2007 年至 2011 年间澳大利亚孕妇饮酒量的变化。

Changes in alcohol consumption in pregnant Australian women between 2007 and 2011.

机构信息

Griffith Health Institute, Griffith University, Logan, QLD, Australia.

出版信息

Med J Aust. 2013 Sep 2;199(5):355-7. doi: 10.5694/mja12.11723.

DOI:10.5694/mja12.11723

PMID:23992193

Abstract

OBJECTIVE

To describe the prevalence and distribution of alcohol consumption during pregnancy in an Australian population over a 5-year period.

DESIGN, SETTING AND PARTICIPANTS: Cross-sectional repeated sample, trend analysis of aggregated and stratified alcohol consumption patterns during pregnancy. Pregnant women were enrolled from 2007 to 2011 in the Griffith Study of Population Health: Environments for Healthy Living, a birth cohort study being conducted in south-east Queensland and north-east New South Wales.

MAIN OUTCOME MEASURES

Sociodemographic and alcohol consumption data were self-reported at enrollment. Alcohol measures included alcohol consumption (any level) and high-risk alcohol consumption, both during pregnancy (at any stage) and after the first trimester of pregnancy.

RESULTS

Of 2731 pregnant women for whom alcohol consumption data were available, a decrease in alcohol consumption was observed over the study period; 52.8% reported alcohol use in 2007 compared with 34.8% in 2011 (P< 0.001). The proportion of women who drank alcohol after the first trimester of pregnancy declined from 42.2% in 2007 to 25.8% in 2011. However, high-risk drinking patterns - at all or after the first trimester - did not change over the 5 years (P = 0.12). Low-level alcohol consumption was associated with older women (P < 0.001), more highly educated women (P = 0.01), and women from higher-income households (P < 0.001). In contrast, high-risk consumption after the first trimester was associated with lower levels of education (P = 0.011) and single-parent status (P = 0.001).

CONCLUSIONS

This study showed a steady and statistically significant decline in the proportion of women who reported drinking alcohol during pregnancy from 2007 to 2011. To further reduce these levels, we need broad public health messages for the general population and localised strategies for high-risk subpopulations.

TRIAL REGISTRATION

Australian New Zealand Clinical Trials Registry ACTRN12610000931077.

摘要

目的

描述在澳大利亚人群中，5 年内怀孕期间饮酒的流行情况和分布情况。

设计、地点和参与者：这是一项横断面重复抽样研究，对怀孕期间的酒精消费模式进行了汇总和分层的趋势分析。2007 年至 2011 年期间，在昆士兰州东南部和新南威尔士州东北部开展的一项出生队列研究——格里菲斯人群健康研究：健康生活环境中，招募了怀孕的女性。

主要观察指标

在入组时，自我报告社会人口统计学和饮酒数据。酒精测量包括怀孕期间（任何阶段）和怀孕前三个月后任何水平的饮酒和高危饮酒。

结果

在 2731 名有酒精消费数据的孕妇中，研究期间观察到饮酒量下降；2007 年有 52.8%的人报告饮酒，而 2011 年则有 34.8%（P<0.001）。在怀孕前三个月后饮酒的女性比例从 2007 年的 42.2%下降到 2011 年的 25.8%。然而，高危饮酒模式（在任何阶段或怀孕前三个月后）在 5 年内并未改变（P=0.12）。低水平饮酒与年龄较大的女性（P<0.001）、受教育程度较高的女性（P=0.01）和高收入家庭的女性（P<0.001）相关。相比之下，怀孕前三个月后的高危饮酒与较低的教育水平（P=0.011）和单亲家庭状况（P=0.001）相关。