De Genna Natacha M, Larkby Cynthia, Cornelius Marie D
University of Pittsburgh and Western Psychiatric Institute and Clinic (WPIC), Program in Epidemiology, Suite 138, 4415 Fifth Avenue, Pittsburgh, PA 15213, USA.
Addict Behav. 2007 Dec;32(12):2799-810. doi: 10.1016/j.addbeh.2007.04.018. Epub 2007 Apr 19.
The goal of this study was to examine the effects of early and adverse experiences with sex and alcohol on adolescent drinking the year before and during pregnancy. Pregnant adolescents, recruited at an outpatient prenatal clinic, were interviewed about their substance use. A subsample was asked about their first sexual experiences. Associations among early experiences with alcohol and sex and drinking before and during pregnancy were examined. Early age at first alcoholic drink predicted problem alcohol use before pregnancy and drinking during pregnancy. Coercive first coitus was not associated with alcohol use, but drinking during first coitus predicted problem alcohol use before pregnancy as well as drinking during the first trimester of pregnancy. In sum, early use of alcohol and use of alcohol during first coitus may be risk factors for problematic alcohol use before pregnancy and during pregnancy among childbearing teenagers. Implications for the health of adolescent mothers and their offspring are discussed.
本研究的目的是探讨早期及不良的性与酒精经历对青少年在怀孕前一年及怀孕期间饮酒的影响。在一家门诊产前诊所招募的怀孕青少年接受了关于其物质使用情况的访谈。一个子样本被问及他们的首次性经历。研究了早期酒精和性经历与怀孕前及怀孕期间饮酒之间的关联。首次饮酒的年龄较小预示着怀孕前存在酒精使用问题以及怀孕期间饮酒。强迫性首次性交与酒精使用无关,但首次性交时饮酒预示着怀孕前存在酒精使用问题以及怀孕头三个月饮酒。总之,早期饮酒以及首次性交时饮酒可能是育龄青少年怀孕前及怀孕期间出现酒精使用问题的风险因素。文中讨论了对青少年母亲及其后代健康的影响。