Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.
J Behav Med. 2021 Feb;44(1):123-130. doi: 10.1007/s10865-020-00183-w. Epub 2020 Sep 17.
This study assessed alcohol and sex-related cognitions and behaviors, including alcohol-related sexual expectancies, descriptive norms, and protective behavioral strategies, associated with women's risk for an alcohol-exposed pregnancy. A national sample of young adults ages 18-20 years was subset to women who were capable of pregnancy and sexually active (n = 422). The outcome was risk of alcohol-exposed pregnancy as determined by contraceptive status and heavy-episodic drinking. SAS version 9.4 was used to estimate logistic regression models. Alcohol-related sexual expectancies related to enhancement were significantly associated with increased odds of alcohol-exposed pregnancy risk. In contrast, women who reported the use of more safe sex (non-condom related) protective behavioral strategies (e.g., talk to partner about birth control use) were at decreased odds of alcohol-exposed pregnancy risk. Future interventions to reduce the risk of alcohol-exposed pregnancies should consider alcohol-related sexual expectancies and safer sex protective behavioral strategies as leverage points.
本研究评估了与女性酒精暴露性妊娠风险相关的酒精和性相关认知和行为，包括与酒精相关的性期望、描述性规范和保护性行为策略。研究的参与者是年龄在 18-20 岁的年轻人，其中子集为有生育能力和有性行为的女性（n=422）。研究结果是根据避孕状况和重度饮酒发作来确定的酒精暴露性妊娠风险。使用 SAS 版本 9.4 来估计逻辑回归模型。与增强相关的与酒精相关的性期望与增加酒精暴露性妊娠风险的几率显著相关。相比之下，报告使用更多安全性行为（非避孕套相关）保护性行为策略（例如，与伴侣谈论避孕措施的使用）的女性，酒精暴露性妊娠风险的几率降低。未来减少酒精暴露性妊娠风险的干预措施应将与酒精相关的性期望和更安全性行为保护性行为策略作为重点。
