Using a single binge drinking question to identify Russian women at risk for an alcohol-exposed pregnancy.
Using a single binge drinking question to identify Russian women at risk for an alcohol-exposed pregnancy.
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使用单个酗酒问题来识别有酒精暴露怀孕风险的俄罗斯女性。
DOI：
10.1016/j.addbeh.2015.03.003
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发表时间：
2015
影响因子：
4.4
通讯作者：
Bohora,Som
中科院分区：
文献类型：
--
作者：
Balachova,Tatiana;Sobell,LindaCarter;Agrawal,Sangeeta;Isurina,Galina;Tsvetkova,Larissa;Volkova,Elena;Bohora,Som
低避孕率和危险饮酒使许多俄罗斯妇女面临酒精暴露妊娠（AEP）的风险。确定女性何时有AEP风险的唯一现实方法是自我报告。美国的一项研究发现，一个单一的酗酒问题（SBD）有效地确定了几乎所有饮酒使她们处于AEP风险的女性。方法本研究重复了美国的研究。参与者是689名处于AEP风险的俄罗斯育龄妇女。将他们对SBD的回答（“在过去三个月内，您一次喝四杯或更多酒的频率”）与他们在90天时间轴跟踪（TLFB）日历上酗酒的报告进行比较。结果SBD将99%的俄罗斯高危女性确定为酗酒者，复制了美国的研究结果。只有8%的女性被确定为有风险，使用第二个AEP标准，即平均每周饮酒≥ 8次。虽然俄罗斯女性没有报告每周大量饮酒，三分之二的人不符合问题饮酒的审计标准，但当他们喝酒时，40%的时间是酗酒。结论几乎所有的俄罗斯妇女谁是在AEP的风险确定了一个单一的酗酒问题。这项研究的结果表明，俄罗斯卫生保健从业人员可以使用SBD成功地筛选妇女的AEP风险。SBD确定了99%的俄罗斯女性有AEP风险。因此，建议将SBD纳入OB/GYN诊所访视时的常规健康护理筛查。
Introduction Low rates of contraception and at-risk drinking place many Russian women at risk of an alcohol-exposed pregnancy (AEP). The only realistic way to determine when women are at risk of AEP is by self-reports. A U.S. study found that a single binge-drinking question (SBD) effectively identified nearly all women whose drinking placed them at risk of AEP. Methods The present study replicated the U.S. study. Participants were 689 non-pregnant Russian women of childbearing age who were at AEP risk. Their answers to SBD, “During the previous three months, how often did you have four or more drinks on one occasion”, were compared with their reports of binge drinking on a 90-day Timeline Followback (TLFB) calendar. Results The SBD identified 99% of at-risk Russian women as binge drinkers, replicating U.S. findings. Only 8% of the women were identified at-risk using a second AEP criterion of ≥ 8 drinks on average per week. Although Russian women did not report heavy weekly drinking and two-thirds did not meet AUDIT criteria for problem drinking, when they did drink, 40% of the time it was binge drinking. Conclusions Almost all Russian women who were at risk of an AEP were identified by a single binge-drinking question. Results from this study suggest that Russian health care practitioners can use SBD to successfully screen women for AEP risk. SBD identified 99% of Russian women who were at AEP risk. Consequently, it is recommended that SBD be incorporated into routine health care screenings at OB/GYN clinic visits.