Predictors of antenatal alcohol use among Australian women: a prospective cohort study
Predictors of antenatal alcohol use among Australian women: a prospective cohort study
复制标题
DOI：
10.1111/1471-0528.12356
复制
发表时间：
2013-10-01
影响因子：
5.8
通讯作者：
Loxton, D. J.
中科院分区：
文献类型：
--
作者：
Anderson, A. E.;Hure, A. J.;Loxton, D. J.
目的确定经常饮酒的女性产前饮酒的预测因素。设计前瞻性队列研究。设置澳大利亚妇女健康纵向研究（ALSWH）。人群或样本从 ALSWH 1973-78 队列中抽取了总共 1969 名女性。方法纳入了 2000 年、2003 年、2006 年或 2009 年怀孕的女性。使用多元逻辑回归模型对产前饮酒量和社会人口统计学、生殖健康、心理健康、身体健康、健康行为、酒精指南和医疗保健因素进行调查。主要结局指标怀孕期间饮酒。结果大多数（82.0%）女性在怀孕期间继续饮酒。如果女性在怀孕前每周饮酒（比值比 [OR] 1.47；95% 置信区间 [95% CI] 1.13-1.90）、怀孕前暴饮暴食（OR 2.28；95% CI 1.76-2.94），或者如果她们在怀孕期间酒精指南建议低度饮酒与戒酒（OR 1.60；95%），则她们在怀孕期间饮酒的可能性更大CI 1.26-2.03）。如果女性拥有医疗保健卡（OR 0.63；95% CI 0.45-0.88）或曾经有过生育问题（OR 0.64；95% CI 0.48-0.86），则怀孕期间饮酒的可能性较小。 结论 大多数饮酒的澳大利亚女性在怀孕期间继续饮酒。孕前饮酒是产前饮酒的主要预测因素之一。酒精指南、生育问题和医疗保健卡状况也影响产前饮酒。
ObjectiveTo identify predictors of antenatal alcohol consumption among women who usually consume alcohol.DesignProspective cohort study.SettingAustralian Longitudinal Study on Women's Health (ALSWH).Population or SampleA total of 1969 women sampled from the ALSWH 1973-78 cohort.MethodsWomen were included if they were pregnant in 2000, 2003, 2006 or 2009. The relationship between antenatal alcohol consumption and sociodemographics, reproductive health, mental health, physical health, health behaviours, alcohol guidelines and healthcare factors was investigated using a multivariate logistic regression model.Main outcome measuresAlcohol use during pregnancy.ResultsMost (82.0%) women continued to drink alcohol during pregnancy. Women were more likely to drink alcohol during pregnancy if they had consumed alcohol on a weekly basis before pregnancy (odds ratio [OR] 1.47; 95% confidence interval [95% CI] 1.13-1.90), binge drank before pregnancy (OR 2.28; 95% CI 1.76-2.94), or if they were pregnant while alcohol guidelines recommended low alcohol versus abstinence (OR 1.60; 95% CI 1.26-2.03). Drinking during pregnancy was less likely if women had a Health Care Card (OR 0.63; 95% CI 0.45-0.88) or if they had ever had fertility problems (OR 0.64; 95% CI 0.48-0.86).ConclusionsMost Australian women who drank alcohol continued to do so during pregnancy. Prepregnancy alcohol consumption was one of the main predictors of antenatal alcohol use. Alcohol guidelines, fertility problems and Health Care Card status also impacted antenatal alcohol consumption.