Document Detail

Predictors of alcohol use prior to pregnancy recognition among township women in Cape Town, South Africa.
MedLine Citation:
PMID:  21084142     Owner:  NLM     Status:  MEDLINE    
South Africa has the highest prevalence of Fetal Alcohol Spectrum Disorders (FASDs) in the world. The purpose of this study was to identify high risk factors associated with drinking alcohol prior to pregnancy recognition in 24 neighborhoods in the Cape Flats outside Cape Town, South Africa. An interviewer assessed risk among 619 pregnant Black/African women between the ages of 18 and 41 years. Logistic regression analyses explored factors associated with drinking alcohol post conception but prior to pregnancy recognition. Forced multiple logistic regression analysis revealed that drinking prior to pregnancy recognition was associated with being younger, single, having better living conditions, smoking, having a longer gestation prior to pregnancy recognition, having a greater number of sexual partners, and a higher incidence of intimate partner violence. Depressive symptoms tended to be higher among alcohol users. These risk factors were consistent with other research on the characteristics of South African women having children with a diagnosis of Fetal Alcohol Spectrum Disorders and/or of non pregnant women at high risk for an alcohol-exposed pregnancy. These findings highlight the need for women of child-bearing age to be routinely screened for alcohol use and its associated risk factors. Intervention efforts could be integrated into health initiatives already present in South Africa including the prevention and treatment of HIV/AIDS, tuberculosis, and malnutrition. Preconception care is particularly important since pregnancy recognition often occurs several weeks to months following conception and could be implemented by South African community health workers. These endeavors should facilitate national goals of healthier pregnancies and the elimination of FASDs in South Africa.
Mary J O'Connor; Mark Tomlinson; Ingrid M Leroux; Jacqueline Stewart; Erin Greco; Mary Jane Rotheram-Borus
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-10-23
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  72     ISSN:  1873-5347     ISO Abbreviation:  Soc Sci Med     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-20     Completed Date:  2011-03-16     Revised Date:  2014-09-09    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  83-90     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd. All rights reserved.
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MeSH Terms
Age Factors
Alcohol Drinking / epidemiology*
Fetal Alcohol Spectrum Disorders / epidemiology*
Pregnant Women / psychology*
Qualitative Research
Risk Factors
Sexual Behavior / statistics & numerical data
Smoking / epidemiology
Socioeconomic Factors
South Africa / epidemiology
Spouse Abuse / statistics & numerical data
Time Factors
Young Adult
Grant Support
1R01AA017104-01A1/AA/NIAAA NIH HHS; R01 AA017104/AA/NIAAA NIH HHS; R01 AA017104-01A1/AA/NIAAA NIH HHS; R01 AA017104-01A1S1/AA/NIAAA NIH HHS; R01 AA017104-02/AA/NIAAA NIH HHS; R01 AA017104-03/AA/NIAAA NIH HHS; R01 AA017104-04/AA/NIAAA NIH HHS; R01 AA017104-05/AA/NIAAA NIH HHS

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