Individual and contextual variables associated with smoking and alcohol consumption during pregnancy

Boing, Antônio Fernando; Boing, Alexandra Crispim; Wagner, Kátia Jakovljevic Pudla; Saraiva, Suélen dos Santos; Tomasi, Yaná Tamara

doi:10.1590/0034-7167-2020-0804

Cited by 6 publications

(1 citation statement)

References 38 publications

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“…A relationship full of conflict with the partner has also been reported as one of the factors associated with higher alcohol consumption during pregnancy 55 , 56 , as well as social reasons for drinking during pregnancy 54 , 57 . Finally, contextual factors have also been evaluated, such as living in an environment that does not encourage physical activity 58 . None of these factors was available in our study and should be explored in future investigations.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of alcohol use during pregnancy, Brazil, 2011-2012

et al. 2023

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This is a national cross-sectional, hospital-based study, which interviewed 23,894 postpartum women in 2011-2012 aiming to estimate the prevalence of alcohol use during pregnancy and identifying more vulnerable groups. Alcohol use during pregnancy was identified using the TWEAK scale, and women with a score of ≥ 2 were classified as having a “presumable diagnosis of inadequate alcohol use”. The national prevalence of alcohol use and the prevalence in subgroups were calculated according to maternal characteristics, with respective 95% confidence intervals (95%CI). Coexistence of smoking, inadequate prenatal consultations, and alcohol use during pregnancy were graphically identified. The prevalence of alcohol use was 14% (95%CI: 13.3-14.7), with 10% (95%CI: 9.3-10.6) of women presenting presumable diagnosis of inadequate alcohol us during pregnancy. Higher prevalence of alcohol use and presumable diagnosis of inadequate alcohol us was observed in black women, aged 12-19 years, with lower educational level, from a lower economic class, without a partner, without paid work, with more than three previous births, who did not want to get pregnant, with inadequate prenatal care, with previous delivery in public services, and who reported smoking during pregnancy. Among the interviewees, 1.2% presented all three risk factors for negative perinatal outcomes at the same time: smoking, alcohol use, and inadequate prenatal care. The results showed a high prevalence of alcohol use during pregnancy and presumable diagnosis of inadequate alcohol us, especially among women with worse social conditions. These data are relevant for the formulation of public policies to prevent alcohol use and provide support services to help this population stop alcohol use during pregnancy.

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Section: Discussionmentioning

confidence: 99%

Prevalence of alcohol use during pregnancy, Brazil, 2011-2012

et al. 2023

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L’alcool et les femmes enceintes ou en désir de grossesse

Lambrette¹,

Hatto²

2023

Sages-Femmes

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Prevalência de uso de álcool na gestação, Brasil, 2011-2012

et al. 2023

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Resumo: Estudo transversal, de base hospitalar, nacional, com entrevista de 23.894 puérperas, em 2011-2012, com os objetivos de estimar a prevalência de consumo de álcool na gestação e identificar grupos mais vulneráveis. O uso de álcool na gestação foi identificado por meio da escala TWEAK, sendo classificadas como “diagnóstico presumível de uso inadequado de álcool” mulheres com pontuação ≥ 2. Calculou-se a prevalência nacional de uso de álcool e em subgrupos de acordo com características maternas, com respectivos intervalos de 95% de confiança (IC95%). Foram encontradas, de forma gráfica, coexistência de tabagismo, inadequação de consultas pré-natais e ingestão de bebidas alcoólicas na gestação. A prevalência de uso de álcool foi de 14% (IC95%: 13,3-14,7), com 10% (IC95%: 9,3-10,6) das mulheres apresentando diagnóstico presumível de uso inadequado de álcool na gestação. Maiores prevalências de uso de álcool e de diagnóstico presumível de uso inadequado foram observadas em mulheres pretas, com 12-19 anos de idade, com menor índice de escolaridade, de classe econômica mais baixa, sem companheiro, sem trabalho remunerado, com mais de três partos anteriores, que não queriam engravidar, com assistência pré-natal inadequada, com parto em serviços públicos e que referiram tabagismo na gestação. Estima-se que 1,2% das mulheres entrevistadas apresentavam concomitância dos três fatores de risco para desfechos perinatais negativos: fumo, álcool e assistência pré-natal inadequada. Os resultados demonstraram alta prevalência de uso de álcool na gestação e de diagnóstico presumível de uso inadequado, principalmente por mulheres em situação de vulnerabilidade social. São relevantes a elaboração de políticas públicas que contemplem ações de prevenção do uso de bebidas alcoólicas e a prestação de serviços de apoio para cessação do uso de álcool na gravidez.

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Individual and contextual variables associated with smoking and alcohol consumption during pregnancy

Cited by 6 publications

References 38 publications

Prevalence of alcohol use during pregnancy, Brazil, 2011-2012

Prevalence of alcohol use during pregnancy, Brazil, 2011-2012

L’alcool et les femmes enceintes ou en désir de grossesse

Prevalência de uso de álcool na gestação, Brasil, 2011-2012

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