Estimated number of preterm births and low birth weight children born in the United States due to maternal binge drinking.

Estimated number of preterm births and low birth weight children born in the United States due to maternal binge drinking.
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DOI:
10.1007/s10995-012-1048-1
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发表时间:
2013-05
影响因子:
2.3
通讯作者:
Spitler H
Spitler H
中科院分区:
医学4区
文献类型:
--
作者:
Truong KD;Reifsnider OS;Mayorga ME;Spitler H

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估计2008年美国社会人口学群体中母亲酗酒对早产(PTB)和低出生体重(LBW)的总负担。建立了一个模拟模型来估计由于母亲酗酒而导致的PTB和LBW病例数。该模型的数据输入包括来自国家卫生统计中心的出生人数和早产率和LBW;来自美国人口普查的育龄组女性人口;由于从文献中提取的母亲酗酒导致早产和LBW分娩的相对风险增加;使用行为危险因素监测的多变量logistic回归模型估计孕妇中酗酒的校正患病率系统调查。最保守的估计是,2008年有8,701例(95% CI:7,804 - 9,598例)PTB(占所有PTB的1.75%)和5,627例(95% CI:5,121 - 6,133例)出生体重不足的产妇因母亲酗酒分娩,其中3,708例(95% CI:3,375 - 4,041例)PTB和出生体重不足。在所有对白色妇女的PTB中,由于母亲酗酒导致的PTB估计发生率为1.57%,黑人妇女为0.69%,西班牙裔妇女为3.31%,其他种族为2.35%。与其他年龄组相比,40-44岁的妇女有最高的调整后酗酒率和最高的PTB率,由于母亲酗酒(4.33%)。母亲酗酒的贡献显着的PTB和LBW的社会人口学群体之间的差异。
To estimate the aggregate burden of maternal binge drinking on preterm birth (PTB) and low birth weight (LBW) across American sociodemographic groups in 2008. A simulation model was developed to estimate the number of PTB and LBW cases due to maternal binge drinking. Data inputs for the model included number of births and rates of preterm and LBW from the National Center for Health Statistics; female population by childbearing age groups from the U.S. Census; increased relative risks of preterm and LBW deliveries due to maternal binge drinking extracted from the literature; and adjusted prevalence of binge drinking among pregnant women estimated in a multivariate logistic regression model using Behavioral Risk Factor Surveillance System survey. The most conservative estimates attributed maternal binge drinking to 8,701 (95% CI: 7,804–9,598) PTBs (1.75% of all PTBs) and 5,627 (95% CI 5,121–6,133) LBW deliveries in 2008, with 3,708 (95% CI: 3,375–4,041) cases of both PTB and LBW. The estimated rate of PTB due to maternal binge drinking was 1.57% among all PTBs to White women, 0.69% among Black women, 3.31% among Hispanic women, and 2.35% among other races. Compared to other age groups, women ages 40–44 had the highest adjusted binge drinking rate and highest PTB rate due to maternal binge drinking (4.33%). Maternal binge drinking contributed significantly to PTB and LBW differentially across sociodemographic groups.
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