与怀孕相关的酒精政策和州酒的可用性之间的互动影响对婴儿和母亲的结果
Alex Schulte1, Meenakshi S Subbaraman2, Guodong Liu3
1Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, USA.
The American journal of drug and alcohol abuse
|June 16, 2025
概括
政府对酒精销售的断显示出对婴儿的保护作用,特别是当与某些政策相结合时. 然而,一些特定于怀孕的酒精法律可能会减少这些好处,建议对政策进行审查,以获得更好的婴儿结果.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 流行病学 流行病学
背景情况:
- 针对孕妇饮酒的国家政策往往是无效的.
- 更广泛的酒精供应政策,例如政府对零售烈酒销售的断,证明了其有效性.
- 关于怀孕特定的酒精政策与政府断之间的互动效应的研究有限.
研究的目的:
- 分析孕妇特定的酒精政策与政府对零售烈酒销售断的互动效应.
- 评估这些政策互动对婴儿和母亲健康结果的影响.
主要方法:
- 使用了Merative MarketScan®商业保险索赔数据 (2006年至2019年).
- 包括1,432,979个分娩人-婴儿对单胎分娩.
- 采用回归模型,检查六个特定怀孕政策与政府断之间的相互作用,控制州和年固定效应,时间趋势以及个人/州级因素.
主要成果:
- 针对怀孕的酒精政策在断国家中显示出更强烈的关联,尽管方向各不相同.
- 政府断一直与婴儿虐待的减少相关,与孕妇优先治疗政策一起观察到的最大减少.
- 政府断对婴儿疾病的保护作用取决于特定的报告政策,有时会减少其影响.
结论:
- 政府对零售烈酒销售的断通常会减少婴儿虐待和疾病.
- 一些特定于怀孕的酒精政策可以削弱政府断的保护效益.
- 在断国家修订或废除无效的怀孕特定政策可能会改善婴儿健康结果.
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