Prenatal alcohol exposure assessment: multiple embedded measures in a prenatal questionnaire.
Alcohol exposure during pregnancy is a well-recognized public health problem. Accurate assessment of prenatal alcohol exposure is especially important to identify women in need of intervention. In this study, a 36-item prenatal questionnaire was utilized to survey a representative sample of prenatal care providers to examine prevalence rates of exposure. The questionnaire included three common screening tools for alcohol use during pregnancy and the items necessary to establish a maternal risk profile. In North Dakota, 1081 pregnant women were included in the sample. Eighty (7.4%) were Native American and 952 (88%) were White. The TWEAK screening tool was positive for 253 (23.4%) of the women. Native American women had a 71% increase in positive TWEAK screenings compared to White women. Logistic regression was used to develop a high-risk model. The data from prenatal care can also be used for maternal risk stratification. Early identification can provide opportunity for early interventions to decrease total exposure during pregnancy and to improve the outcome for the child.
Burd
Larry
L
North Dakota Fetal Alcohol Syndrome Center, School of Medicine and the Health Sciences, University of North Dakota, 501 N. Columbia Road, Grand Forks, ND 58203, USA. laburd@medicine.nodak.edu
Martsolf
John
J
Klug
Marilyn G
MG
O'Connor
Ellen
E
Peterson
Marlene
M
D000293:Adolescent; D000328:Adult; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D000431:Ethanol; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000453:epidemiology / Q000208:ethnology; D006801:Humans; D016015:Logistic Models; D008403:Mass Screening / Q000379:methods*; D011247:Pregnancy; D037841:Pregnant People; D011295:Prenatal Care; D011297:Prenatal Exposure Delayed Effects; D015203:Reproducibility of Results; D018570:Risk Assessment; D012307:Risk Factors; D012680:Sensitivity and Specificity; D015813:Substance Abuse Detection / Q000379:methods; D011795:Surveys and Questionnaires; D014894:Weights and Measures
D000431:Ethanol