Alcohol prevention in Swedish antenatal care: effectiveness and perceptions of the Risk Drinking project counseling model

Nilsén, Per; Skagerström, Janna; Rahmqvist, Mikael; Hultgren, Eva; Blomberg, Marie

doi:10.1111/j.1600-0412.2012.01402.x

Cited by 10 publications

(15 citation statements)

References 26 publications

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“…Most of the women who did not cease drinking during pregnancy reported drinking small amounts and few drinking occasions. These findings are similar to earlier studies conducted at a single antenatal care center in Sweden, showing prevalence rates of about 6% after pregnancy recognition [11,17]. However, these studies used a retrospective questionnaire answered at home after giving birth.…”

Section: Discussionsupporting

confidence: 89%

“…International studies have reported on the relevance of a wide range of potential predictors for drinking during pregnancy that have not been confirmed in a Swedish context, including education level, employment status, civil status, and social support [13-15]. Research on behavioral changes in various domains suggests that it might be important to explore the extent to which pre-pregnancy drinking constitutes a habit that inhibits the ability to cease drinking when becoming pregnant [16,17]. The aim was to investigate alcohol use before and during pregnancy and predictors for drinking during pregnancy in Sweden.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of alcohol use before and during pregnancy and predictors of drinking during pregnancy: a cross sectional study in Sweden

et al. 2013

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BackgroundThere is a paucity of research on predictors for drinking during pregnancy among women in Sweden and reported prevalence rates differ considerably between studies conducted at different antenatal care centres. Since this knowledge is relevant for preventive work the aim of this study was to investigate these issues using a multicenter approach.MethodsThe study was conducted at 30 antenatal care centers across Sweden from November 2009 to December 2010. All women in pregnancy week 18 or more with a scheduled visit were asked to participate in the study. The questionnaire included questions on sociodemographic data, alcohol consumption prior to and during the pregnancy, tobacco use before and during pregnancy, and social support.ResultsQuestionnaires from 1594 women were included in the study. A majority, 84%, of the women reported alcohol consumption the year prior to pregnancy; about 14% were categorized as having hazardous consumption, here defined as a weekly consumption of > 9 standard drinks containing 12 grams of pure alcohol or drinking more than 4 standard drinks at the same occasion. Approximately 6% of the women consumed alcohol at least once after pregnancy recognition, of which 92% never drank more than 1 standard drink at a time. Of the women who were hazardous drinkers before pregnancy, 19% reduced their alcohol consumption when planning their pregnancy compared with 33% of the women with moderate alcohol consumption prior to pregnancy. Factors predicting alcohol consumption during pregnancy were older age, living in a large city, using tobacco during pregnancy, lower score for social support, stronger alcohol habit before pregnancy and higher score for social drinking motives.ConclusionsThe prevalence of drinking during pregnancy is relatively low in Sweden. However, 84% of the women report drinking in the year preceding pregnancy and most of these women continue to drink until pregnancy recognition, which means that they might have consumed alcohol in early pregnancy. Six factors were found to predict alcohol consumption during pregnancy. These factors should be addressed in the work to prevent alcohol-exposed pregnancies.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Prevalence of alcohol use before and during pregnancy and predictors of drinking during pregnancy: a cross sectional study in Sweden

et al. 2013

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“…Swedish women with lower educational attainment, and those who lived in smaller cities, were more likely to abstain during pregnancy (4,11). Those who smoked (4) or exhibited heavier or more frequent drinking prior to pregnancy (11)(12)(13) reduced their drinking during pregnancy to a lesser degree than non-smokers or light drinkers, respectively. Cognitive factors are also relevant: Women who report drinking to enhance social interactions prior to pregnancy, and those who perceived that small amounts of alcohol were not problematic, were less likely to abstain (13).…”

Section: Introductionmentioning

confidence: 99%

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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“…In another study conducted in Uppsala, the fourth largest city in Sweden, 12% of pregnant women reported alcohol consumption (Comasco et al, 2012). Three studies conducted in Linköping, another mediumsized Swedish city, have reported that 6% of women continue to use alcohol during pregnancy Nilsen et al, 2008;Nilsen et al, 2012b). For consumption over 70 grams per week or 60 grams per occasion, prevalence figures of 15% and 17% have been reported in early pregnancy, including the period before pregnancy recognition (Goransson et al, 2006;Magnusson et al, 2005).…”

Section: An International Perspective On Alcohol Consumption Before Amentioning

confidence: 99%

Alcohol consumption during pregnancy : Prevalence, predictors and prevention

Skagerström¹

2015

Linköping University Medical Dissertations

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Alcohol prevention in Swedish antenatal care: effectiveness and perceptions of the Risk Drinking project counseling model

Abstract: An expanded counseling model implemented in Swedish antenatal care did not reduce the proportion of women who continued drinking during pregnancy in comparison with a previous counseling model, although the advice provided in the new model was perceived more favorably.

Cited by 10 publications

References 26 publications

Prevalence of alcohol use before and during pregnancy and predictors of drinking during pregnancy: a cross sectional study in Sweden

Prevalence of alcohol use before and during pregnancy and predictors of drinking during pregnancy: a cross sectional study in Sweden

Protective Effects of Pregnancy on Risk of Alcohol Use Disorder

Alcohol consumption during pregnancy : Prevalence, predictors and prevention

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