TY  - JOUR
PY  - 2024//
TI  - The burden of prenatal and early life maternal substance use among children at risk of maltreatment: a systematic review
JO  - Drug and alcohol review
A1  - Powell, Madeleine
A1  - Pilkington, Rhiannon
A1  - Varney, Bianca
A1  - Havard, Alys
A1  - Lynch, John
A1  - Dobbins, Timothy
A1  - Oei, Julee
A1  - Ahmed, Tasnia
A1  - Falster, Kathleen
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - ISSUES: Although maternal substance use is a known risk factor for child maltreatment, evidence on the scale of substance use is needed to inform prevention responses. This systematic review synthesised prevalence estimates of maternal substance use during pregnancy and early life among children at risk of maltreatment. Ovid, Pubmed, CINAHL, PsychInfo and ProQuest databases were searched. We included observational studies that sampled children at risk of maltreatment in high-income countries and reported information on maternal substance use during pregnancy and/or the child's first year of life. We extracted study characteristics and data to calculate prevalence, assessed risk of bias and conducted a narrative synthesis; there were insufficient comparable populations or outcomes to quantitatively synthesise results. KEY FINDINGS: Thirty five of 14,084 titles were included. Fifteen studies had adequately sized and representative samples to estimate prevalence. Maternal substance use prevalence ranged from 2.4% to 40.6%. Maternal substance use was highest among infants referred to child protection at birth (40.6%) and children in out-of-home care (10.4% to 37.2%). Prevalence was higher when studies defined substance use more broadly and when maternal substance use was ascertained from both child and mother records. IMPLICATIONS: Supportive, coordinated responses to maternal substance use are needed from health and child protection services, spanning alcohol and other drug treatment, antenatal and postnatal care. <br><br>CONCLUSIONS: Prenatal and early life maternal substance use is common among child maltreatment populations, particularly among younger children and those with more serious maltreatment.<p />  <p>Language: en</p>
LA  - en
SN  - 0959-5236
UR  - http://dx.doi.org/10.1111/dar.13835
ID  - ref1
ER  -