Alcohol consumption among partners of pregnant women in Sweden: a cross sectional study

Högberg, Hjördis; Skagerström, Janna; Fredrik,; Nilsén, Per; Larsson, Margareta

doi:10.1186/s12889-016-3338-9

Cited by 16 publications

(16 citation statements)

References 47 publications

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“…Women are however advised to avoid alcohol around the time of conception and during pregnancy as no safe limit has been established and the effects of fetal alcohol spectrum disorders can be devastating [63, 64]. Nearly three quarters of men in our study continued to drink alcohol during pregnancy but other studies have found that men have given up drinking in support of their partners [46, 65].…”

Section: Discussionmentioning

confidence: 86%

Preparation for fatherhood: A survey of men’s preconception health knowledge and behaviour in England

et al. 2019

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MethodsA cross-sectional survey of men attending antenatal care with their partners at three London Maternity Units. We assessed level of pregnancy planning using the partner version of the London Measure of Unplanned Pregnancy (LMUP), preconception health behaviours, and whether they had sought information and health professional advice before conception.Main resultsWe recruited 573 men (91% response rate). Mean age was 34 years, 86% were in employment or full time education and 66% had a degree. Half were overweight or obese, 16% were still smoking and 79% had consumed alcohol in the three months before conception. Of 250 men answering questions about medication, a third were taking medication with potentially adverse effects on male reproductive health, while 23% reported taking pre-pregnancy vitamins.46.9% had looked at information about pregnancy from a variety of sources, including online, before their partner became pregnant. Assessed by the LMUP, 74% of pregnancies were planned. Male ‘planners’ were more likely than other men to reduce smoking, reduce alcohol consumption and to eat more healthily in preparation for pregnancy. However, 57% took no action to improve their health.Significance of the findingsIn a sample of relatively educated men accompanying their partners on an antenatal visit, nearly half had made at least one positive health behaviour change before pregnancy, but half were overweight or obese and a third were on medication that could impair male reproductive health. These findings, together with a high prevalence of alcohol consumption and smoking, indicate the need for greater paternal preconception health awareness and care. Innovative ways to promote positive messages about fatherhood, including medication review as part of preconception care, should be evaluated for impact on improving paternal reproductive health and pregnancy and neonatal outcomes.

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Section: Discussionmentioning

confidence: 86%

Preparation for fatherhood: A survey of men’s preconception health knowledge and behaviour in England

et al. 2019

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“…Pregnancy is also associated with reduction in partner AUD, though to a lesser extent than among mothers. Again, this suggests that factors other than fetal alcohol exposure contribute to the observed association; a previous study found that changing social contexts and concern for the mother motivated decreased alcohol consumption among the partners of pregnant women (35). The discrepancy in risk reduction across mothers and fathers may be attributable to concerns about alcohol's direct effect on the fetus: Brief interventions that educate pregnant women about alcohol's teratogenic effects have been shown to decrease consumption (14,36).…”

Section: Discussionmentioning

confidence: 93%

Protective Effects of Pregnancy on Risk of Alcohol Use Disorder

Edwards

Svikis

Sundquist³

et al. 2019

AJP

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Objective: The authors sought to clarify the etiology of the association between pregnancy and Alcohol Use Disorder (AUD). Method: The authors utilized longitudinal, population-wide Swedish medical, pharmacy, and criminal registries to evaluate whether rates of AUD are lower during pregnancy. They compared pregnant women born 1975-1992 (N=322,029) to matched population controls, to female relatives discordant for pregnancy, and to within-individual pre-and post-pregnancy periods. They further compared AUD rates between pregnant women and their partners. Results: Pregnancy was inversely associated with AUD across all analyses (odds ratio=0.17-0.32). In co-relative analyses, the strength of the association increased among more closely related individuals. Within individuals, AUD rates were substantially decreased during pregnancy relative to the pre-pregnancy period (odds ratio=0.25-0.26), and remained reduced during post-partum periods (odds ratio=0.23-0.31). Results were similar for second pregnancies (odds ratio=0.23). The partners of pregnant women also exhibited reductions in AUD (odds ratio=0.45). Among women who became pregnant at earlier ages and those with a history of criminal behavior, the pregnancy-AUD association was especially pronounced (interaction p<0.01), but no moderation was observed for a personal or maternal parental AUD history. Conclusions: Findings suggest that pregnancy plays a critical, and likely causal, motivational role in reducing AUD risk among women and, to a lesser extent, their partners. These results extend the understanding of the relationship between pregnancy and alcohol use, demonstrating that even severe outcomes such as AUD are subject to the protective effects of pregnancy.

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“…This is consistent with the fact that parents of small children are prioritized for advice provision in the national guidelines (9). Further, alcohol screening and conversation is an integrated part of standard Swedish antenatal care, with about 85% of pregnant women (18) and a large proportion of partners to pregnant women (19) being screened with the AUDIT questionnaire at antenatal care visits.…”

Section: Discussionmentioning

confidence: 99%

Addressing alcohol in routine healthcare in Sweden—population-based surveys in 2010 and 2017

Karlsson

O’Donnell

Abidi

et al. 2019

European Journal of Public Health

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Background The aim of the study was to compare how alcohol was addressed in routine healthcare practice in Sweden in 2010 and 2017, following the 2011 implementation of national drinking guidelines. Methods Population-based cross-sectional surveys were conducted in 2010 and in 2017. Subjects were 3200 respondents in 2010 (response rate 54%) and 3000 respondents in 2017 (response rate 51%) in Sweden. Both the 2010 and 2017 surveys collected data on: socio-demographics; alcohol consumption; healthcare visits in the past 12 months and characteristics of alcohol conversations in healthcare (duration, contents, experience and effects). Results It was significantly more likely that respondents had a conversation about alcohol in healthcare in 2017 than in 2010 (OR = 1.49; 95% CI = 1.27–1.75; P<0.001). Conversations about alcohol in the healthcare were mostly short (<4 min), both in 2010 and 2017. The alcohol conversations in 2017 included less information about alcohol’s influence on health (P = 0.002) compared with 2010. The experience of the conversation about alcohol was perceived as less dramatic in 2017 than in 2010 (P = 0.038). Conclusions The results suggest that conversations about alcohol were more embedded in routine healthcare practice in Sweden in 2017 than in 2010. This development has occurred since the 2011 publication of the national guidelines. Alcohol conversations targeted also specific groups of drinkers as recommended by the guidelines. However, our study design does not allow for conclusions about the relationship between the guidelines and the changes in healthcare practice.

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Alcohol consumption among partners of pregnant women in Sweden: a cross sectional study

Cited by 16 publications

References 47 publications

Preparation for fatherhood: A survey of men’s preconception health knowledge and behaviour in England

Preparation for fatherhood: A survey of men’s preconception health knowledge and behaviour in England

Protective Effects of Pregnancy on Risk of Alcohol Use Disorder

Addressing alcohol in routine healthcare in Sweden—population-based surveys in 2010 and 2017

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