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首页> 外文期刊>Journal of studies on alcohol and drugs. >Prenatal alcohol use: the role of lifetime problems with alcohol, drugs, depression, and violence.
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Prenatal alcohol use: the role of lifetime problems with alcohol, drugs, depression, and violence.

机译：产前饮酒：一生中酒精，毒品，抑郁和暴力问题的作用。

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OBJECTIVE: The purpose of this study was to examine a broader array of lifetime factors that theoretically may be associated with prenatal alcohol use than have previously been studied together, including family history of alcohol-use problems, history of physical or sexual abuse, lifetime major depressive disorder, alcohol-use disorder, illicit-drug-use problems, and partner violence. METHOD: A total of 186 pregnant women, all of whom used alcohol in the year before pregnancy, were initially recruited in prenatal care settings. Women who reported no prenatal alcohol use (n = 96) were compared with women who drank 1-10 standard drinks during pregnancy (n = 75) and with women who drank more than 10 standard drinks during pregnancy (n = 13), considered to be a higher risk group, on the lifetime risk variables. Because of the public health implications, secondary analyses compared women who abstained during pregnancy with those who used any alcohol. RESULTS: Significant intercorrelations were found among most of the lifetime risk factors studied. Multivariate analyses showed that drug-use problems and partner violence were most strongly associated with prenatal alcohol use than any other variable studied. CONCLUSIONS: Consistent with a life span risk framework for alcohol-use problems, results of this study show that childhood abuse, familial alcoholism, lifetime major depressive disorder, and alcohol- and drug-use problems are interrelated. However, when considered together, only lifetime partner violence and drug use are significantly related to various levels of prenatal alcohol use. Identification, assessment, and intervention efforts should integrate these important factors.
机译：目的：本研究的目的是检查与理论上可能比以前一起研究的更广泛的与产前饮酒相关的终生因素，包括家族性饮酒问题史，身体或性虐待史，终生抑郁症，酒精滥用症，非法药物滥用问题以及伴侣暴力。方法：最初招募了186名孕妇，所有这些孕妇都是在怀孕前一年喝过酒的。将未报告有产前饮酒的妇女（n = 96）与怀孕期间喝1-10标准酒的妇女（n = 75）以及怀孕期间喝10酒以上标准酒的妇女（n = 13）进行了比较。在生命周期风险变量上成为较高风险的人群。由于对公共健康的影响，次要分析比较了在怀孕期间戒酒的妇女和使用过酒精饮料的妇女。结果：在大多数研究的生命危险因素中发现了显着的相互关系。多变量分析显示，与其他任何研究变量相比，毒品使用问题和伴侣暴力与产前饮酒的关系最密切。结论：与酒精使用问题的终生风险框架相一致，这项研究的结果表明，儿童虐待，家族性酒精中毒，终生严重抑郁症以及酒精和药物使用问题是相互关联的。但是，当一起考虑时，只有一生中的伴侣暴力和吸毒与产前不同程度的饮酒显着相关。识别，评估和干预措施应整合这些重要因素。

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