Socioeconomic status, psychological distress, and other maternal risk factors for fetal alcohol spectrum disorders among American Indians of the Northern Plains

IF 1.9 4区心理学 Q3 PSYCHOLOGY, CLINICAL

American Indian and Alaska Native Mental Health Research Pub Date : 2011-01-01 DOI:10.5820/AIAN.1702.2011.1

P. Lewis, V. Shipman, P. May

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引用次数: 11

Abstract

The relationship of selected demographic, socioeconomic status (SES), and psychological characteristics was examined in interviews with 176 Northern Plains American Indian mothers whose children were referred to diagnostic clinics for evaluation of developmental disabilities, including fetal alcohol spectrum disorders (FASD). Thirty-nine mothers had children diagnosed with an FASD (Group 1), 107 had children who were not diagnosed with an FASD or other major disability (Group 2), and 30 additional mothers with normally performing children, matched by age, sex, and reservation with those diagnosed with an FASD, were recruited as a comparison group (Group 3). Analysis revealed statistically signifi cant differences (p < .001) in alcohol consumption among all three groups, and a statistically signifi cant difference in the mean Total Distress score among the three groups of mothers, F(2, 176) = 9.60, p < .001, with Group 3 having a lower mean score than Groups 1 and 2. Sequential regression analysis revealed that the quantity of alcohol consumed prior to knowledge of pregnancy, when combined with SES and Total Distress, was more highly associated with having a child diagnosed with an FASD (R2 = .206) than was quantity of alcohol consumed alone.

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北部平原美洲印第安人胎儿酒精谱系障碍的社会经济地位、心理困扰和其他母体风险因素

通过对176名北方平原美洲印第安母亲的访谈，研究了选定的人口统计学、社会经济地位(SES)和心理特征之间的关系，这些母亲的孩子被转介到诊断诊所评估发育障碍，包括胎儿酒精谱系障碍(FASD)。39名母亲的孩子被诊断为FASD(第1组)，107名母亲的孩子没有被诊断为FASD或其他主要残疾(第2组)，另外30名母亲的孩子表现正常，按年龄、性别和保留与被诊断为FASD的孩子相匹配，被招募为对照组(第3组)。分析显示，三组之间的酒精消费量有统计学意义差异(p < 0.001)。三组母亲总分总分的平均得分差异有统计学意义，F(2,176) = 9.60, p < 0.001，其中第3组总分低于第1、2组。序贯回归分析显示，与单独饮酒量相比，怀孕前的饮酒量与SES和Total Distress相结合时，与孩子被诊断为FASD的相关性更高(R2 = .206)。

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来源期刊

American Indian and Alaska Native Mental Health Research PSYCHOLOGY, CLINICAL-

CiteScore

2.20

自引率

30.80%

发文量

期刊介绍： American Indian and Alaska Native Mental Health Research: The Journal of the National Center is a professionally refereed scientific journal. It contains empirical research, program evaluations, case studies, unpublished dissertations, and other articles in the behavioral, social, and health sciences which clearly relate to the mental health status of American Indians and Alaska Natives. All topical areas relating to this field are addressed, such as psychology, psychiatry, nursing, sociology, anthropology, social work, and specific areas of education, medicine, history, and law. Through a standardized format (American Psychological Association guidelines) new data regarding this special population is easier to retrieve, compare, and evaluate.