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2019 年,在埃塞俄比亚亚的斯亚贝巴的公立医院接受产前护理的孕妇中,酒精使用的流行情况及相关因素。

The prevalence and associated factors of alcohol use among pregnant women attending antenatal care at public hospitals Addis Ababa, Ethiopia, 2019.

机构信息

Department of Psychiatry, College of Health Sciences, Aksum University, Aksum, Ethiopia.

College of Medicine and Health, Department of Psychiatry, University of Gondar, Gondar, Ethiopia.

出版信息

BMC Psychiatry. 2020 Jun 29;20(1):337. doi: 10.1186/s12888-020-02747-1.

DOI:10.1186/s12888-020-02747-1
PMID:32600291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7325233/
Abstract

BACKGROUND

Alcohol use during pregnancy is a significant public health problem, ultimately affecting the neonatal offspring. Recent studies explore that no safe amount and safe time to drink alcohol during pregnancy. Even though drinking in pregnancy has a wide range of problems, a small number of scientific publications document on the magnitude of drinking alcohol during pregnancy in Sub-Saharan African countries including Ethiopia. The aim of this study was to assess prevalence and associated factors of alcohol use among pregnant women attending prenatal care at public hospitals, Addis Ababa, Ethiopia.

METHODS

Hospital based cross sectional study was employed from May 7 to June 6, 2019 at public hospitals, Addis Ababa. A total of 585 pregnant women participated in the study selected through systematic random sampling technique. Frequency of consumption was measured by using AUDIT. Frequency tables and graphs were used to describe the study variable. The association between variables analyzed with bi-variable and multivariable binary logistic regression. A statistical significance was declared at p value < 0.05 with 95% confidence interval.

RESULT

A total of 585 participants were included in the study with the response rate of 98.6%. The study showed that the prevalence of alcohol use among pregnant women were 37.1% with (95% CI, 33.2-41). Factors like no formal education [AOR = 3.22, 95%CI, 1.72, 6.02], pre-pregnancy alcohol use [AOR = 3.16, 95%CI, 2.03, 4.91], partner alcohol use [AOR = 3.43, 95%CI, 2.21, 5.32], and poor social support [AOR = 3.16, 95%CI, 1.88, 5.31] were statistically associated with alcohol use during pregnancy.

CONCLUSION

In this study the prevalence of alcohol use during pregnancy was high as compared to majority of other studies. This study observed that no formal education, pre-pregnancy alcohol use, partner alcohol use, and poor social support, were highly associated with alcohol use during pregnancy. Based on the findings of this study early management of alcohol use and problematic alcohol use is needed for pregnant women.

摘要

背景

怀孕期间饮酒是一个严重的公共卫生问题,最终会影响新生儿。最近的研究表明,怀孕期间没有安全的饮酒量和时间。尽管怀孕期间饮酒会带来广泛的问题,但少数科学出版物记录了撒哈拉以南非洲国家(包括埃塞俄比亚)怀孕期间饮酒的程度。本研究旨在评估在埃塞俄比亚亚的斯亚贝巴公立医院接受产前护理的孕妇饮酒的流行率和相关因素。

方法

2019 年 5 月 7 日至 6 月 6 日,在亚的斯亚贝巴公立医院进行了一项基于医院的横断面研究。总共 585 名孕妇通过系统随机抽样技术参与了这项研究。使用 AUDIT 来衡量饮酒频率。使用频率表和图表来描述研究变量。使用双变量和多变量二元逻辑回归分析变量之间的关联。具有 95%置信区间的 p 值 < 0.05 被认为具有统计学意义。

结果

共有 585 名参与者被纳入研究,应答率为 98.6%。研究表明,孕妇饮酒的流行率为 37.1%(95%CI,33.2-41)。没有正规教育[比值比(AOR)= 3.22,95%CI,1.72,6.02]、孕前饮酒[AOR = 3.16,95%CI,2.03,4.91]、伴侣饮酒[AOR = 3.43,95%CI,2.21,5.32]和社会支持差[AOR = 3.16,95%CI,1.88,5.31]是与怀孕期间饮酒相关的因素。

结论

在这项研究中,与大多数其他研究相比,怀孕期间饮酒的流行率较高。这项研究观察到,没有正规教育、孕前饮酒、伴侣饮酒和社会支持差与怀孕期间饮酒高度相关。基于这项研究的结果,需要对孕妇进行早期的饮酒管理和有问题的饮酒管理。

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