Alcohol Use in Pregnancy: Predictors Among Portuguese Women
Fetal alcohol exposure is a major concern in Europe, with studies showing varying alcohol consumption rates among pregnant women. This research by Ludmila Carapinha and Elsa Lavado from the Portuguese governmental organization SICAD aims to determine alcohol use prevalence in pregnancy and identify predictors of maintaining alcohol consumption. Conducted in Lisbon, the study involved over 1,100 pregnant women, revealing insights into alcohol use patterns and socio-demographic features.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Alcohol drinking in pregnancy: some predictors among Portuguese women 2ndEuropean Conference on Addictive Behaviours and Dependencies PAPER SESSION Focus on pregnancy and the neonate Ludmila Carapinha, Elsa Lavado SICAD Servi o de Interven o nos Comportamentos Aditivos e nas Depend ncias www.sicad.pt |TELEF: +351 211 119 000 | EMAIL: sicad@sicad.min-saude.pt 1
The research team works in the Portuguese governmental organization dedicated to the monitoring and intervention in addictive behaviours: General Directorate for the Intervention in Addictive Behaviours and Dependencies. 2
Background Fetal alcohol exposure is currently considered the major cause of avoidable developmental disorders in Europe. According to the General Population Survey (2012), 49% of women (Portuguese residents, 15-64) drank at least once in the year before the survey. Among the women in fertile age range the prevalence is similar (I). Several studies demonstrate that alcohol prevalence is usually lower in pregnancy (II). (I) Balsa, Vital & Urbano (2014). III Inqu rito nacional ao consumo de subst ncias psicoativas na popula o geral Portugal 2012. Lisboa: SICAD. For exemple: Zammit, S. L., Skouteris, H., Wertheim, E. H., Paxton, S. J. & Milgrom, J. (2008). Pregnant women's alcohol consumption: the predictive utility of intention to drink and prepregnancy drinking behavior. Journal of Women's Health, 17 (9), 1513-1522. (II) 3
Aims I. To determine the prevalence of alcohol use in pregnancy II. Identify predictors of maintaining alcohol drinking in pregnancy 4
Method TARGET POPULATION: Pregnant woman with a medical appointment concerning their pregnancy, in 33 primary care facilities in Lisbon, between 15/09/2014 - 14/11/2014 (capable to read/write Portuguese) N=2 151 PARTICIPANTS: Among the 2 151 pregnant, 1 123 participated in the study, 1 104 questionnaires were validated Cross sectional study Self-report questionnaires Presented by the health staff, mainly nurses Filling in the primary care facilities while waiting for appointment 5
Sample descriptive PSYCHOACTIVE SUBSTANCE USE IN THE 12M BEFORE PREGNANCY - Average age: 31 years SOCIODEMOGRAPHIC FEATURES - Portuguese (85%) - Alcohol : 71% - Tobacco:28% - Illicit drugs: 7% - Education level: at least 9 years (77%) - 47% in University - The majority drank alcohol less than once a week - Employed (58%) - Unemployed (22%) - 33% had binge drinking (5 or more glasses in 1 occasion) at least once - 1st child (55%) - 2nd child(33%) - Living with a partner (81%) 6
Alcohol drinking in pregnancy 19% drank alcohol 1% made binge drinking Among the 775 pregnant women that used to drink before pregnancy, 26% continued to drink DEPENDENT VARIABLE in the study: maintenance of alcohol use after knowledge of pregnancy 7
Possible predictors of maintaining alcohol drinking in pregnancy Sociodemographic features (clusters: age, level of education, income, work situation, cohabitation) Pregnancy (trimester, level of satisfaction) Exposure to psychological/physical violence (prior/during pregnancy) Psychoactive substance use prior to pregnancy (12M before: binge drinking, subjective inebriation with alcohol, tobacco, illicit drugs) Beliefs about alcohol effects in the baby (level of agreement with negative effects related with several patterns of alcohol drinking in pregnancy; Nr of alcohol glasses admissible to drink per week in pregnancy) Perception of self-control concerning alcohol drinking (level of difficulty in not drinking while pregnant) Beliefs about the level of acceptance of moderate alcohol drinking in pregnancy (level of acceptance of family/friends, and of health staff) Representation about the partner s alcohol drinking (amount of alcohol drinking in comparison with the participant) 8
Results of adjusted logistic regression (Enter method) The probability of quitting alcohol drinking with knowledge of pregnancy increases if the pregnant: - Thinks that: - no glass is safe drinking while pregnant - family/friends disagree/total disagree with moderate alcohol drinking in pregnancy - in comparison to oneself, her partner doesn t drink or drinks less - Is in the 1st trimester of pregnancy 9
Results of adjusted logistic regression (Enter method) The probability of NOT quitting alcohol drinking with knowledge of pregnancy increases if the pregnant: - Has a perception of low self-control concerning alcohol drinking in pregnancy 10
Conclusions About 1 in 4 of the woman studied continued to drink after knowledge of pregnancy 3 dimensions are emphasised as relevant to alcohol drinking maintenance/quitting while pregnant: Information Social network drinking practices and attitudes Perception of self-control 11
Research Team Coordination: Ludmila Carapinha, Carla Ribeiro, Elsa Lavado, M rio Castro, Cristina Ribeiro Support in the implementation: medical interns The research team wishes to thank: - the Lisbon and Tagus Valley Administration of Health - the staff of the primary care facilities - the participants in the study - colleagues from SICAD/DEI Thank you for your attention http://www.sicad.pt 13
