Alvanzo Anika A H, Svikis Dace S
Virginia Commonwealth University Medical Center, Richmond, Virginia 23298-0306, USA.
Subst Use Misuse. 2008 Jul;43(8-9):1098-109. doi: 10.1080/10826080801914121.
This study examines the relationship between physical abuse and periconceptional drinking in women presenting to a mid-Atlantic, urban hospital-based OB/GYN clinic serving a largely indigent population between April 2003 and May 2004. During their first prenatal visit, 308 women completed a screening battery that included the Abuse Assessment Screen (AAS) and measures of alcohol use, including the CAGE, T-ACE, TWEAK, and the PRIME-MD Patient Health Questionnaire (PHQ). Bivariate analyses, including odds ratios (ORs) and 95% confidence intervals (CIs), revealed that women with a history of physical abuse were more likely to report drinking alcohol within the 3 months prior to their prenatal care visit and were significantly more likely to meet criteria for risk drinking on multiple measures. A history of physical abuse appears to be associated with higher self-reported rates of periconceptional drinking in pregnant women. Study findings support the need for assessment of abuse history as a potential risk factor for alcohol use in pregnant women.
本研究调查了2003年4月至2004年5月期间，在大西洋中部一家主要为贫困人口服务的城市医院妇产科诊所就诊的女性中，身体虐待与受孕前饮酒之间的关系。在她们首次产前检查时，308名女性完成了一系列筛查，包括虐待评估筛查（AAS）以及饮酒情况测量，其中包括CAGE问卷、T-ACE问卷、TWEAK问卷以及PRIME-MD患者健康问卷（PHQ）。双变量分析，包括比值比（OR）和95%置信区间（CI），结果显示，有身体虐待史的女性在产前检查就诊前3个月内更有可能报告饮酒，并且在多项测量中更有可能符合危险饮酒标准。身体虐待史似乎与孕妇自我报告的受孕前饮酒率较高有关。研究结果支持将虐待史评估作为孕妇饮酒潜在风险因素的必要性。
