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Updated: Jun 10, 2026

Moderate Prenatal Alcohol Exposure and Quantification of Social Behavior in Adult Rats
Published on: December 14, 2014
Using one question to identify women at risk for an alcohol-exposed pregnancy
Kenneth E Johnson1, Mark B Sobell, Linda Carter Sobell
1College of Osteopathic Medicine, Health Professions Division, Nova Southeastern University, Fort Lauderdale, FL 33314-7721, USA.
Context:
Consumption of 8 alcoholic drinks per week or 5 alcoholic drinks on one occasion by a pregnant woman can affect the developing fetus. However, it can be difficult to determine which patients are at risk.
Objective:
To evaluate how well the answer to a single question about binge drinking could help identify women at risk of an alcohol-exposed pregnancy (AEP).
Methods:
Using data from a study of methods to prevent AEPs, the authors compared the efficacy of self-reported answers to a screening question about binge drinking (5 or more standard drinks on one occasion) within the past 90 days with answers to a question about drinking quantity (weekly consumption of 8 or more standard drinks) within the past 90 days.
Results:
The participants were 354 women of childbearing age who met screening criteria for being at risk of an AEP. The binge question was answered positively by 346 women (97.7%) at risk, while only 209 women (59.0%) reported that they drank 8 or more drinks in a week.
Conclusion:
A single question about binge drinking can effectively and quickly identify the majority of women at risk of an AEP.
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