Document Detail


Ego-dystonic pregnancy and prenatal consumption of alcohol among first-time mothers.
MedLine Citation:
PMID:  22045021     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study examines predictors of drinking during pregnancy among first-time mothers, in order to distinguish those in need of targeted screening and intervention. Data from the prenatal panel of the Parenting for the First Time study were used in hierarchical linear regressions to determine likelihood of prenatal alcohol consumption among a sample of 645 women. African-American women and those of race/ethnicities other than White were less likely to drink, regardless of age or level of education. Among all women, being in school was associated with abstention (P = 0.05). Among teens, endorsing a perception of feeling "pushed around" was a significant indicator of prenatal alcohol consumption (P = 0.05), as was not having plans for infant feeding shortly before delivery (P = 0.05). Among adults with some level of college education, having a first prenatal visit after the fourth month of pregnancy was a significant predictor of drinking (P = 0.01). This study indicates that women who evidence behaviors or attitudes indicating an ego-dystonic pregnancy (one that is psychologically or emotionally uncomfortable), may be more likely to self-medicate and cope via avoidance through drinking. These behaviors and attitudes may be indicators of the need for targeted screening and intervention, as well as indicators of underlying problems to be targeted in treatment. Further, among all women for whom continued education is a possibility, retaining the ability to attend school during the pregnancy can be protective.
Authors:
Peggy L O'Brien;
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Maternal and child health journal     Volume:  16     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-17     Completed Date:  2012-12-03     Revised Date:  2013-10-17    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1431-9     Citation Subset:  IM    
Affiliation:
Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA. pegmlob@brandeis.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adolescent
Adult
Alcohol Drinking / psychology*
Attitude
Female
Health Behavior
Humans
Infant
Interviews as Topic
Mothers / psychology*
Pregnancy
Prenatal Care
Questionnaires
Risk Factors
Self Medication
Self Report
Socioeconomic Factors
United States
Young Adult
Grant Support
ID/Acronym/Agency:
2T32AA007567-16/AA/NIAAA NIH HHS; HD-39456/HD/NICHD NIH HHS; T32 AA007567/AA/NIAAA NIH HHS; T32 AA007567-16/AA/NIAAA NIH HHS
Investigator
Investigator/Affiliation:
John Borkowski / ; Judy Carta / ; Bette Keltner / ; Susan Landry / ; Craig Ramey / ; Sharon Ramey / ; Steve Warren /
Comments/Corrections

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