological Society The British Psychological Society & The Royal College of Psychiatrists. 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