Drinking and reproductive dysfunction among women in a 1981 national survey.
Drinking and reproductive dysfunction among women in a 1981 national survey.
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1981 年全国调查显示女性饮酒与生殖功能障碍。
DOI：
10.1111/j.1530-0277.1984.tb05700.x
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发表时间：
1984
期刊：
影响因子：
--
通讯作者：
Wilsnack,RW
中科院分区：
文献类型：
--
作者：
Wilsnack,SC;Klassen,AD;Wilsnack,RW
这篇论文提出了从一个具有代表性的国家妇女样本中获得的关于饮酒和生殖功能障碍的第一批数据。在这个917名妇女（加权n = 2552）的分层家庭样本中，痛经、月经量大和经前不适随着饮酒水平的增加而增加，特别是与每天至少每周饮酒一次或6次以上的报告密切相关。每天饮酒6杯或以上，每周至少饮酒5次的女性，除子宫切除术外，接受妇科手术的几率较高，但在平均每天饮酒2盎司或以上的女性中，子宫切除术的几率较低，年龄影响得到控制。产科疾病的终生发病率在饮酒水平较高时显著升高（流产或死产和早产患者每天至少饮酒6次或更多，每周至少饮酒3次；不孕症和出生缺陷患者每天饮酒6次或更多，每周至少饮酒5次）。一个意想不到的发现是，在以前不经常饮酒的临时戒酒者（报告过去12个月饮酒但不是过去30天）中，月经紊乱、子宫切除术、流产或死产和早产的发生率很高。
This paper presents the first data available on drinking and reproductive dysfunction from a representative national sample of women. In this stratified household sample of 917 women (weighted n = 2552), dysmenorrhea, heavy menstrual flow, and premenstrual discomfort increased with drinking level and were particularly strongly associated with reported consumption of 6 or more drinks a day at least once a week. Women who consumed 6 or more drinks/day at least 5 times a week had elevated rates of gynecologic surgery other than hysterectomy, but hysterectomy was less common among women averaging 2 oz or more of ethanol/day, with age effects controlled. Lifetime rates of obstetric disorders showed significant elevations at upper levels of drinking (6 or more drinks/day at least 3 times a week for miscarriage or stillbirth and prematurity, and 6 or more drinks/day at least 5 times a week for infertility and birth defects). An unexpected finding was the high rates of menstrual disorders, hysterectomy, miscarriage or stillbirth, and prematurity among temporary abstainers (women reporting alcohol consumption in the past 12 months but not the past 30 days) who had previously drunk only infrequently.