the epidemiology of alcohol utilization during pregnancy an analysis of the canadian maternity experiences survey (mes)孕期酒精的流行病学利用率的分析加拿大产科经验调查(mes).pdfVIP

Walker et al. BMC Pregnancy and Childbirth 2011, 11:52 /1471-2393/11/52 RESEARCH ARTICLE Open Access The epidemiology of alcohol utilization during pregnancy: an analysis of the Canadian Maternity Experiences Survey (MES) 1 2 2 2* Meghan J Walker , Ban Al-Sahab , Farah Islam and Hala Tamim Abstract Background: Maternal alcohol consumption during pregnancy may potentially constitute a major public health concern in Canada but despite this, the available epidemiological data on both rates and predictors of alcohol consumption during pregnancy is limited. The present study assessed the prevalence and predictors of maternal alcohol consumption during pregnancy of women living in Canada from 2005-2006 who had a singleton live birth and whose child remained in their care 5-9 months following birth. Prevalence of maternal alcohol consumption was examined across the Canadian provinces. Methods: The analysis was based on the Maternity Experience Survey (MES), a population-based survey that assessed pregnancy, delivery and postnatal experiences of mothers and their children between November 2005 and May 2006. The main outcome variable assessed was ever drinking alcohol during pregnancy. The sample of mothers who drank during pregnancy consisted mainly of low to moderate level-alcohol drinkers (95.8%), while only 1.7% of the sample were heavy drinkers (1 drink per day). Socio-economic factors, demographic factors, maternal characteristics, and pregnancy related factors that proved to be significant at the bivariate level were considered for a logistic regression analysis. Bootstrapping was performed to account for the complex sampling design. Results: Analysis of 5882 mothers, weighted to represent 72,767 Canadian women, found that 10.8