在一个以人口为基础的大型城市队列中,T-ACE和怀孕期间自我报告酒精使用的预测因素

M. Hicks, S. Tough, D. Johnston, J. Siever, M. Clarke, R. Sauve, R. Brant, A. Lyon
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引用次数: 5

摘要

Hicks, M., Tough, S., Johnston, D., Siever, J., Clarke, M., Sauve, R., Brant, R., & Lyon, A.(2014)。在一个以人口为基础的大型城市队列中,T-ACE和怀孕期间自我报告酒精使用的预测因素《国际酒精和药物研究杂志》,3(1),51-61。目的:确定1)T-ACE评分与孕妇孕前和怀孕期间自我报告的酒精使用之间的关系,以及2)T-ACE评分与孕产妇人口统计学、心理健康和生活环境之间的关系。设计:前瞻性、基于人群的队列研究。地点:加拿大卡尔加里的三家城市产科诊所。参与者:1,929名在低风险产科诊所接受家庭医生治疗的孕妇。措施:妇女在妊娠早期和晚期以及分娩后八周通过电话完成三份标准化问卷,包括T-ACE以及有关药物和酒精使用、人口统计、心理健康和生活环境的问题。结果:43.6%的受试者在入院时T-ACE评分为阳性(2分或更高)。阳性的T-ACE评分预示着整个妊娠期间的酒精使用,尽管大多数妇女在妊娠早期没有饮酒(93.1%)。多因素分析显示,T-ACE评分阳性与年龄小于30岁显著相关;白种人的;怀孕期间吸烟;年收入少于八万元的;有抑郁史的;怀孕前有酗酒和酗酒史;社会支持度较低;网络导向差。结论:T-ACE评分与产妇自我报告的酒精使用、不良心理健康和不良社会支持之间存在正相关。常规使用T-ACE来评估酒精暴露妊娠的风险也可能有助于识别有复杂需求的妇女,她们可以从额外的产前支持中受益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
T-ACE and predictors of self-reported alcohol use during pregnancy in a large, population-based urban cohort
Hicks, M., Tough, S., Johnston, D., Siever, J., Clarke, M., Sauve, R., Brant, R., & Lyon, A. (2014). T-ACE and predictors of self-reported alcohol use during pregnancy in a large, population-based urban cohort. The International Journal Of Alcohol And Drug Research, 3(1), 51-61 . doi:10.7895/ijadr.v3i1.117 Aims: To determine 1) the relationship between T-ACE score and maternal self-reported alcohol use prior to and during pregnancy, and 2) the relationship between T-ACE score and maternal demographics, mental health and life circumstances. Design: Prospective, population-based cohort study. Setting: Three urban maternity clinics in Calgary, Canada. Participants: 1,929 pregnant women attended by family physicians at low-risk maternity clinics. Measures: Women completed three standardized questionnaires over the telephone in the first and third trimesters and eight weeks post-delivery, including the T-ACE and questions about drug and alcohol use, demographics, mental health and life circumstances. Findings: 43.6% of subjects had a positive T-ACE score at intake (score 2 or greater). A positive T-ACE score was predictive of alcohol use throughout pregnancy, although most women reported no alcohol after the first trimester (93.1%). Multivariate analysis indicated that a positive T-ACE score was significantly associated with being less than 30 years of age; being Caucasian; smoking during pregnancy; having an income of less than $80,000 per annum; having a history of depression; having a history of alcohol use and binge drinking during a previous pregnancy; lower social support; and poor network orientation. Conclusions: There was a positive association between the T-ACE score and maternal self-report of alcohol use, poor mental health and poor social support. Routine use of the T-ACE to assess for risk of an alcohol-exposed pregnancy may also help identify women with complex needs who could benefit from additional prenatal support.
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