Rural and small-town attitudes about alcohol use during pregnancy: A community and provider sample
Rural and small-town attitudes about alcohol use during pregnancy: A community and provider sample
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DOI：
10.1111/j.1748-0361.2003.tb00588.x
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发表时间：
2003-09-01
影响因子：
4.9
通讯作者：
Wiesenhahn, D
中科院分区：
文献类型：
--
作者：
Logan, TK;Walker, R;Wiesenhahn, D
内容：虽然对产前饮酒问题进行了大量研究，但对农村和小城镇妇女的研究有限。目的：这2部分的研究探讨了性别差异的态度和感知的障碍，干预在一个大的社区样本的人生活在农村和小城镇的环境在肯塔基州（n = 3,346）。该研究还探讨了农村/小城镇产前服务提供者对评估和干预孕妇药物滥用者（n = 138）的障碍的看法。方法：对来自16个农村和小城镇社区网点的员工和顾客进行了调查。男性1503例（45%），女性1843例（55%），年龄从18岁以下到66岁以上。调查还邮寄给了13个县研究地区的县卫生部门的产前服务提供者，149个中有138个做出了回应。调查结果：社区抽样的总体结果表明，男性和女性都不了解怀孕期间饮酒的有害影响。结果还表明，酒精的态度，知识和感知障碍的性别差异很大。此外，产前护理提供者确定了在农村和小城镇社区对有酒精使用问题的孕妇进行评估和治疗的几个障碍，包括缺乏对评估的了解和舒适度，以及缺乏可用和可获得的转诊治疗。
Context: While there has been considerable research on prenatal alcohol use, there have been limited studies focused on women in rural and small-town environments. Purpose: This 2-part study examines gender differences in attitudes and perceived barriers to intervention in a large community sample of persons living in rural and small-town environments in Kentucky (n = 3,346). The study also examines rural/small-town prenatal service providers' perceptions of barriers to assessment and intervention with pregnant substance abusers (n = 138). Methods: Surveys were administered to a convenience sample of employees and customers from 16 rural and small-town community outlets. There were 1503 males (45%) and 1843 females (55%) ranging in age from under 18 years old to over 66 years old. Surveys also were mailed to prenatal providers in county health departments of the 13-county study area, with 138 of 149 responding. Findings: Overall results of the community sample suggest that neither males nor females were knowledgeable about the harmful effects of alcohol use during pregnancy. Results also indicate substantial gender differences in alcohol attitudes, knowledge, and perceived barriers. Further, prenatal care providers identified several barriers in assessment and treatment of pregnant women with alcohol use problems in rural and small-town communities, including lack of knowledge and comfort with assessment as well as a lack of available and accessible treatment for referrals.