Food insecurity and alcohol use among pregnant women at alcohol-serving establishments in South Africa.
Food insecurity and alcohol use among pregnant women at alcohol-serving establishments in South Africa.
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DOI：
10.1007/s11121-013-0386-6
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发表时间：
2014-06
影响因子：
3.5
通讯作者：
Cain, Demetria N.
中科院分区：
文献类型：
--
作者：
Eaton, Lisa A.;Pitpitan, Eileen V.;Kalichman, Seth C.;Sikkema, Kathleen J.;Skinner, Donald;Watt, Melissa H.;Pieterse, Desiree;Cain, Demetria N.
南非是世界上胎儿酒精综合征（FAS）发病率最高的国家。虽然已经努力遏制FAS的高比率，但对可能导致怀孕期间饮酒的情境因素知之甚少。在本文中，我们重点关注粮食不安全的作用及其与孕妇饮酒的关系。妇女完成了计算机辅助面试。所有分析均采用广义线性模型。妇女参加酒精服务机构在南非开普敦的一个乡镇招募的研究。对560名妇女进行了抽样调查，95名妇女报告怀孕。据报告，孕妇饮酒水平很高：65%的妇女至少每月饮酒，29%的妇女每周饮酒两到三次。34%的女性报告说，每周至少喝6杯或更多的酒。大多数（87%）孕妇报告说，在过去一个月里经历了某种形式的粮食不安全（例如食物不可用，吃得少）。即使控制了相关的人口统计变量，饮酒也与粮食不安全显着相关。迫切需要对饮酒的孕妇进行干预。未来的研究应侧重于了解粮食不安全和酒精的交叉点，以及粮食不安全的经历如何可能导致孕妇使用和滥用酒精的比例增加。
South Africa has the highest rate of fetal alcohol syndrome (FAS) in the world. While efforts have been made to curb the high rate of FAS, little is known about situational factors that may contribute to alcohol use during pregnancy. In the current paper, we focus on the role of food insecurity and its relationship to alcohol use among pregnant women. Women completed computed assisted interviews. Generalized linear modeling was used in all analyses. Women attending alcohol serving establishments in a township in Cape Town, South Africa were recruited for the study. Five hundred sixty women were sampled and 95 women reported being pregnant. High levels of alcohol use were reported among pregnant women: 65% of women consumed alcohol at least every month and 29% consumed alcohol as often as two to three times per week. Thirty four percent of the women reported having 6 or more drinks per occasion on at least a weekly basis. The majority (87%) of pregnant women reported experiencing some form of food insecurity (e.g. food unavailable, eating less) in the past month. Alcohol use was significantly associated with food insecurity, even when controlling for relevant demographic variables. Intervention with pregnant women who consume alcohol is urgently needed. Future research should focus on understanding the intersection of food insecurity and alcohol, and how the experience of food insecurity may contribute to greater rates of alcohol use and abuse among pregnant women.
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影响因子：
5.9
作者：
Eaton, Lisa A.;Kalichman, Seth C.;Pitpitan, Eileen V.
通讯作者：
Pitpitan, Eileen V.
影响因子：
8
作者：
Carter, R. Colin;Jacobson, Sandra W.;Jacobson, Joseph L.
通讯作者：
Jacobson, Joseph L.
影响因子：
3.8
作者：
Kalichman, Seth C.;Simbayi, Leickness C.;Jooste, Sean
通讯作者：
Jooste, Sean
影响因子：
4.4
作者：
Kalichman, Seth C.;Simbayi, Leickness C.;Jooste, Sean
通讯作者：
Jooste, Sean
影响因子：
12.7
作者：
Kalichman, Seth C;Cain, Demetria;Simbayi, Leickness C
通讯作者：
Simbayi, Leickness C