title: Using a single binge drinking question to identify Russian women at risk for an alcohol-exposed pregnancy.
abstract: BACKGROUND
  Low rates of contraception and at-risk drinking place many Russian women at risk of an alcohol-exposed pregnancy (AEP). The only realistic way to determine when women are at risk of AEP is by self-reports. A U.S. study found that a single binge-drinking question (SBD) effectively identified nearly all women whose drinking placed them at risk of AEP.
  
  
  METHODS
  The present study replicated the U.S.
  
  
  METHODS
  Participants were 689 non-pregnant Russian women of childbearing age who were at AEP risk. Their answers to SBD, "During the previous three months, how often did you have four or more drinks on one occasion", were compared with their reports of binge drinking on a 90-day Timeline Followback (TLFB) calendar.
  
  
  RESULTS
  The SBD identified 99% of at-risk Russian women as binge drinkers, replicating U.S.
  
  
  RESULTS
  Only 8% of the women were identified at-risk using a second AEP criterion of ≥8 drinks on average per week. Although Russian women did not report heavy weekly drinking and two-thirds did not meet AUDIT criteria for problem drinking, when they did drink, 40% of the time it was binge drinking.
  
  
  CONCLUSIONS
  Almost all Russian women who were at risk of an AEP were identified by a single binge-drinking question. Results from this study suggest that Russian health care practitioners can use SBD to successfully screen women for AEP risk. SBD identified 99% of Russian women who were at AEP risk. Consequently, it is recommended that SBD be incorporated into routine health care screenings at OB/GYN clinic visits.
authors: University of Oklahoma Health Sciences Center, 940 N.E. 13th Street, Nicholson Tower Suite 4900, Oklahoma City, OK 73104, USA. Electronic address: Tatiana-Balachova@ouhsc.edu.
authors: Tatiana
authors: T
authors: Balachova
authors: Nova Southeastern University, Center for Psychological Studies, 3301 College Ave, Ft. Lauderdale, FL 333143, USA.
authors: Linda Carter
authors: LC
authors: Sobell
authors: Gallup Consulting, 1001 Gallup Drive, Omaha, NE, 68102 USA.
authors: Sangeeta
authors: S
authors: Agrawal
authors: St. Petersburg State University, 6, Makarova Nab., St. Petersburg 199034, Russia.
authors: Galina
authors: G
authors: Isurina
authors: St. Petersburg State University, 6, Makarova Nab., St. Petersburg 199034, Russia.
authors: Larissa
authors: L
authors: Tsvetkova
authors: Nizhny Novgorod State Pedagogical University, 1 Ulyanova Street, Nizhny Novgorod, 603950, Russia.
authors: Elena
authors: E
authors: Volkova
authors: University of Oklahoma Health Sciences Center, 940 N.E. 13th Street, Nicholson Tower Suite 4900, Oklahoma City, OK 73104, USA.
authors: Som
authors: S
authors: Bohora
mesh_terms: D000293:Adolescent; D000328:Adult; D063425:Binge Drinking; D005260:Female; D006801:Humans; D016742:Preconception Care; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*; D012307:Risk Factors; D012426:Russia; D057566:Self Report; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Alcohol; Alcohol-exposed pregnancy; Binge drinking; Fetal Alcohol Spectrum Disorders; Single binge drinking question; Women at risk