{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T09:12:01Z","timestamp":1779354721543,"version":"3.51.4"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016238","name":"Alkoholitutkimuss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016238","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007417","name":"Paulon S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007417","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Prenatal alcohol exposure is associated with preterm birth (PTB) and impaired fetal growth, but identification of risky alcohol use during pregnancy remains challenging. Brief self\u2010report screening tools are widely used, highlighting the need to evaluate Alcohol Use Disorders Identification Test (AUDIT)\u2010based measures in pregnancy. We assessed the ability of the full AUDIT, its abbreviated versions (AUDIT\u2010C and AUDIT\u20104), and selected items to identify women at increased risk of PTB and small for gestational age (SGA) in the Kuopio Birth Cohort (KuBiCo) and to detect hazardous alcohol use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>In this population\u2010based cohort study, 7141 singleton pregnancies in KuBiCo between 2012 and 2023 were analyzed. Pregnancies with delivery at \u226522\u2009+\u20090 gestational weeks and completion of an electronic AUDIT questionnaire during the first trimester were included. Birth outcomes (SGA and PTB) were obtained from the birth register. Associations between pre\u2010pregnancy alcohol use and adverse birth outcomes were analyzed using logistic regression to estimate adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Predictive performance of the full and abbreviated AUDIT measures and selected items for hazardous alcohol use (AUDIT \u22656) was evaluated using receiver operating characteristic analysis with area under the curve and optimal cut\u2010offs based on Youden's index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Alcohol use in the year before pregnancy was primarily captured by AUDIT items assessing drinking frequency and typical quantity. Using established thresholds, alcohol use defined by the AUDIT (\u22656) and AUDIT\u20104 (\u22655) was associated with an increased risk of PTB (aOR 1.43; 95% CI 1.05\u20131.95 and aOR 1.42; 95% CI 1.04\u20131.95, respectively). Heavy episodic drinking, identified by AUDIT item 3 (score \u22652), was associated with an increased risk of SGA, whereas concern expressed by others about drinking (AUDIT item 10 \u22652) was associated with PTB. For hazardous alcohol use, AUDIT\u20104 and AUDIT\u2010C demonstrated excellent discrimination, with an optimal cut\u2010off of \u22654.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Abbreviated versions of the AUDIT, particularly AUDIT\u20104, appear comparable to the full AUDIT for identifying risky alcohol use and PTB risk. Women reporting recurrent heavy episodic drinking may benefit from targeted counseling before and during pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70207","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T11:30:07Z","timestamp":1775647807000},"page":"1104-1112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictive value of alcohol use questionnaires for adverse pregnancy outcomes: Evidence from a Finnish birth cohort"],"prefix":"10.1111","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6450-6186","authenticated-orcid":false,"given":"P\u00e4ivi","family":"Nuttunen","sequence":"first","affiliation":[{"name":"School of Medicine, Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"},{"name":"Department of Obstetrics and Gynecology Kuopio University Hospital  Kuopio Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timo","family":"Purmonen","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, School of Pharmacy University of Eastern Finland  Kuopio Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulpu","family":"\u00c5lander","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0825-4956","authenticated-orcid":false,"given":"Olli","family":"K\u00e4rkk\u00e4inen","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, School of Pharmacy University of Eastern Finland  Kuopio Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5354-0700","authenticated-orcid":false,"given":"Leea","family":"Keski\u2010Nisula","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"},{"name":"Department of Obstetrics and Gynecology Kuopio University Hospital  Kuopio Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11065-011-9167-9"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-024-03656-w"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(22)00263-8"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.03050.x"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06452-9"},{"key":"e_1_2_14_7_1","unstructured":"World Health Organization.Guidelines for the identification and management of substance use and substance use disorders in pregnancy.2014.https:\/\/www.who.int\/publications\/i\/item\/9789241548731"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2007.04.001"},{"issue":"2","key":"e_1_2_14_9_1","article-title":"Maternal substance use: 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