Abstract
This study investigated substance use patterns among 192 pregnant substance‐using women to assess whether ethnic differences exist regarding drugs of choice, frequency and recency of use, and severity of use. Substance use patterns differed across ethnic groups. Alaska Native women were more likely to choose alcohol as their primary drug of choice and less likely to choose cocaine; White women used a wider variety of substances in their lifetime and used substances more often. Alaska Native women had an earlier age of onset of use and more blackouts. These findings suggest that prevention and intervention efforts have to be tailored to the targeted audience.
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