Meschke Laurie L, Hellerstedt Wendy, Holl Joyce A, Messelt Sara
Child and Adolescent Development Program, San Francisco State University, 1600 Holloway Avenue, HHS, SCI 394, San Francisco, CA, 94132, USA.
Matern Child Health J. 2008 Jul;12(4):442-51. doi: 10.1007/s10995-007-0261-9. Epub 2007 Aug 10.
S: To identify correlates of prenatal alcohol use in a statewide population-based sample.
A self-reported survey was conducted in 67 prenatal clinics in Minnesota with 4,272 women at their first prenatal visit. Chi-squared and multivariate logistic regression analyses were conducted to identify risk markers associated with any prenatal alcohol use.
Nearly 27% of the respondents were calculated as having used alcohol during pregnancy. In multivariable analyses, the following were risk markers for prenatal alcohol use: older age, being unmarried, lower gravidity, greater depressed mood, currently smoking, exposure to intrapersonal violence, a history of not remembering things because of alcohol use, and feelings that the respondent should reduce her drinking. Subsequent analyses revealed that the association of intrapersonal violence with prenatal drinking was mediated by whether the woman reported that she did not remember things while drinking or that the woman felt she should reduce her drinking.
The demographic and behavioral correlates reported here are consistent with previous research. The significance of two alcohol behavioral factors (i.e., not remembering things and feeling that she should reduce her drinking) suggest that the women who drank during pregnancy would likely have substance abuse issues.
确定全州基于人群的样本中孕期饮酒的相关因素。
在明尼苏达州的67家产前诊所对4272名首次产前检查的女性进行了一项自我报告调查。进行了卡方检验和多变量逻辑回归分析，以确定与孕期饮酒相关的风险标志物。
经计算，近27%的受访者在孕期饮酒。在多变量分析中，以下是孕期饮酒的风险标志物：年龄较大、未婚、妊娠次数较少、情绪抑郁程度较高、目前吸烟、遭受人际暴力、有因饮酒而失忆的病史，以及受访者认为自己应该减少饮酒。后续分析表明，人际暴力与孕期饮酒之间的关联是通过女性是否报告自己饮酒时失忆或认为自己应该减少饮酒来介导的。
此处报告的人口统计学和行为学相关因素与先前的研究一致。两个饮酒行为因素（即失忆和认为自己应该减少饮酒）的重要性表明，孕期饮酒的女性可能存在药物滥用问题。
