孕妇饮酒的趋势. 1985年至1988年期间的时间
M Serdula1, D F Williamson, J S Kendrick
1Division of Nutrition, Centers for Disease Control, Atlanta, Ga 30333.
JAMA
|February 20, 1991
概括
孕妇的酒精使用量从1985年到1988年有所减少. 然而,需要继续努力,以支持孕妇吸烟者,未婚者,受教育程度较低或年轻女性减少饮酒.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 生殖健康 生殖健康
背景情况:
- 怀孕期间的酒精消费对胎儿发育和母亲健康构成重大风险.
- 了解孕妇饮酒趋势对于有针对性的公共卫生干预至关重要.
- 以前的研究表明,酒精消费的模式各不相同,需要持续监测.
研究的目的:
- 分析美国孕妇饮酒时间趋势.
- 为了确定持续或增加的酒精使用的孕妇的人口学子组.
- 为旨在减少与酒精有关的不良妊娠结果的公共卫生战略提供信息.
主要方法:
- 利用了参与行为风险因素监测系统 (BRFSS) 的21个州的数据.
- 分析了1712名怀孕妇女和36057名18至45岁的非怀孕妇女的自我报告的酒精消费数据.
- 分析了连续四年的发展趋势:1985年至1988年.
主要成果:
- 孕妇饮酒的总体患病率从1985年的32%下降到1988年的20%.
- 孕妇消费酒精报告的中位数为4杯/月,而非孕妇则为9杯/月.
- 在受教育程度较低或年轻 (<25岁) 的孕妇中,酒精消费量并没有下降.
- 1988年,孕妇吸烟者 (37%) 和未婚妇女 (28%) 的酒精使用率仍然最高.
结论:
- 虽然美国孕妇的整体饮酒量呈现下降趋势,但特定的高风险群体需要有针对性的干预措施.
- 需要特别努力来减少吸烟,未婚,受教育程度较低或年轻的孕妇的酒精使用.
- 这些已识别的子组具有较高的怀孕不良结果风险,强调需要有针对性的预防策略.
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