Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.
National Health and Medical Research Council FASD Research Australia Centre of Research Excellence, Telethon Kids Institute, Perth, Western Australia.
Aust N Z J Public Health. 2020 Aug;44(4):284-290. doi: 10.1111/1753-6405.13012. Epub 2020 Jul 6.
Aboriginal leaders in remote Western Australian communities with high rates of prenatal alcohol exposure invited researchers to evaluate the community-led Marulu foetal alcohol spectrum disorder (FASD) Prevention Strategy initiated in 2010.
The proportion of women reporting alcohol use during pregnancy to midwives was compared between 2008, 2010 and 2015. Initial midwife appointments were calculated by weeks of gestation. The proportions of women reporting alcohol use by age at birth were compared.
Alcohol use reduced significantly from 2010 (61.0%) to 2015 (31.9%) with first-trimester use reducing significantly from 2008 (45.1%) to 2015 (21.6%). Across all years, 40.8% reported alcohol use during pregnancy and 14.8% reported use in both first and third trimesters. Most women attended the midwife in the first trimester. There was a significant relationship between increased maternal age and third-trimester alcohol use.
The reduction in reported prenatal alcohol exposure in an Aboriginal community setting during a period of prevention activities provides initial evidence for a community-led strategy that might be applicable to similar communities. Implications for public health: The reductions in alcohol use reduce the risk of children being born with FASD in an area with high prevalence, with possible resultant reductions in associated health, economic and societal costs.
西澳大利亚偏远地区原住民社区中，胎儿酒精谱系障碍（FASD）的发生率较高，该地区的原住民领袖邀请研究人员评估 2010 年发起的社区主导的 Marulu 胎儿酒精谱系障碍预防策略。
比较了 2008 年、2010 年和 2015 年期间向助产士报告怀孕期间饮酒的女性比例。根据妊娠周数计算初始助产士预约的比例。按出生年龄比较报告饮酒的女性比例。
从 2010 年（61.0%）到 2015 年（31.9%），饮酒量显著减少，且首次妊娠期间的饮酒量从 2008 年（45.1%）显著减少到 2015 年（21.6%）。所有年份中，有 40.8%的女性报告在怀孕期间饮酒，14.8%的女性报告在第一和第三孕期都饮酒。大多数女性在孕早期接受助产士检查。产妇年龄增加与第三孕期饮酒显著相关。
在预防活动期间，原住民社区中报告的产前酒精暴露减少，为社区主导的策略提供了初步证据，该策略可能适用于类似的社区。对公共卫生的影响：饮酒量的减少降低了在高流行地区出生的儿童患有 FASD 的风险，可能会相应减少相关的健康、经济和社会成本。
