Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Department of Obstetrics and Gynaecology, Aalborg University Hospital, Reberbansgade 15, 9000, Aalborg, Denmark.
Sci Rep. 2023 Jul 5;13(1):10925. doi: 10.1038/s41598-023-38055-3.
We aimed to identify characteristics associated with alcohol drinking before and during pregnancy to better target pregnancy guidance and public health campaigns. A cross sectional study including 1895 pregnant women interviewed at 16 weeks' gestation. Information on characteristics and drinking habits before and during pregnancy was collected by in-person interview. Associations between characteristics and alcohol consumption were estimated by ordinal logistic regression models. Average alcohol intake before pregnancy was categorised; 0; > 0-3; > 3-6; > 6 drinks/week; and intake during pregnancy 0; < 1; 1-3; > 3 drinks/week; binge drinking 0; 1; 2; 3; ≥ 4 episodes. Characteristics for average alcohol intake before pregnancy were older age, odds ratio (OR) 3.99 (95% CI 2.77-5.74) when being 35 years or older. Schooling > 10 years, being primiparous and partner's alcohol consumption were also significantly associated with average alcohol intake before pregnancy. Characteristics for average alcohol intake during pregnancy were age 25 to < 35 years, OR 0.78 (CI 95% 0.61-0.98) and being single OR 1.52 (CI 95% 1.01-2.29). Characteristics for binge drinking during pregnancy were smoking OR 1.34 (CI 95% 1.06-1.69) when binge drinking was defined as ≥ 3 drinks/occasion and OR 1.49 (CI 95% 1.18-1.91) when defined as ≥ 5 drinks/ occasion. Other characterises found with a significant association were schooling > 10 years, being single, being primiparous and partner's alcohol consumption. We identified characteristics that may be considered when counselling pregnant women or women planning to conceive. Public persuasive campaigns can be used to reach the general public, especially women of childbearing age, before they start planning to conceive, but also their partners, since women with partners consuming alcohol, did show to be more likely to consume alcohol during pregnancy.
我们旨在确定与怀孕前后饮酒相关的特征，以便更好地为孕妇提供指导并开展公共卫生宣传活动。这是一项包括 1895 名在妊娠 16 周时接受访谈的孕妇的横断面研究。通过面对面访谈收集了有关特征和妊娠前后饮酒习惯的信息。使用有序逻辑回归模型估计特征与饮酒之间的关联。将妊娠前的平均酒精摄入量分为：0；>0-3；>3-6；>6 杯/周；以及妊娠期间的摄入量：0；<1；1-3；>3 杯/周；狂饮：0；1；2；3；≥4 次。妊娠前平均饮酒量的特征是年龄较大，当年龄为 35 岁或以上时，比值比（OR）为 3.99（95%置信区间为 2.77-5.74）。受教育程度>10 年、初产妇和伴侣饮酒也与妊娠前的平均饮酒量显著相关。妊娠期间平均饮酒量的特征是年龄在 25 至<35 岁，OR 为 0.78（95%置信区间为 0.61-0.98）和单身，OR 为 1.52（95%置信区间为 1.01-2.29）。妊娠期间狂饮的特征是当定义为每次狂饮>=3 杯时，吸烟的比值比（OR）为 1.34（95%置信区间为 1.06-1.69），当定义为每次狂饮>=5 杯时，OR 为 1.49（95%置信区间为 1.18-1.91）。还有其他一些与饮酒显著相关的特征，包括受教育程度>10 年、单身、初产妇和伴侣饮酒。我们确定了在为孕妇或计划怀孕的妇女提供咨询时可能需要考虑的特征。公共宣传活动可以用于在妇女开始计划怀孕之前，即向一般公众，特别是育龄妇女，以及她们的伴侣，开展宣传活动，因为与饮酒的伴侣在一起的妇女，在怀孕期间更有可能饮酒。
