Leonardson Gary R, Loudenburg Roland, Struck Judy
Mountain Plains Research, 55 Rodeo Trail, Dillion, MT 59725, USA.
Behav Brain Funct. 2007 Feb 9;3:8. doi: 10.1186/1744-9081-3-8.
A substance use screening instrument was used to determine factors predictive of drinking during pregnancy. Alcohol consumption during pregnancy can lead to negative birth outcomes.
The participants (n = 4,828) for the study were sampled from pregnant women attending prenatal clinics in Montana, South Dakota, and North Dakota. Clinic sites for the administration of the screening instrument were selected in each state, based on geographic and known population characteristics. Univariate and multivariate statistical procedures were used to determine factors predictive of drinking during pregnancy.
Women who drank tended to: be single, be between 21-25 years old, have had fewer children, have had abortions, and be unemployed. Demographic factors that were protective of drinking when pregnant were married and full-time housewife status. Other variables associated with maternal alcohol use were: past sexual abuse, current or past physical abuse, tobacco use, other drug use, lived with substance users, and had mates who were substance users. Other contributing factors for alcohol use included: feeling sad, believing that drinking any amount of alcohol while pregnant was acceptable, had been in treatment, could use treatment now, and were able to hold four or more drinks.
Because drinking rates were high and factors correlated with drinking are known, alcohol screening for this population is essential.
使用一种物质使用筛查工具来确定孕期饮酒的预测因素。孕期饮酒会导致不良的出生结局。
该研究的参与者（n = 4828）从蒙大拿州、南达科他州和北达科他州产前诊所的孕妇中抽样选取。根据地理和已知人口特征，在每个州选择了进行筛查工具管理的诊所地点。采用单变量和多变量统计程序来确定孕期饮酒的预测因素。
饮酒的女性往往具有以下特点：单身、年龄在21至25岁之间、子女较少、有过堕胎经历且失业。孕期饮酒的保护性人口统计学因素是已婚和全职家庭主妇身份。与孕妇酒精使用相关的其他变量包括：过去遭受性虐待、当前或过去遭受身体虐待、吸烟、使用其他药物、与吸毒者同住以及伴侣为吸毒者。饮酒的其他促成因素包括：感到悲伤、认为孕期饮用任何量的酒精都是可以接受的、曾接受过治疗、现在可以接受治疗以及能够饮用四杯或更多酒。
由于饮酒率较高且已知与饮酒相关的因素，对该人群进行酒精筛查至关重要。
