OBJECTIVE To describe obstetrician-gynecologists' practices and attitudes related to substance use screening in pregnant patients. STUDY DESIGN A 2017 cross-sectional survey assessed US obstetrician-gynecologists' (n = 462; response rate = 34%) practices (substance use screening frequency and methods) and attitudes (practice priority of screening, confidence in treating, and responsibility statements). Chi-squared tests and adjusted modified Poisson regression were used to estimate associations between practices and attitudes. RESULTS Of 353 respondents with screening information, 79% frequently screen for substance use and 11% used a validated instrument. Confidence was the highest for treating pregnant patients using tobacco (81%). Respondents whose practices make it a high priority to screen for all substances were 1.2 times as likely to frequently screen as their counterparts (95% CI: 1.1-1.3). CONCLUSIONS Four out of five obstetricians-gynecologists reported a high frequency of substance use screening in pregnant patients. Findings highlight the importance of increasing priority of substance use screening by obstetrician-gynecologists.

中文翻译：

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妇产科医生在怀孕期间进行药物使用筛查的做法和态度。

目的描述妇产科医生在怀孕患者中与药物使用筛查有关的做法和态度。研究设计2017年的一项横断面调查评估了美国妇产科医生（n = 462;回应率= 34％）的做法（药物使用筛查的频率和方法）和态度（筛查的实践优先级，对治疗的信心和责任声明） 。卡方检验和调整后的修正Poisson回归用于估计实践和态度之间的关联。结果在353名提供筛查信息的受访者中，有79％的人经常筛查药物使用情况，而11％的人使用经过验证的仪器。使用烟草治疗孕妇的信心最高（81％）。高度重视所有物质筛查的受访者为1。经常进行筛查的可能性是同龄人的2倍（95％CI：1.1-1.3）。结论五分之四的妇产科医生认为孕妇的药物使用筛查频率很高。研究结果强调了妇产科医生对提高物质使用筛查的优先级的重要性。