Women's perceptions of information about alcohol use during pregnancy: a qualitative study.

Women's perceptions of information about alcohol use during pregnancy: a qualitative study.
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DOI:
10.1186/1471-2458-14-1048
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发表时间:
2014-10-08
期刊:
影响因子:
4.5
通讯作者:
Loxton DJ
Loxton DJ
中科院分区:
医学2区
文献类型:
--
作者:
Anderson AE;Hure AJ;Kay-Lambkin FJ;Loxton DJ

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世界各地的许多酒精指南都建议孕妇戒酒。然而,怀孕期间饮酒的高患病率仍然存在。目前尚不清楚准则信息的传播是否存在可能导致这种消费的问题。这项定性研究旨在探索妇女在引入禁欲指南后对她们在怀孕期间收到的有关酒精使用的信息的看法。澳大利亚妇女健康纵向研究(ALSWH)1973-78年队列中报告2009年怀孕的19名女性被招募进行半结构化电话采访。采访一直进行到数据饱和。采访被转录,然后进行主题分析。ALSWH调查数据被用来补充研究结果。主要的结果衡量标准是,在2009年澳大利亚促进怀孕期间禁欲的指南出台后,妇女对关于怀孕期间饮酒的信息的看法。妇女报告了有关怀孕期间饮酒的信息及其传播方面的一些问题。关于怀孕期间饮酒的信息和提供的建议不一致。混乱的信息和对确定安全消费水平的困惑影响了女性在怀孕期间饮酒或戒酒的决定。妇女表示需要尽早向妇女提供明确、一致的信息。他们更希望信息来自医疗保健专业人员或其他有信誉的消息来源。为了在知情的情况下决定是否在怀孕期间饮酒,必须首先向妇女提供最新的循证信息。由于这项研究发现了信息提供方面的一些局限性,建议医疗保健专业人员按照最佳实践指南采取系统的方法,以确保所有妇女都知道怀孕时的酒精建议。
A number of alcohol guidelines worldwide suggest that pregnant women should abstain from alcohol. However, high prevalence rates of alcohol consumption during pregnancy still exist. It is unknown whether there are problems with the dissemination of guideline information that is potentially contributing to such consumption. This qualitative study aimed to explore women’s perceptions of information they received about alcohol use during pregnancy after the introduction of abstinence guidelines. Nineteen women from the Australian Longitudinal Study on Women’s Health (ALSWH) 1973–78 cohort that reported a pregnancy in 2009 were recruited for semi-structured telephone interviews. The interviews were conducted until data saturation was reached. Interviews were transcribed, then thematically analysed. ALSWH survey data was used to augment the findings. The main outcome measure was women’s perceptions of information received about alcohol use during pregnancy after the introduction of the 2009 Australian guidelines promoting abstinence during pregnancy. Women reported a number of problems with the information about alcohol use during pregnancy and with its dissemination. There were inconsistencies in the information about alcohol use during pregnancy and in the advice provided. Mixed messages and confusion about identifying a safe level of consumption had implications on women’s decisions to drink or abstain during pregnancy. Women expressed a need for a clear, consistent message to be provided to women as early as possible. They preferred that the message come from healthcare professionals or another reputable source. To make an informed decision about alcohol use during pregnancy, women must first be provided with the latest evidence-based information. As this study found a number of limitations with information provision, it is suggested that a systematic approach be adopted by healthcare professionals, in line with best-practice guidelines, to ensure all women are made aware of the alcohol recommendations for pregnancy.
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