You Didn't Drink During Pregnancy, Did You?
You Didn't Drink During Pregnancy, Did You?
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DOI：
10.1111/acer.14545
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Jacobson SW
中科院分区：
文献类型：
--
作者：
Bakhireva LN;Leeman L;Roberts M;Rodriguez DE;Jacobson SW
产前酒精暴露（PAE）的准确表征具有挑战性，这是由于常规产前护理中筛查问卷的使用不一致，以及由于怀孕期间饮酒相关的耻辱感而大量漏报。本研究的目的是确定自我报告工具，有效地准确表征PAE。完成基线研究访问的符合轻度至中度PAE资格标准的参与者被招募到未来的新墨西哥大学ENRICH队列中（N=121）。采用时间线回访（TLFB）访谈，以了解围孕期和入组前30天的酒精使用情况；报告的数量被转换成盎司无水酒精（AA），乘以使用频率，并在两个TLBF日历上平均。访谈还包括关于最近一次饮酒的时间和饮酒次数，自上次月经以来24小时内的最大饮酒次数，以及“特殊场合”的饮酒次数（无论这些是否发生在TLFB报告的期间）。对连续测量的酒精使用情况进行分析，得出每次饮酒≥4杯的参与者的暴饮次数。每种类型的评估中，暴食发作≥1次的女性比例也被制成表格。平均饮酒量为0.6±1.3盎司AA/天（≈8.4杯/周）。只有3.3%的参与者在TLFB上报告≥1次暴饮，19.8%的参与者在被问及“特殊场合”时报告≥1次，52.1%的参与者在被问及他们最后一次喝酒的数量时报告≥1次。根据24小时内饮酒的最大数量，暴饮的患病率甚至更高（89.3%）。根据所问问题的类型，自我报告的酒精使用量差异很大。关于24小时内最大饮酒量和最近一次饮酒的总饮酒量的简短针对性问题提供了更高的酒精使用估计，因此可能较少受到自我报告偏差的影响。
Accurate characterization of prenatal alcohol exposure (PAE) is challenging due to inconsistent use of screening questionnaires in routine prenatal care and substantial underreporting due to stigma associated with alcohol use in pregnancy. The aim of this study is to identify self-report tools that are efficient in accurate characterization of PAE. Participants meeting eligibility criteria for mild-to-moderate PAE who completed the baseline study visit were recruited into the prospective University of New Mexico ENRICH cohort (N=121). Timeline follow-back (TLFB) interviews were administered to capture alcohol use in the periconceptional period and 30 days before enrollment; reported quantity was converted to oz absolute alcohol (AA), multiplied by frequency of use and averaged across two TLBF calendars. The interview also included questions about timing and number of drinks at the most recent drinking episode, maximum number of drinks in a 24-hour period since last menstrual period, and number of drinks on ‘special occasions’ (irrespective of whether these occurred within the TLFB reported period). Continuous measures of alcohol use were analyzed to yield number of binge episodes by participants who consumed ≥4 drinks/occasion. Proportion of women with ≥1 binge episode was also tabulated for each type of assessment. Average alcohol consumption was 0.6±1.3 oz of AA/day (≈ 8.4 drinks/week). Only 3.3% of participants reported ≥1 binge episode on the TLFB, 19.8% had ≥1 when asked about ‘special occasions,’ and 52.1% when asked about number of drinks the last time they drank alcohol. Even higher prevalence (89.3%) of bingeing was obtained based on maximum number of drinks consumed in a 24-hour period. Self-reported quantity of alcohol use varies greatly based on type of questions asked. Brief targeted questions about maximum number of drinks in 24 hours and total number of drinks at the most recent drinking episode provide much higher estimates of alcohol use and thus might be less affected by self-reporting bias.
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影响因子：
4.2
作者：
Bakhireva, Ludmila N.;Shrestha, Shikhar;Stephen, Julia M.
通讯作者：
Stephen, Julia M.
DOI：
10.15288/jsa.1975.36.1154
发表时间：
1975-01-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
BOWMAN, RS;STEIN, LI;NEWTON, JR
通讯作者：
NEWTON, JR
影响因子：
5.5
作者：
Trocin, Kathleen E.;Weinstein, Nicole I.;Coleman-Cowger, Victoria H.
通讯作者：
Coleman-Cowger, Victoria H.
影响因子：
120.7
作者：
May, Philip A.;Chambers, Christina D.;Hoyme, H. Eugene
通讯作者：
Hoyme, H. Eugene
影响因子：
7.2
作者：
Pettker, Christian M.;Goldberg, James D.;Copel, Joshua A.
通讯作者：
Copel, Joshua A.