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Brief Report: Factors Associated With Attrition Rate in a Supportive Care Service for Substance Using Pregnant Women in Brazil

Research output: Contribution to journalArticle

Rosa Marina Avilla, Juliana Surjan, Maria de Fátima Ratto Padin, Martha Canfield, Ronaldo Ramos Laranjeira, Sandro Sendin Mitsuhiro

Original languageEnglish
JournalThe American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions
Early online date12 Jul 2017
Publication statusE-pub ahead of print - 12 Jul 2017

King's Authors


Background and Objectives

Retaining substance using women in antenatal care remains a major challenge. This study explored factors associated with attrition rate among women with substance use problems attending a supportive care service during pregnancy and soon after the birth of the infant.

Records of 166 women's antenatal consultations were analyzed.

Attrition rate was high (75/166, 45.2%), and was associated with women having no schooling/primary schooling only, no family contact, having child(ren), crack-cocaine use, poly drug use, and substance use problems by the expected child's father.
Discussion and Conclusions

Attrition may be the outcome of socio-demographic, family, individual, and substance use issues not fully addressed in prenatal interventions.
Scientific Significance

Identification of who are at risk for dropping out affords services with an opportunity to prevent its occurrence. (Am J Addict 2017;XX:1–4)

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