Factors influencing women's decisions to drink alcohol during pregnancy: findings of a qualitative study with implications for health communication
Factors influencing women's decisions to drink alcohol during pregnancy: findings of a qualitative study with implications for health communication
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DOI：
10.1186/1471-2393-14-246
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发表时间：
2014-07-24
影响因子：
3.1
通讯作者：
Lucke, Jayne
中科院分区：
文献类型：
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作者：
Meurk, Carla S.;Broom, Alex;Lucke, Jayne
背景资料：尽管澳大利亚的指南建议怀孕期间戒酒，但相当多的澳大利亚妇女在怀孕期间继续饮酒。虽然有些人呼吁更多地宣传禁欲的必要性，但另一些人则表示担心，禁欲信息可能会引起焦虑，因此可能对孕妇及其未出生的婴儿有害。我们目前的调查结果，妇女的审议饮酒在怀孕期间，特别是他们的情感层面，告知辩论有关公共卫生信息和孕妇-病人讨论酒精useingduring pregnancy.Methods：半结构化的面对面访谈进行了40名妇女在自己的家中。我们的样本包括34-39岁的妇女，来自澳大利亚妇女健康纵向研究，生活在大布里斯班地区，2009年怀孕或最近分娩。一个归纳定性框架分析方法被用来识别和解释的主题，解释为什么孕妇选择喝酒或不。结果：妇女一般描述饮用少量的酒精在怀孕期间作为一个低风险的活动，并谈到了酒精的重要性，他们的社会生活作为一个原因，继续喝酒或找到禁欲的负担;敏感的判断，其他人并不普遍。女性主要根据所饮用的酒精饮料种类而不是酒精含量来评估其饮酒风险。在反映他们回忆接受的建议，妇女描述他们的保健医生被放松的风险酒精consumption.Conclusions：酒精的意义，妇女的身份似乎是一个重要的原因，继续使用酒精在怀孕期间，否则风险厌恶的妇女。怀孕期间对饮酒的焦虑并不普遍。然而，产科医生是一个重要的调解人。应该考虑健康信息，消除葡萄酒是酒精饮料的“健康”选择的概念，为妇女提供帮助她们避免饮酒的策略，建议更广泛的公众不要强迫妇女喝酒，如果她们不想喝酒，教育妇女乙醇对母亲和胎儿身体的影响。
Background: Despite Australian guidelines advising abstinence from alcohol during pregnancy, a relatively high number of Australian women continue to drink alcohol while pregnant. While some call for greater advocacy of the need for abstinence, others have expressed concern that abstinence messages may be harmful to pregnant women and their unborn babies due to the anxiety they could provoke. We present findings on women's deliberations over drinking alcohol during pregnancy, particularly their emotional dimensions, to inform debates about public health messages and practitioner-patient discussions regarding alcohol use during pregnancy.Methods: Semi-structured face-to-face interviews were conducted with 40 women in their homes. Our sample comprised women aged 34-39, drawn from the Australian Longitudinal Study on Women's Health, living in the Greater Brisbane Area who were pregnant, or had recently given birth, in 2009. An inductive qualitative framework analysis approach was used to identify and interpret themes explaining why pregnant women choose to drink or not.Results: Women generally described drinking small amounts of alcohol during pregnancy as being a low risk activity and talked about the importance of alcohol to their social lives as a reason for continuing to drink or finding abstinence a burden; sensitisation to the judgements of others was not widespread. Women predominantly assessed the risk of their drinking in terms of the kinds of alcoholic beverages consumed rather than alcohol content. In reflecting on the advice they recalled receiving, women described their healthcare practitioners as being relaxed about the risks of alcohol consumption.Conclusions: The significance of alcohol to women's identity appeared to be an important reason for continued alcohol use during pregnancy among otherwise risk averse women. Anxiety about alcohol consumption during pregnancy was not widespread. However, obstetricians were an important mediator of this. Health messages that dispel the notion that wine is a "healthy" choice of alcoholic beverage, that provide women with strategies to help them avoid drinking, that advise the broader public not to pressure women to drink if they do not want to, and educate women about the effects of ethanol on maternal and fetal bodies, should be considered.