Thanh N X, Jonsson E
Institute of Health Economics, Edmonton, Alberta.
J Popul Ther Clin Pharmacol. 2010 Summer;17(2):e302-7. Epub 2010 Aug 17.
Drinking alcohol during pregnancy may cause many health problems for the child, one of which is fetal alcohol spectrum disorder (FASD). Since FASD is incurable, actions meant to prevent the occurrence of the disability by targeting drinking women become more important. Epidemiological data on drinking among pregnant women, including prevalence and determinants/risk factors, is essential for designing and evaluating prevention programs.
To estimate the prevalence of drinking alcohol during pregnancy and examine the determinants of this behaviour.
Using the 2007/8 Canadian Community Health Survey (CCHS) data, we estimated the weighted prevalence of women who drank alcohol during their last pregnancy by provinces. We used a weighted logistic regression to examine associations between drinking patterns, substance abuse behaviours, health-related and socio-demographic characteristics of the women, and the outcome variable.
There were two main findings of this study. One was that the 2007/8 prevalence of drinking alcohol during pregnancy in ON, BC, and Canada was estimated at 5.4%, 7.2%, and 5.8%, respectively. The other was that the use of general practitioners (GP) or family physicians (FP) associated with a decreased risk of drinking alcohol during pregnancy.
The results suggest that interventions that involve GP or FP and that increase the use of GP or FP by pregnant women can be effective in reducing drinking alcohol during pregnancy.
孕期饮酒可能会给孩子带来诸多健康问题，其中之一便是胎儿酒精谱系障碍（FASD）。由于FASD无法治愈，旨在通过针对饮酒女性来预防该残疾发生的行动就变得更为重要。关于孕妇饮酒的流行病学数据，包括患病率以及决定因素/风险因素，对于设计和评估预防项目至关重要。
估计孕期饮酒的患病率，并探究这种行为的决定因素。
利用2007/8年加拿大社区健康调查（CCHS）的数据，我们按省份估计了上次怀孕时饮酒女性的加权患病率。我们使用加权逻辑回归来检验饮酒模式、药物滥用行为、女性的健康相关特征和社会人口学特征与结果变量之间的关联。
本研究有两个主要发现。一是安大略省、不列颠哥伦比亚省和加拿大在2007/8年孕期饮酒的患病率分别估计为5.4%、7.2%和5.8%。另一个是，看全科医生（GP）或家庭医生（FP）与孕期饮酒风险降低相关。
结果表明，涉及全科医生或家庭医生且能增加孕妇看全科医生或家庭医生次数的干预措施，在减少孕期饮酒方面可能有效。
