Miner K J, Holtan N, Braddock M E, Cooper H, Kloehn D
Center for Health Promotion, Minnesota Department of Health, USA.
Minn Med. 1996 Oct;79(10):43-7.
The consequences of fetal alcohol exposure are far-reaching and preventable. Health care providers are uniquely positioned to promote alcohol-free pregnancy, yet an array of factors inhibit routine screening, counseling, and referral. This descriptive, qualitative study explored experiences and perceived barriers related to prenatal screening for alcohol use. The study included eight focus groups (71 participants) and 41 key informant interviews with health care professionals representing a mix of disciplines. Nearly 40% of the providers were physicians who regularly encounter women in their practices. While most providers ask about alcohol use, few probe in depth or follow up. The findings should alert program planners and medical educators to strengthen their preventive medical and public health practices.
胎儿酒精暴露的后果影响深远且可预防。医疗保健提供者在促进无酒精妊娠方面具有独特地位，但一系列因素阻碍了常规筛查、咨询和转诊。这项描述性定性研究探讨了与酒精使用产前筛查相关的经历和感知到的障碍。该研究包括八个焦点小组（71名参与者）以及对代表不同学科的医疗保健专业人员进行的41次关键信息提供者访谈。近40%的提供者是在临床工作中经常接触女性的医生。虽然大多数提供者会询问酒精使用情况，但很少有人深入探究或跟进。这些研究结果应提醒项目规划者和医学教育工作者加强他们的预防医学和公共卫生实践。
