Prevalence and Predictors ofMaternal Alcohol Consumption in 2 Regions of Ukraine
Prevalence and Predictors ofMaternal Alcohol Consumption in 2 Regions of Ukraine
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DOI：
10.1111/acer.12318
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发表时间：
2014-04-01
影响因子：
3.2
通讯作者：
Wertelecki, Wladimir
中科院分区：
文献类型：
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作者：
Chambers, Christina D.;Yevtushok, Lyubov;Wertelecki, Wladimir
背景胎儿酒精谱系障碍被认为是世界范围内发育障碍的主要原因。然而，许多国家缺乏关于孕妇饮酒的数据。本研究的目的是评估孕妇饮酒的患病率和预测因子在Ukrain. MethodsCross-Section筛查孕妇进行了2个地区的乌克兰在招聘阶段正在进行的临床研究，这是胎儿酒精谱系障碍的合作倡议的一部分。在2个参与区域中心之一参加常规产前检查的妇女被问及饮酒情况。使用标准访谈工具测量了在怀孕前后一个月和最近一个月内饮酒的数量和频率。ResultsBetween 2007 and 2012，11，909名孕妇在怀孕中期平均接受了筛查。其中，92.7%的人报告说他们曾经饮酒。在曾经饮酒的人中，54.8%的人报告在怀孕前后的一个月内饮酒，12.9%的人在这段时间内至少有1天至少喝了3杯酒。在怀孕的最近一个月，46.3%的人继续报告饮酒，9.2%的人每天至少喝3杯。在怀孕期间的任何一个时间段，每天平均饮酒次数或重度饮酒的重要预测因素包括怀孕次数较少，单身，未婚/与伴侣生活，或分居，母亲教育程度较低，吸烟，开始饮酒的年龄较小，在TWEAK有害饮酒筛查测试中得分更高。结论这些发现支持了教育/这一项目旨在为乌克兰育龄妇女提供有针对性的干预措施，并有助于为有酒精暴露怀孕风险的妇女提供有针对性的干预措施。在怀孕期间启动标准筛查方案是朝着正确方向迈出的一步。
BackgroundFetal alcohol spectrum disorders are thought to be a leading cause of developmental disabilities worldwide. However, data are lacking on alcohol use among pregnant women in many countries. The purpose of this study was to evaluate the prevalence and predictors of alcohol consumption by pregnant women in Ukraine.MethodsCross-sectional screening of pregnant women was conducted in 2 regions of Ukraine during the recruitment phase of an ongoing clinical study that is part of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders. Women attending a routine prenatal visit at 1 of 2 participating regional centers were asked about alcohol consumption. Quantity and frequency of alcoholic beverages consumed in the month around conception and in the most recent month of pregnancy were measured using a standard interview instrument.ResultsBetween 2007 and 2012, 11,909 pregnant women were screened on average in the second trimester of pregnancy. Of these, 92.7% reported being ever-drinkers. Among ever-drinkers, 54.8% reported drinking alcohol in the month around conception and 12.9% consumed at least 3 drinks on at least 1day in that time period. In the most recent month of pregnancy, 46.3% continued to report alcohol use and 9.2% consumed at least 3 drinks per day. Significant predictors of average number of drinks or heavier drinking per day in either time period in pregnancy included lower gravidity, being single, unmarried/living with a partner, or separated, lower maternal education, smoking, younger age at initiation of drinking, and higher score on the TWEAK screening test for harmful drinking.ConclusionsThese findings support the need for education/intervention in women of childbearing age in Ukraine and can help inform targeted interventions for women at risk of an alcohol-exposed pregnancy. The initiation of a standard screening protocol in pregnancy is a step in the right direction.