识别患有酒精暴露妊娠风险的患者:解决多种风险因素的重要性
Bonnie G McRee1, Bridget L Hanson2, Janice Vendetti1
1Department of Public Health Sciences, University of Connecticut School of Medicine, Farmington, CT, USA.
Substance use & addiction journal
|August 3, 2024
概括
许多面临酒精暴露怀孕 (AEP) 风险的人被当前的查遗漏了. 需要改变系统,以识别酒精使用和不太有效的怀孕预防的综合风险,以进行更好的干预.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 药物使用障碍 药物使用障碍
背景情况:
- 胎儿酒精谱系障碍 (FASDs) 是一个重大的公共卫生挑战.
- 暴露于酒精的怀孕 (AEP) 是由于酒精消费与不太有效的怀孕预防相结合而导致的.
- 标准的酒精查工具可能会错过因低水平的酒精使用和避孕方法选择而面临AEP风险的个体.
研究的目的:
- 确定在生殖健康保健机构内患有AEP风险的个体的患病率.
- 检查酒精查和短期干预 (SBI) 对于具有综合风险因素的个体的差距.
主要方法:
- 分析了2021年来自11567名年龄在18-49岁的人的电子健康记录.
- 通过美国版本 (USAUDIT) 的酒精使用障碍识别测试对酒精使用的查.
- 评估避孕方法的有效性 (<88%的有效性).
主要成果:
- 1595人 (13.8%) 被确定为有AEP风险,但没有接受以酒精为中心的简短干预 (BI).
- 这组包括一些酒精使用但风险较低的查得分的个人,以及那些使用效率较低的避孕措施的人.
- 在USAUDIT查结果呈阳性的人群中,有一部分人群也使用了不那么有效的避孕措施,并且没有接受BI.
结论:
- 目前的系统需要修改,以同时评估多种风险行为,如酒精使用和避孕措施的有效性.
- 需要警报系统来通知提供者,当结合行为增加AEP风险时.
- 针对妊娠预防方法风险的量身定制BI对于增强AEP预防服务至关重要.
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