Kavanagh Phillip S, Payne Jennifer S
School of Psychology, Social Work and Social Policy, University of South Australia, Adelaide, South Australia, Australia.
J Paediatr Child Health. 2014 Sep;50(9):701-6. doi: 10.1111/jpc.12615. Epub 2014 Jun 9.
There are alarming rates of fetal alcohol spectrum disorder (FASD) in the Kimberley region of Western Australia despite numerous international studies demonstrating the links between alcohol consumption during pregnancy and FASD. The aim of this research was to help determine factors that may be associated with correct knowledge about safe drinking practices during pregnancy, with these factors used to help inform future interventions.
Ninety-nine residents (40 males, 59 females, 39% of which self-identified as Indigenous) from the Kimberley region (Broome and smaller remote communities) completed a survey examining knowledge of currently recommended safe drinking practices during pregnancy and knowledge of the outcomes for children with FASD over a period of approximately 2 months.
The results revealed that education level (i.e. not completing high school through to completing university) is the biggest predictor (β = 0.44, P < 0.01) of knowledge of safe drinking practices during pregnancy, and having heard of FASD (β = 0.67, P < 0.001) was the biggest predictor of knowledge of outcomes for children with FASD. Other variables such as age, sex, Indigenous status and income level were not as important.
These findings suggest that early education regarding the consequences of alcohol consumption for women of childbearing age should be paramount in this or similar communities. Suggestions for targeted interventions are discussed in light of these findings.
尽管众多国际研究表明孕期饮酒与胎儿酒精谱系障碍(FASD)之间存在关联,但西澳大利亚金伯利地区的FASD发病率仍令人担忧。本研究的目的是帮助确定可能与孕期安全饮酒正确知识相关的因素,并利用这些因素为未来的干预措施提供参考。
来自金伯利地区(布鲁姆及较小的偏远社区)的99名居民(40名男性,59名女性,其中39%自称是原住民)在大约两个月的时间里完成了一项调查,该调查考察了对当前推荐的孕期安全饮酒做法的了解以及对FASD患儿结局的了解。
结果显示,教育水平(即从未完成高中学业到完成大学学业)是孕期安全饮酒知识的最大预测因素(β = 0.44,P < 0.01),听说过FASD(β = 0.67,P < 0.001)是FASD患儿结局知识的最大预测因素。年龄、性别、原住民身份和收入水平等其他变量则不那么重要。
这些发现表明,在这个或类似社区,对育龄妇女进行关于饮酒后果的早期教育应是首要任务。根据这些发现讨论了针对性干预措施的建议。