Sanford Research (US, TLW, JDH), Sioux Falls, South Dakota.
Alcohol Clin Exp Res. 2018 Sep;42(9):1807-1814. doi: 10.1111/acer.13837. Epub 2018 Jul 20.
Fetal alcohol spectrum disorders are a major public health concern including among American Indian (AI)/Alaska Native (AN) communities. Various studies have demonstrated higher alcohol consumption among AI/AN women during pregnancy compared with other groups. This study intends to understand the milieu within which such consumption patterns flourish. The study utilizes qualitative and quantitative data from the Oglala Sioux Tribe (OST) CHOICES Program, a tribally run public health program that aims to reduce alcohol-exposed pregnancy preconceptually in AI women.
Alcohol consumption pattern (n = 264) is analyzed using descriptive statistics. Consumption patterns included average drinks consumed daily, their choice of drinks (beer, whiskey, wine, etc.), how much money participants were spending on alcohol and amount of calories consumed from alcohol. Qualitative data analysis included open coding of data from decisional balance exercise of the CHOICES program that looked at good things and not so good things about participants' drinking.
Women reported drinking an average of 12 drinks daily, ranging between 1 and 86. Women drinking at home spent a median of $4,320 and $12,960 if drinking at a bar. A median of 1,200 calories per day from alcohol was reported. More women reported drinking beer compared with other types of alcohol within a domestic setting. Qualitative data analysis identified positive and negative aspects of drinking among the participants of OST CHOICES Program. Positive aspects included escaping from problems, socializing, and relaxation. Negative aspects included impact on families and domestic violence.
While understanding their milieu, our study also unraveled different struggles (such as violence, peer pressure, financial burden, and depression) encountered by Native women in their daily lives. According to the participants, positive aspects of drinking outweigh the negative aspects and they viewed their drinking as a solution and not a problem.
胎儿酒精谱系障碍是一个主要的公共卫生问题，包括在美国印第安人/阿拉斯加原住民社区。多项研究表明，与其他群体相比，怀孕的美国印第安人/阿拉斯加原住民妇女饮酒量更高。本研究旨在了解这种饮酒模式盛行的环境。该研究利用了奥格拉拉苏族部落（OST）CHOICES 计划的定性和定量数据，CHOICES 计划是一个部落管理的公共卫生计划，旨在在 AI 女性中预先减少酒精暴露的怀孕。
使用描述性统计分析来分析饮酒模式（n=264）。饮酒模式包括平均每天饮用的饮料量、他们选择的饮料（啤酒、威士忌、葡萄酒等）、参与者花费在酒精上的金额以及从酒精中摄入的卡路里量。定性数据分析包括对 CHOICES 计划决策平衡练习中参与者饮酒的好的和不好的方面进行开放式编码。
女性报告平均每天饮用 12 杯酒，范围在 1 到 86 杯之间。在家饮酒的女性如果在酒吧饮酒，中位数花费为 4320 美元和 12960 美元。中位数每天从酒精中摄入 1200 卡路里。在家庭环境中，更多的女性报告饮用啤酒，而不是其他类型的酒。定性数据分析确定了 OST CHOICES 计划参与者饮酒的积极和消极方面。积极方面包括逃避问题、社交和放松。消极方面包括对家庭和家庭暴力的影响。
在了解他们的环境的同时，我们的研究还揭示了土著妇女在日常生活中遇到的不同困境（如暴力、同辈压力、经济负担和抑郁）。根据参与者的说法，饮酒的积极方面超过了消极方面，他们认为自己的饮酒是一种解决方案，而不是问题。
