Periconceptional binge drinking and acculturation among pregnant Latinas in New Mexico
Periconceptional binge drinking and acculturation among pregnant Latinas in New Mexico
复制标题
DOI：
10.1016/j.alcohol.2009.08.002
复制
发表时间：
2009-09-01
期刊：
影响因子：
2.3
通讯作者：
Rayburn, William F.
中科院分区：
文献类型：
--
作者：
Bakhireva, Ludmila N.;Young, Bonnie N.;Rayburn, William F.
怀孕期间酗酒可能会导致后代患上胎儿酒精谱系障碍。拉丁美洲人通常被认为是酗酒的低风险群体，尽管最近的报告表明，由于文化规范的变化，这一群体的酒精消费率正在增加。拉丁美洲人怀孕期间饮酒的预测因素在很大程度上是未知的。我们在新墨西哥州大学的一项正在进行的队列研究中招募了155名拉丁美洲人，探讨了围绝经期饮酒的预测因素。女性在末次月经（LMP）前后一个月由受过双语培训的采访者采访任何酗酒事件（>= 4杯/次），并进行TWEAK问卷调查。还确定了社会人口、生活方式和生殖健康特征。分别通过单变量和多变量分析中的卡方检验和逻辑回归来确定酗酒的预测因素。后向选择程序用于确定最终模型中与狂饮独立相关的协变量。参与者的平均年龄为27.0 +/- 5.8岁，69%是外国出生的。在整个样本中，17.4%的拉丁裔孕妇承认在LMP附近的一个月内至少有一次酗酒事件。多变量分析的结果表明，在美国出生的拉丁裔有一个更大的风险，在围受孕期狂饮（比值比[OR] = 3.2; 95%置信区间[CI]：1.2，8.9）相比，外国出生的拉丁裔。同样，与主要讲西班牙语的女性相比，在家主要讲英语的拉丁裔女性的风险更大（OR = 3.6; 95% CI：1.3，10.5）。在多变量模型中，没有其他变量被确定为显著的预测因子。我们的研究结果表明，更多的文化适应的拉丁美洲人在怀孕前和怀孕早期酗酒的风险要大得多，而文化适应程度较低的拉丁美洲人。应制定对文化敏感的干预措施，以解决育龄拉丁美洲人的危险酒精消费问题。(C)2009 Elsevier Inc. All rights reserved.
Binge drinking during pregnancy might lead to the development of Fetal Alcohol Spectrum Disorders in the offspring. Latinas are often considered a low-risk group for alcohol abuse, although recent reports indicate that the prevalence of alcohol consumption ill this group is increasing due to changing cultural norms. The predictors of alcohol consumption during pregnancy among Latinas are largely unknown. We explored predictors of periconceptional drinking among Latinas (n = 155) recruited into an ongoing cohort study at the University of New Mexico. Women were interviewed by a bilingual trained interviewer about any episodes of binge drinking (>= 4 drinks/occasion) a month around their last menstrual period (LMP) and were administered a TWEAK questionnaire. Sociodemographic, lifestyle, and reproductive health characteristics were also ascertained. Predictors of binge drinking were identified by Chi-square test and logistic regression in univariate and multivariable analyses, respectively. Backward selection procedure was used to identify covariates that were independently associated with binge drinking in the final model. The mean age of participants was 27.0 +/- 5.8 years and 69% were foreign born. In the entire sample, 17.4% of pregnant Latinas admitted at least one binge-drinking episode in the month around their LMP. Results of multivariate analysis indicate that Latinas born in the United States have a much greater risk of binge drinking in the periconceptional period (odds ratio [OR] = 3.2; 95% confidence interval [CI]: 1.2, 8.9) compared with foreign-born Latinas. Similarly, Latinas who primarily speak English at home were at much greater risk (OR = 3.6; 95% CI: 1.3, 10.5) compared with primarily Spanish-speaking women. No other variables were identified as significant predictors in multivariable models. Our results indicate that more acculturated Latinas are at much greater risk of binge drinking before conception and in early pregnancy compared with less acculturated Latinas. Culturally sensitive interventions should be developed to address risky alcohol consumption among Latinas of reproductive age. (C) 2009 Elsevier Inc. All rights reserved.