Receiving Versus Being Denied a Pregnancy Termination and Subsequent Alcohol Use: A Longitudinal Study.
Receiving Versus Being Denied a Pregnancy Termination and Subsequent Alcohol Use: A Longitudinal Study.
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接受与被拒绝终止妊娠以及随后的饮酒：一项纵向研究。
DOI：
10.1093/alcalc/agv021
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Foster,DianaGreene
中科院分区：
文献类型：
--
作者：
Roberts,SarahCM;Delucchi,Kevin;Wilsnack,SharonC;Foster,DianaGreene
AimResearch finds women who terminate pregnancies are at risk of subsequent problematic alcohol use, but methodological and conceptual problems are common. This study examines the relationship between receiving versus being denied termination and subsequent alcohol use.MethodsData are from a prospective, longitudinal study of US women seeking pregnancy terminations. Participants presented just before a facility's gestational limit and received terminations (Near Limits, n= 452) or just beyond the limit and were denied terminations (Turnaways, n= 231).ResultsGroups did not differ in alcohol use before pregnancy recognition. One week after termination-seeking (Turnawaysstill pregnant,Near Limitsnot),Turnawayshad lower odds of any and binge alcohol use, but did not differ on 1+ problem symptoms. Over 2.5 years, bothNear LimitsandTurnawaysincreased any and binge alcohol use, withTurnawaysincreasing more rapidly. The groups did not converge again on any or binge use. ForNear Limits, any alcohol use surpassed the pre-pregnancy recognition level, but binge use did not.Changes in problem symptoms over time were not evident for either group.ConclusionWhile women who had a termination were more likely to report any and binge alcohol use than women who had a child, this difference was due to a reduction in consumption among women having the child rather than an increase in consumption among women having a termination. Thus, assertions that having a termination leads women to increase alcohol use to cope with having had a termination are not supported.
