国家酒精政策环境与婴儿和母亲的结果之间的关联:一个回顾性队列研究
Scm Roberts1, A Schulte1, G Liu2
1University of California San Francisco, Department of Obstetrics, Gynecology, and Reproductive Sciences, Oakland, CA, 94612, USA.
American journal of preventive medicine
|February 15, 2026
概括
酒精政策量表 (APS) 没有确定减少不良妊娠结果的酒精政策环境. 更严格的政策出乎意料地与降低出生体重和增加严重的孕产妇死亡率有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策研究 卫生政策研究
背景情况:
- 酒精政策尺度 (APS) 衡量了美国酒精政策环境,并与更好的健康结果有关.
- 它在确定减轻怀孕期间饮酒不良影响的政策方面的有用性尚未确定.
研究的目的:
- 确定酒精政策量表 (APS) 是否可以识别与降低与产前酒精暴露相关的婴儿和母亲不良结果相关的酒精政策环境.
主要方法:
- 将APS数据 (总量,消费,驾驶子表) 与出生证明和保险索赔数据 (2000-2019) 结合起来.
- 检查了与出生结果,婴儿发病率和严重孕产妇发病率 (SMM) 的关联,使用具有状态和年限固定的效应的回归分析.
- 进行敏感性分析以确认发现.
主要成果:
- 随着政策变得更加严格,整体APS与降低出生体重有关.
- 消费子尺度显示,在更严格的政策下,SMM的几率增加.
- 驾驶子表与降低出生体重和婴儿受伤与更严格的政策有关.
- 所有显著的关联都被敏感性分析取消了.
结论:
- 酒精政策尺度 (APS) 在识别可能减少怀孕期间与饮酒相关的不良结果的酒精政策环境方面并不有效.
- 调查结果表明,目前的酒精政策措施可能无法充分解决产前酒精暴露的风险.
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