Tebeka Sarah, De Premorel Higgons Alix, Dubertret Caroline, Le Strat Yann
APHP, Department of Psychiatry, Universitary Hospital Louis Mourier, 92700 Colombes, France; Université de Paris, France; Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM U1266, Paris F-75014, France.
Addict Behav. 2020 Aug;107:106389. doi: 10.1016/j.addbeh.2020.106389. Epub 2020 Mar 9.
Heavy episodic drinking (HED) is a frequent pattern of alcohol use in women of childbearing age with severe consequences for both women and child, making it a major public health issue. Some states in the US have reported laws that target the use of alcohol during pregnancy. Our aim was to examine the evolution of 12-month alcohol use and 12-month HED prevalence in childbearing age, pregnant and postpartum women between 2001 and 2002 and 2012-2013.
Our data were drawn from the National Epidemiologic Study of Alcohol and Related Conditions (NESARC) conducted in 2001-2002 and NESARC-III conducted in 2012-2013, two independent, representative samples of U.S.
Past-year alcohol use and HED was evaluated according face-to-face interview for all participants.
Our sample consisted of 24,536 women of childbearing age, including 2846 pregnant and postpartum women. Prevalence of 12-month alcohol use increased from 2001 to 2002 to 2012-2013, in both childbearing-aged women (66.14% to 75.48%; aOR = 1.62, 95%CI = 1.46-1.80) and pregnant and postpartum women (57.81% to 66.19%; aOR = 1.56, 95%CI = 1.25-1.94). Prevalence of 12-month HED increased from 2001 to 2002 to 2012-2013, in both childbearing-aged women (22.57% to 36.34%; aOR = 1.97, 95%CI = 1.79-2.16) and pregnant and postpartum women (17.85% to 28.21%; aOR = 1.84, 95%CI = 1.47-2.30).
Alcohol use and HED increased in last 10 years in both childbearing age and pregnant and postpartum US women. That questions the impact of implemented laws, policies and alcohol guidelines in this population within the last 10 years.
重度暴饮是育龄女性常见的饮酒模式，对女性及其子女都会造成严重后果，这使其成为一个重大的公共卫生问题。美国一些州已出台针对孕期饮酒的法律。我们的目的是研究2001年至2002年以及2012年至2013年期间，育龄、怀孕及产后女性12个月饮酒情况及12个月重度暴饮患病率的变化。
我们的数据来自2001年至2002年进行的全国酒精及相关疾病流行病学调查（NESARC）以及2012年至2013年进行的NESARC-III，这是美国两个独立的代表性样本。
通过面对面访谈对所有参与者评估过去一年的饮酒情况及重度暴饮情况。
我们的样本包括24,536名育龄女性，其中有2846名怀孕及产后女性。2001年至2002年到2012年至2013年期间，育龄女性（从66.14%增至75.48%；校正比值比[aOR]=1.62，95%置信区间[CI]=1.46 - 1.80）以及怀孕及产后女性（从57.81%增至66.19%；aOR = 1.56，95%CI = 1.25 - 1.94）的12个月饮酒患病率均有所上升。2001年至2002年到2012年至2013年期间，育龄女性（从22.57%增至36.34%；aOR = 1.97，95%CI = 1.79 - 2.16）以及怀孕及产后女性（从17.85%增至28.21%；aOR = 1.84，95%CI = 1.47 - 2.30）的12个月重度暴饮患病率均有所上升。
在过去10年中，美国育龄女性以及怀孕和产后女性的饮酒及重度暴饮情况均有所增加。这对过去10年在该人群中实施的法律、政策及酒精指南的影响提出了质疑。
