加拿大孕妇和哺乳期妇女的饮酒行为与自我感知心理健康状况：二次数据分析。

Alcohol use and self-perceived mental health status among pregnant and breastfeeding women in Canada: a secondary data analysis.

机构信息

Social and Epidemiological Research Department, Centre for Addiction and Mental Health, Toronto, ON, Canada.

Institute of Medical Science, University of Toronto, Faculty of Medicine, Toronto, ON, Canada.

出版信息

BJOG. 2016 May;123(6):900-9. doi: 10.1111/1471-0528.13525. Epub 2015 Sep 6.

DOI:10.1111/1471-0528.13525

PMID:26344418

Abstract

OBJECTIVE

To estimate the prevalence of alcohol consumption during pregnancy and while breastfeeding in Canada from 2003 to 2010, and to test the relation between self-perceived mental health status and alcohol consumption during pregnancy and while breastfeeding.

DESIGN

Secondary analysis of four cycles of the Canadian Community Health Survey, a population-based cross-sectional survey.

SETTING

Canada.

SAMPLE

A total of 18 612 pregnant and 15 836 breastfeeding women.

METHODS

The prevalence of alcohol consumption during pregnancy and while breastfeeding and 95% confidence intervals (CI) were calculated by province and territory, and cycle. The relation between self-perceived mental health status and alcohol consumption during pregnancy and while breastfeeding was explored using quasi-Poisson regression models.

MAIN OUTCOME MEASURES

Alcohol consumption during pregnancy and while breastfeeding, and self-perceived mental health status.

RESULTS

In Canada, between 2003 and 2010, approximately one in every ten pregnant women (9.9%; 95%CI 9.2-10.5%) and two in every ten breastfeeding women (20.3%; 95%CI 19.4-21.2%) women consumed alcohol. Women with a lower self-perceived mental health status (i.e. 'good') were 1.40 (95%CI 1.18-1.67, P < 0.001) times more likely to have consumed alcohol during pregnancy, compared with women with an 'excellent' self-perceived mental health. There were no notable differences between the categories of mental health status in regard to alcohol consumption while breastfeeding.

CONCLUSION

Despite public health efforts in Canada, a significant proportion of pregnant and breastfeeding women consume alcohol. It is imperative that a standard screening protocol be initiated among pregnant and breastfeeding women, especially in high-risk populations (e.g. women utilising substance abuse treatment programs).

TWEETABLE ABSTRACT

In Canada in 2003-2010, approximately 10% of pregnant and 20% of breastfeeding women consumed alcohol.

摘要

目的

评估 2003 年至 2010 年加拿大怀孕期间和哺乳期饮酒的流行率，并检验自我感知心理健康状况与怀孕期间和哺乳期饮酒之间的关系。

设计

对基于人群的横断面调查——加拿大社区健康调查的四个周期进行二次分析。

设置

加拿大。

样本

共纳入 18612 名孕妇和 15836 名哺乳期妇女。

方法

按省份和地区以及周期计算怀孕期间和哺乳期饮酒的流行率和 95%置信区间（CI）。使用拟泊松回归模型探讨自我感知心理健康状况与怀孕期间和哺乳期饮酒之间的关系。

主要结局测量指标

怀孕期间和哺乳期饮酒以及自我感知心理健康状况。

结果

在加拿大，2003 年至 2010 年间，大约每 10 名孕妇中就有 1 人（9.9%；95%CI 9.2-10.5%），每 10 名哺乳期妇女中就有 2 人（20.3%；95%CI 19.4-21.2%）饮酒。与自我感知心理健康状况“优秀”的女性相比，自我感知心理健康状况较差的女性（即“良好”）怀孕期间饮酒的可能性高 1.40 倍（95%CI 1.18-1.67，P<0.001）。在哺乳期饮酒方面，心理健康状况类别之间没有明显差异。