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Prenatal alcohol exposure among Alaska Native/American Indian infants

TitlePrenatal alcohol exposure among Alaska Native/American Indian infants
Publication TypeJournal Article
Year of Publication2013
AuthorsKhan, BA, Robinson, RF, Smith, JJ, Dillard, DA
JournalInt J Circumpolar HealthInt J Circumpolar Health
Volume72
ISBN Number2242-3982 (Electronic)<br/>1239-9736 (Linking)
Accession Number23984278
KeywordsAdult, Alaska/epidemiology, Alcohol Drinking/epidemiology/ethnology, Alcoholism/epidemiology/ethnology, Binge Drinking/epidemiology/ethnology, Female, Fetal Alcohol Spectrum Disorders/ epidemiology/ethnology, Humans, Indians, North American/ statistics & numerical data, Infant, Pregnancy, Pregnancy Complications, Pregnancy Trimesters, Questionnaires, Young Adult
AbstractBACKGROUND: Recent reports indicate a decline in rates of Fetal Alcohol Syndrome (FAS) among Alaska Native and American Indian (AN/AI) infants. Nevertheless, AN/AI infants remain disproportionately impacted by the effects of prenatal alcohol exposure. METHODS: AN/AI pregnant women in their 3rd trimester completed a questionnaire on demographic data and the amount and frequency of their alcohol consumption in the month prior to conception and during pregnancy. Differences across demographics and trimesters were tested with the Chi-square, Fisher's exact or McNemar's test as appropriate. RESULTS: Of the 125 participants, 56% (n = 71) reported no alcohol consumption in the 1st through 3rd trimesters of pregnancy; 30% (n = 38) of the 125 participants also reported no alcohol consumption in the month before pregnancy. Of the 43% (n = 54) who reported consuming alcohol during pregnancy (1st, 2nd and/or 3rd trimester), most (35%) reported alcohol use only in the 1st trimester. Binge drinking in the 1st or 2nd trimester was reported amongst 20% (n = 25) of participants with an additional 18% (n = 29) reporting binge drinking in the month prior to pregnancy. Women who reported pre-conception binge drinking were significantly more likely to report binge drinking during their 1st trimester (p
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