Document Detail


Changes in the prevalence of alcohol use during pregnancy among recent and at-risk drinkers in the NLSY cohort.
MedLine Citation:
PMID:  17125425     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To support efforts to prevent fetal alcohol syndrome (FAS), population-based data are needed on the prevalence of alcohol use at any time during gestation, particularly among women who were recent and at-risk drinkers. METHODS: We used National Longitudinal Survey of Labor Market Experiences in Youth (NLSY) files to estimate the prevalence of any drinking during pregnancy and to evaluate alcohol history risk factors among 6676 births reported by women with prepregnancy drinking data. Prevalence estimates were obtained for 2-year intervals for all 1982-1995 births and for subsets with prepregnancy recent and at-risk drinking. RESULTS: Among all births, drinking during pregnancy declined from 38.3% in 1982-1983 to 23.0% in 1994-1995 (p < 0.0001). Drinking during pregnancy also declined over time among recent and at-risk drinkers (p < 0.0001), but the 1994-1995 prevalences were still high (39.3% and 29.0%, respectively). Adjusted logistic models confirmed both the decrease in risk for the later birth years and the persistent heightened risk for births among recent and at-risk drinkers. CONCLUSIONS: In addition to ongoing universal prevention strategies that have helped reduce the prevalence of drinking during pregnancy, selective and indicated prevention approaches are needed to encourage abstinence during pregnancy among recent and at-risk drinkers.
Authors:
Janet Kay Bobo; Daniel H Klepinger; Frederick B Dong
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of women's health (2002)     Volume:  15     ISSN:  1540-9996     ISO Abbreviation:  J Womens Health (Larchmt)     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-27     Completed Date:  2007-02-22     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  101159262     Medline TA:  J Womens Health (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1061-70     Citation Subset:  IM    
Affiliation:
Centers for Public Health Research and Evaluation, Battelle Memorial Institute, Seattle, Washington, USA. boboj@battelle.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Alcohol Drinking / adverse effects,  epidemiology*
Female
Fetal Alcohol Syndrome / prevention & control
Health Knowledge, Attitudes, Practice
Humans
Logistic Models
Maternal Behavior*
Maternal Welfare / statistics & numerical data*
Pregnancy
Pregnancy Complications / epidemiology*,  prevention & control
Prenatal Care / organization & administration*,  statistics & numerical data
Prevalence
Questionnaires
Risk-Taking*
Socioeconomic Factors
United States / epidemiology
Grant Support
ID/Acronym/Agency:
5R21AA013808/AA/NIAAA NIH HHS
Comments/Corrections
Comment In:
J Womens Health (Larchmt). 2006 Nov;15(9):1090-2   [PMID:  17125428 ]

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