Faculty of Medicine and Health, Specialty of Child and Adolescent Health, The University of Sydney, Sydney, Australia.
Sydney Children's Hospitals Network, Kids Research, Sydney, Australia.
Drug Alcohol Rev. 2022 Nov;41(7):1599-1609. doi: 10.1111/dar.13512. Epub 2022 Jul 14.
Alcohol use in pregnancy remains common in Australia, despite national guidelines recommending that pregnant women abstain. The aims of this study were to investigate where pregnant women obtain information about alcohol use in pregnancy and the relationship between the information source used and women's demographic characteristics and alcohol use.
In this cross-sectional survey of pregnant women attending public maternity services in the Hunter New England region (New South Wales), women were asked, 'Where did you get information to help you make decisions about alcohol use during pregnancy?'. The number and types of information sources were analysed using descriptive statistics. Associations between women's information sources, and their demographic characteristics and alcohol use in pregnancy were assessed using chi-square tests and logistic regression.
Of 4511 pregnant women surveyed, 80.1% used at least one type of information source (range 0-5). Written/electronic information (45.4%), health providers (37.6%) and family/friends (19.5%) were the sources most reported. Higher use of written/electronic information, antenatal health providers and family/friends was associated with first pregnancy, younger age and higher education. The type of information source used was associated with alcohol use in pregnancy. Women who reported alcohol use were more likely to receive information from written/electronic sources. Almost 20% of women (older, multiparous [>1 pregnancy] and more highly educated) obtained no information regarding alcohol use in pregnancy.
Antenatal providers should routinely provide information on alcohol use in pregnancy, including for women least likely to access available information.
尽管澳大利亚有国家指南建议孕妇戒酒，但怀孕期间饮酒在澳大利亚仍然很常见。本研究旨在调查孕妇从何处获得有关怀孕期间饮酒的信息，以及所使用的信息来源与女性人口统计学特征和饮酒行为之间的关系。
在新南威尔士州亨特新英格兰地区（Hunter New England region）公共产科服务机构（maternity services）接受检查的孕妇中进行了这项横断面调查，询问孕妇“在怀孕期间帮助你做出饮酒决定的信息来自何处？”使用描述性统计方法分析信息来源的数量和类型。使用卡方检验（chi-square tests）和逻辑回归（logistic regression）评估女性信息来源与其人口统计学特征和怀孕期间饮酒行为之间的关联。
在接受调查的 4511 名孕妇中，80.1%（范围 0-5）至少使用了一种信息来源。报告的最常见信息来源包括书面/电子信息（45.4%）、卫生保健提供者（37.6%）和家人/朋友（19.5%）。更多地使用书面/电子信息、产前保健提供者和家人/朋友与首次怀孕、年轻年龄和高教育程度相关。所使用的信息来源类型与怀孕期间饮酒行为有关。报告饮酒的女性更有可能从书面/电子来源获取信息。近 20%的女性（年龄较大、多胎[>1 次妊娠]和受教育程度较高）未获得任何关于怀孕期间饮酒的信息。
产前保健提供者应定期提供有关怀孕期间饮酒的信息，包括为最不可能获取现有信息的女性提供信息。
