Andersen A M, Olsen J, Grønbaek M N
Statens Serum Institut, Center for Epidemiologisk Grundforskning, afdeling for epidemiologisk forskning.
Ugeskr Laeger. 2001 Mar 12;163(11):1561-5.
In March 1999, the National Board of Health changed its recommendations about alcohol drinking in pregnancy. A "No drinking" policy was changed to three recommendations: 1. Avoid, as far as possible, alcohol in pregnancy; 2. Never take more than one drink a day; and 3. Do not drink alcohol every day.
By means of data from the Danish National Birth Cohort, to monitor changes in pregnant women's reporting of alcohol drinking before and after the change in policy.
From October 1, 1997, to September 30, 1999, a total of 30,899 pregnant women were interviewed by the end of first trimester. Information on alcohol intake reported among women interviewed from July 1, to September 30, 1998 was compared with the same information obtained from interviews completed in the same months in 1999.
Overall, there were no changes in mean alcohol intake in the two periods. Hence, the mean intake was 0.6 drinks per week in the period before and 0.7 drinks per week in the period after introduction of the recommendations. The proportion of women drinking more than two drinks per week was 6.4% before vs 7.4% after the new and less restrictive recommendations (p = 0.12). The proportion of women having one or more binge episode (e.g. drinking five or more drink at one occasion) was 26.7 vs 27.4 (p = 0.65).
The study showed no significant changes in drinking habits among Danish pregnant women after relaxation of the guidelines for sensible drinking during pregnancy.
1999年3月,国家卫生局改变了其关于孕期饮酒的建议。“禁酒”政策改为三条建议:1. 孕期尽可能避免饮酒;2. 每天饮酒切勿超过一杯;3. 不要每天饮酒。
借助丹麦国家出生队列的数据,监测政策改变前后孕妇报告饮酒情况的变化。
从1997年10月1日至1999年9月30日,共有30899名孕妇在孕早期结束时接受了访谈。将1998年7月1日至9月30日接受访谈的女性报告的酒精摄入量信息与1999年同一月份完成访谈所获得的相同信息进行比较。
总体而言,两个时期的平均酒精摄入量没有变化。因此,在建议出台前的时期平均摄入量为每周0.6杯,在建议出台后的时期为每周0.7杯。每周饮酒超过两杯的女性比例在新的且限制较少的建议出台前为6.4%,之后为7.4%(p = 0.12)。有一次或多次暴饮情况(例如一次饮酒五杯或更多)的女性比例为26.7对27.4(p = 0.65)。
该研究表明,在放宽孕期合理饮酒指南后,丹麦孕妇的饮酒习惯没有显著变化。