Date on Master's Thesis/Doctoral Dissertation
8-2017
Document Type
Doctoral Dissertation
Degree Name
Ph. D.
Department
Nursing
Degree Program
Nursing, PhD
Committee Chair
Hall, Lynne
Committee Co-Chair (if applicable)
Crawford, Timothy
Committee Member
Crawford, Timothy
Committee Member
Staten, Ruth
Committee Member
Hall, Martin
Author's Keywords
mental health; substance use disorders; treatment receipt; trends; population; pregnant women
Abstract
The purposes of this dissertation were to examine trends from 2008 to 2014 in mental health and substance use disorders and treatment receipt, and explore factors associated with treatment receipt in pregnant women aged 18-44 years in the United States. A systematic review showed that illicit drug use disorder increased in pregnant women over the past decade. Despite the increase in treatment admissions for these disorders from 1992 to 2012, the overall treatment admission rate for pregnant women remained relatively stable (4%). In a trend study, compared mental health and substance use disorders and treatment receipt across Matched groups of pregnant (n = 5,520) and non-pregnant women (n = 11,040) who participated in the 2008-2014 National Survey on Drug Use and Health (NSDUH) did not differ on mental health and substance use disorders and treatment receipt. Past-year anxiety disorder, past-month psychological distress, and illicit drug use disorder increased in the total sample from 2008 to 2014, whereas trends in treatment receipt did not change over time. Secondary analysis of data from the same survey was conducted with data from pregnant women (1,106 with mental health problems and 521 with substance use disorders). Predictors of mental health treatment receipt included: mental health problems, college education, health insurance, and White ethnicity. Predictors of substance use treatment receipt were: illicit drug abuse/dependence, alcohol dependence, comorbid anxiety/depression, White ethnicity, and urban residency. Compared to Whites, nonWhite pregnant women with mental health and/or substance use disorders had lower odds of receiving mental health treatment.
Recommended Citation
Salameh, Taghreed Nayel, "Mental health and substance use disorders and treatment receipt among pregnant women in the United States, 2008-2014 : trend analysis, likelihood of treatment receipt, and ethnic disparities in mental health treatment." (2017). Electronic Theses and Dissertations. Paper 2775.
https://doi.org/10.18297/etd/2775
