ALCOHOL SERVER EDUCATION AS A FAS PREVENTION METHOD

据估计，胎儿酒精综合征是西方世界发育障碍的主要原因，而且是完全可以预防的。 迄今为止，预防工作主要是以诊所为基础的，未能及时接触到许多高危妇女进行有效干预。 本研究将探讨在另一个场所，也许更经常访问的饮酒孕妇比产前诊所：公共饮酒机构干预的潜在有效性。 许多损害可以通过在第二个三个月的干预来预防，因为怀孕通常对其他人如酒精服务人员是可见的。这项研究有两个主要目标。 首先，我们将研究酒精服务器培训立法的有效性，以防止FAS，比较两种方法和控制：国家规定的培训，在两个国家不同程度的正式强调FAS，一个国家没有正式的服务器培训系统。第二，我们将开发、提供和评估在所有三个州系统下预防FAS的补充服务器培训计划的有效性。测量实施和有效性的因变量将包括：FAS的知识，态度，并建立大样本邮件调查评估的政策;知识，态度，并自我报告的做法，服务器的机构子样本的访谈评估;观察到的服务器坚持负责任的做法，在机构子样本使用pseudopatrons;以及服务器干预后孕妇自我转诊到社区卫生资源的记录。

Fetal alcohol syndrome is by some estimates the leading cause of developmental disability in the Western world, and one which is entirely preventable. Efforts at prevention heretofore have been largely clinic-based, which fails to access many high-risk women in time to intervene effectively. This study will investigate the potential effectiveness of intervention in another venue perhaps more frequently visited by drinking gravidas than the prenatal clinic: the public drinking establishment. Much damage can be prevented by intervention in the second trimester, when pregnancy is ordinarily visible to others such as alcohol service personnel. This study has two principle goals. First, we will examine the effectiveness of alcohol server training legislation to prevent FAS, comparing two approaches and a control: state-mandated training in two states with varying degrees of formal emphasis on FAS, and one state with no formal server training system. Second, we will develop, provide, and evaluate the effectiveness of a supplementary server training program in FAS prevention under all three state systems. Dependent variables measuring implementation and effectiveness will include: FAS knowledge, attitudes, and establishment policies assessed by large sample mail surveys; knowledge, attitudes, and self-reported practices of servers assessed by interviews in subsamples of establishments; observed server adherence to responsible practices using pseudopatrons in subsamples of establishments; and records of self-referrals to community health resources by gravidas resulting from server interventions.