TY - JOUR AU - Grady, James AB - ObjectiveTo document changes of stress and illicit drug use among women from 4 months prepregnancy to 6 months postpartum.Study DesignIn a longitudinal study of drug use in family planning clinics, 121 women who became pregnant were matched with 202 women who did not become pregnant. Self-reported drug use, Cohen’s Perceived Stress Scale, and open-ended stress questions were examined every 2 months during the study period of time.ResultsAmong drug-using pregnant women, drug use declined during 2nd and 3rd trimesters and increased immediately within 1 to 2 months postpartum. Levels of perceived stress declined throughout pregnancy up to 2 months postpartum, increased at 3 to 4 months postpartum and then declined at 6 months postpartum. In contrast, among nondrug-using pregnant women, stress remained stable until the 2nd trimester, increased from 3rd trimester to 1–2 months postpartum, then declined continuously to 6 months postpartum. For non-pregnant women, at the matched timeline, there was no clear pattern for changes of drug use and stress.ConclusionsOur study has illustrated a complex time course of changes of both perceived stress and drug use from prepregnancy through 6 months postpartum. For drug-using pregnant women, pregnancy showed protective effect in reduction of both drug use and stress during pregnancy; and during postpartum, drug resumption peaked at 1–2 months while stress peaked at 3–4 months. If we can identify modifiable, pregnancy-related resiliency factors for both stress and drug use, we can begin to extend prevention efforts initiated during pregnancy into the postpartum period. TI - Stress and Drug Use from Prepregnancy, During Pregnancy, to Postpartum JF - Journal of Racial and Ethnic Health Disparities DO - 10.1007/s40615-020-00802-x DA - 2020-06-27 UR - https://www.deepdyve.com/lp/springer-journals/stress-and-drug-use-from-prepregnancy-during-pregnancy-to-postpartum-bLle7WxlJV SP - 454 EP - 462 VL - 8 IS - 2 DP - DeepDyve ER -