父母的酒精使用,问题饮酒和孩子的伤害
P E Bijur1, M Kurzon, M D Overpeck
1Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY 10461.
JAMA
|June 17, 1992
概括
患有饮酒问题母亲的孩子面临严重受伤的风险增加了一倍. 父母双重饮酒问题显著增加了这种风险,突显了需要进行干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 成 药物 药物 药物 药物
背景情况:
- 在美国,数以百万计的儿童受到父母饮酒问题的影响.
- 关于家长饮酒对儿童健康状况的影响的证据有限.
- 儿童受伤是一个重大的公共卫生问题.
研究的目的:
- 调查家长饮酒与儿童严重受伤风险之间的联系.
- 确定父母饮酒的特定模式,可能会增加儿童受伤的风险.
主要方法:
- 一个全国代表性样本12360名儿童和家长被调查.
- 通过对1988年全国健康访谈调查 (酒精和儿童健康补充剂) 的家庭访谈收集数据.
- 严重的伤害被定义为需要住院治疗,手术或严重错过学校/床上休息的伤害.
主要成果:
- 与不饮酒的孩子相比,被归类为问题饮酒的母亲的孩子患重伤的风险增加了2.1倍.
- 母亲问题饮酒与父亲中度或重度饮酒相结合,进一步增加了严重伤害的相对风险至2.7.
- 没有发现父亲的饮酒模式与儿童受伤之间有显著的关联,也没有发现其他对母亲酒精消费的措施.
结论:
- 父母饮酒问题,特别是母亲的饮酒问题,与儿童严重受伤的风险增加有关.
- 两个问题饮酒父母的孩子面临更高的风险.
- 对机制和干预措施的进一步研究至关重要,呼吁医生对父母的饮酒进行查,并促进治疗.
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