Predictors of Drinking During Pregnancy: A Systematic Review
2011 (English)In: Journal of Women's Health, ISSN 1540-9996, E-ISSN 1931-843X, Vol. 20, no 6, 901-913 p.Article, review/survey (Refereed) Published
Background: Many pregnant women continue to drink alcohol despite clinical recommendations and public health campaigns about the risks associated with alcohol use during pregnancy. This review examines the predictors of prenatal alcohol use, with the long-term goal of developing more effective preventive efforts. Methods: A literature search of several databases for relevant articles was undertaken. Studies were included if they occurred in the context of antenatal care, collected data during the womans pregnancy (between 1999 and 2009), investigated predictors of any drinking, had a population-based orientation (e. g., did not focus only on high-risk drinkers), and were published in English in a scientific peer-reviewed journal between 1999 and 2009. Results: Fourteen studies published between 2002 and 2009 fulfilled the inclusion criteria (United States, 4; Europe, 4; Australia and New Zealand, 3; Japan, 2; and Uganda, 1). The predictors of prenatal alcohol use most consistently identified were prepregnancy alcohol consumption and having been abused or exposed to violence. Less consistent predictors of drinking during pregnancy were high income/social class and positive dependence screen. Unemployment, marital status, and education level were examined in many studies but found to be predictive only infrequently. Conclusions: Womens prepregnancy alcohol consumption (i.e., quantity and frequency of typical drinking) and exposure to abuse or violence were consistently associated with drinking during pregnancy. Antenatal care providers should assess these factors for improved detection of women at risk for alcohol-exposed pregnancies.
Place, publisher, year, edition, pages
Mary Ann Liebert, Inc. , 2011. Vol. 20, no 6, 901-913 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-69901DOI: 10.1089/jwh.2010.2216ISI: 000291590700010OAI: oai:DiVA.org:liu-69901DiVA: diva2:433286
Original Publication: Janna Skagerstrom, Grace Chang and Per Nilsen, Predictors of Drinking During Pregnancy: A Systematic Review, 2011, Journal of Women's Health, (20), 6, 901-913. http://dx.doi.org/10.1089/jwh.2010.2216 Copyright: Mary Ann Liebert, Inc. http://www.liebertpub.com/2011-08-092011-08-082015-10-30