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28, score=3), BP ≥ 130/90 mmHg (2.47, score=1). The AUROC for the model was 0.87, 95% CI, 0.81-0.93 (SE 0.03). A total points score ≥3 represented the best cut-off value, with a sensitivity of 81% and specificity of 82%. Across the bootstrapping, the C-statistic for the full screening was 0.86, 95% CI, 0.81-0.93 (SE 0.03). A screening tool was developed with an excellent ability to discriminate the risk factors potentially indicating methamphetamine use in pregnant women not receiving prenatal care. Validation in pregnant women receivin

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