Streissguth A P, Darby B L, Barr H M, Smith J R, Martin D C
Am J Obstet Gynecol. 1983 Mar 15;145(6):716-24. doi: 10.1016/0002-9378(83)90579-3.
Changes in the drinking and smoking habits of pregnant women in Seattle, Washington, were examined in the 6-year period that followed the first American announcement of the fetal alcohol syndrome. Between 1974/1975 and 1980/1981, the number of women who reported any alcohol use around the time of the first prenatal visit dropped from 81% to 42%, whereas the number of smokers dropped from 25% to 22%; binge and heavier drinking also declined. However, among drinkers, there was no decrease in the proportion of women who reported heavier drinking. Although the proportion of women who drink during pregnancy has decreased in the past 6 years, the relative constancy in the proportion of "heavier" drinkers and binge drinkers, particularly around the time of conception, suggests the need for more attention to this important period of gestation in advice to women who are planning a pregnancy. Possible reasons for such changes in this particular community are discussed.
在首次公布胎儿酒精综合征的美国消息后的6年时间里，对华盛顿州西雅图市孕妇的饮酒和吸烟习惯变化进行了调查。在1974/1975年至1980/1981年期间，首次产前检查前后报告饮酒的女性人数从81%降至42%，而吸烟女性人数从25%降至22%；暴饮和重度饮酒也有所下降。然而，在饮酒者中，报告重度饮酒的女性比例没有下降。尽管在过去6年中孕期饮酒的女性比例有所下降，但“重度”饮酒者和暴饮者的比例相对稳定，尤其是在受孕前后，这表明在向计划怀孕的女性提供建议时，需要更多关注这一重要的孕期阶段。讨论了该特定社区出现此类变化的可能原因。
