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Aboriginal leaders in remote <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>estern <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia invited researchers to determine the prevalence and patterns of alcohol use in pregnancy within their communities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>A population\u2010based survey of caregivers of all children born in 2002\/2003 and living in the <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>itzroy <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>alley in 2010\/2011 (<jats:italic>n<\/jats:italic>\u2009=\u2009134). Alcohol use risk was categorised using the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lcohol <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>se <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>isorders <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>dentification <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>est consumption subset (<jats:styled-content style=\"fixed-case\">AUDIT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>) tool. Birth and child outcomes were determined by interview, medical record review and physical examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>127\/134 (95%) eligible caregivers participated: 78% were birth mothers, 95% were <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>boriginal and 55% reported alcohol use in index pregnancies; 88% reported first trimester drinking and 53% drinking in all trimesters. <jats:styled-content style=\"fixed-case\">AUDIT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> scores were calculated for 115\/127 women, of whom 60 (52%) reported alcohol use in pregnancy. Of the 60 women who drank (<jats:styled-content style=\"fixed-case\">AUDIT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> score\u2009\u2265\u20091), 12% drank daily\/almost daily, 33% drank 2\u20133 times per week; 71% drank\u2009\u2265\u200910 standard drinks on a typical occasion; 95% drank at risky or high\u2010risk levels (<jats:styled-content style=\"fixed-case\">AUDIT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> score\u2009\u2265\u20094). Mean <jats:styled-content style=\"fixed-case\">AUDIT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content> score was 8.5\u2009\u00b1\u20092.3 (range 2\u201312). The most common drinking pattern was consumption of \u226510 standard drinks either 2\u20134 times per month (27%) or 2\u20133 times per week (27%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>High\u2010risk alcohol use in pregnancy is common in remote, predominantly <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>boriginal communities in north western <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia. Prevention strategies to reduce prenatal alcohol use are urgently needed. <jats:italic>[Fitzpatrick JP, Latimer J, Ferreira ML, Carter M, Oscar J, Martiniuk ALC, Watkins RE, Elliott EJ. Prevalence and patterns of alcohol use in pregnancy in remote Western Australian communities: The Lililwan<\/jats:italic><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#dar12232-note-0001\"\/> <jats:italic>Project<\/jats:italic>. Drug Alcohol Rev <jats:italic>2015]<\/jats:italic><\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12232","type":"journal-article","created":{"date-parts":[[2015,2,19]],"date-time":"2015-02-19T09:42:56Z","timestamp":1424338976000},"page":"329-339","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Prevalence and patterns of alcohol use in pregnancy in remote <scp>W<\/scp>estern <scp>A<\/scp>ustralian communities: The <scp>L<\/scp>ililwan<scp>P<\/scp>roject"],"prefix":"10.1111","volume":"34","author":[{"given":"James P.","family":"Fitzpatrick","sequence":"first","affiliation":[{"name":"Discipline of Paediatrics and Child Health Sydney Medical School University of Sydney  Sydney Australia"},{"name":"The George Institute for Global Health Sydney Medical School University of Sydney  Sydney Australia"},{"name":"Telethon Kids Institute The University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Latimer","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health Sydney Medical School University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela L.","family":"Ferreira","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health Sydney Medical School University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen","family":"Carter","sequence":"additional","affiliation":[{"name":"Nindilingarri Cultural Health Services  Fitzroy Crossing Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"June","family":"Oscar","sequence":"additional","affiliation":[{"name":"Marninwarntikura Fitzroy Women's Resource Centre  Fitzroy Crossing Australia"},{"name":"School of Arts and Sciences University of Notre Dame  Broome Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra L. 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