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Women's Alcohol Consumption and Risk for Alcohol-Exposed Pregnancies in Russia.
MedLine Citation:
PMID:  21752144     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aims:  Alcohol-exposed pregnancies (AEP) are the direct cause of Fetal Alcohol Spectrum Disorders (FASD). This study examines drinking patterns among pregnant and non-pregnant women of childbearing age in Russia, a country with one of the highest levels of alcohol consumption in the world. Design:  Cross-sectional survey. Setting:  7 public women's clinics in two locations: St. Petersburg (SPB) and the Nizhny Novgorod region (NNR). Participants:  648 pregnant and non-pregnant childbearing age women. Measurements:  A face-to-face structured interview assessed alcohol consumption, pregnancy status/possibility of becoming pregnant and consumption before and after pregnancy recognition. Findings:  89% of non-pregnant women reported consuming alcohol and 65% reported binge drinking in the past three months. 47% in NNR and 28% in SPB reported binges at least monthly. Women who might become pregnant consumed alcohol similarly to women who were not likely to become pregnant, and 32% of women in SPB and 54% in NNR were categorized as at-risk for AEP. There was a significant decline in drinking after pregnancy identification. 20% of pregnant women reported consuming alcohol and 6% in SBP (none in NNR) reported binge drinking; however, a high prevalence of binge drinking was found among women who might become pregnant or who were trying to conceive. Conclusions:  Russian women substantially reduce drinking after pregnancy recognition compared to pre-pregnancy levels. No reductions were found prior to pregnancy recognition, either when a woman might become pregnant or when she was trying to conceive. The preconception period presents a risk window and, therefore, a prevention opportunity.
Authors:
Tatiana Balachova; Barbara Bonner; Mark Chaffin; David Bard; Galina Isurina; Larissa Tsvetkova; Elena Volkova
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-13
Journal Detail:
Title:  Addiction (Abingdon, England)     Volume:  -     ISSN:  1360-0443     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-7-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9304118     Medline TA:  Addiction     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.
Affiliation:
University of Oklahoma Health Sciences Center 1100 N.E. 13Street Oklahoma City, OK 73117 St. Petersburg State University 6, Makarova nab. St. Petersburg, 199034, Russia Nizhny Novgorod State Pedagogical University 1 Ulynova Street Nizhniy Novgorod, 603950, Russia.
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