Document Detail


Consumption of alcoholic beverages among pregnant urban Ugandan women.
MedLine Citation:
PMID:  19629663     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The World Health Organization estimated alcohol consumption in Uganda to be one of the highest in the world. We examined alcohol consumption among Ugandan women prior to and after learning of pregnancy. We developed a screening algorithm using factors that predicted alcohol consumption in this study. In 2006, we surveyed 610 women attending antenatal care at the national referral hospital in Kampala, Uganda about consumption of traditional and commercial alcoholic beverages before and after learning of pregnancy. Predictors of alcohol consumption during pregnancy were examined and a practical screening algorithm was developed for use in antenatal clinics. One hundred eighty women (30%) drank alcohol at least monthly before learning of their pregnancy. Among these women, almost one-third reported usual consumption of at least one beverage type at quantities that equal binging levels for women. Overall, 151 women (25%) consumed alcohol after learning of pregnancy. Commercial beverages, particularly beer, were consumed more often than traditional drinks. A two-stage screening algorithm asking women about their religion, male partner or friends' drinking, and any lifetime drinking predicted self-reported consumption of alcohol during pregnancy with 97% sensitivity and 89% specificity. Alcohol consumption among pregnant Ugandan women attending antenatal care is high. A feasible screening algorithm can help providers target education and counseling to women who are likely drinking during pregnancy. Given the preference for commercial alcoholic beverages, it is recommended that labels be placed prominently on bottled alcoholic beverages warning of the adverse effects of consuming alcohol during pregnancy.
Authors:
Imelda Namagembe; Leila W Jackson; Melissa D Zullo; Scott H Frank; Josaphat K Byamugisha; Ajay K Sethi
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2009-07-23
Journal Detail:
Title:  Maternal and child health journal     Volume:  14     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-02     Completed Date:  2010-11-02     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  492-500     Citation Subset:  IM    
Affiliation:
Department of Epidemiology and Biostatistics, Case Western Reserve University School of Medicine, 10900 Euclid Avenue, Cleveland, OH 44106-4945, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Alcohol Drinking / adverse effects,  epidemiology*
Chi-Square Distribution
Cross-Sectional Studies
Female
Humans
Middle Aged
Pregnancy
Pregnant Women*
Prevalence
Uganda / epidemiology
Young Adult
Grant Support
ID/Acronym/Agency:
AA015488/AA/NIAAA NIH HHS; AI36219/AI/NIAID NIH HHS; R03 AA015488-01/AA/NIAAA NIH HHS; R03 AA015488-02/AA/NIAAA NIH HHS; TW0006900/TW/FIC NIH HHS
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