Is pregnancy a time of changing drinking and smoking patterns for fathers as well as mothers? An initial investigation

Waterson, E. J.; Evans, C.; Murray‐Lyon, Iain M.

doi:10.1111/j.1360-0443.1990.tb00655.x

Cited by 50 publications

(44 citation statements)

References 30 publications

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“…In addition, pregnant women may be more likely to reduce their alcohol consumption if their partners also decrease their consumption (Waterson et al, 1990). Our study also demonstrated that the quality of the intimate partner relationship, specifi cally satisfaction with the relationship and ability to discuss problems with the partner, was lower among women who consumed moderate to heavy amounts of alcohol during pregnancy compared with light drinkers/abstainers, independent of other risk factors.…”

Section: Discussionsupporting

confidence: 54%

“…An extensive body of literature, mostly from English-speaking countries, demonstrates that married or cohabiting partners tend to have similar substance use patterns, problem drinking, and alcohol use disorders . In expectant parents, a few prior studies reported positive associations between partners' levels of smoking and their levels of alcohol consumption (Everett et al, 2005(Everett et al, , 2007Waterson et al, 1990). …”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of any alcohol consumption among pregnant women in Europe has been estimated in the range of 23%-54% (Alvik et al, 2006;Donnelly et al, 2008;Göransson et al, 2003;Palma et al, 2007), and some studies report that as many as 23%-30% of women continue to drink after pregnancy recognition (Alvik et al, 2006;Göransson et al, 2003). In the United States, older, more educated, employed, and unmarried women may have a higher prevalence of alcohol use during pregnancy (CDC, 2009;Waterson et al, 1990). This is in contrast to nonpregnant women, in whom higher rates of drinking are reported among younger as opposed to older women (Wilsnack et al, 2006).…”

mentioning

confidence: 99%

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Paternal Drinking, Intimate Relationship Quality, and Alcohol Consumption in Pregnant Ukrainian Women

Bakhireva¹,

Wilsnack²,

Kristjanson³

et al. 2011

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Maternal alcohol consumption during pregnancy and fetal alcohol spectrum disorders (FASDs) represent a signifi cant public health problem. The infl uence of the male partner's alcohol consumption patterns and the quality of the partner's intimate relationship might be important factors to consider in the design of successful FASD prevention programs. Method: As part of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders, 166 pregnant women in two regions in Ukraine participated in an in-person interview at an average gestational age of 18-19 weeks. Subjects were classifi ed cross-sectionally as abstainers/light drinkers (n = 80), defi ned as low or no consumption of alcohol in the periconceptional period and none in the most recent 2 weeks of pregnancy; discontinuers (n = 43), defi ned as moderate to heavy alcohol use in the periconceptional period but none during the most recent 2 weeks of pregnancy; or continuing drinkers (n = 43), defi ned as continued moderate to heavy alcohol use within the most recent 2 weeks of pregnancy. Women also reported on their partner's drinking behavior and on the quality of their intimate relationship. Results: Heavy paternal drinking was signifi cantly associated with both continuing maternal drinking in the most recent 2 weeks (adjusted odds ratio [OR] = 34.1; 95% CI [5.9, 195.8]) and being a risky drinker only around conception (adjusted OR = 27.0; 95% CI [5.0, 147.7]). In addition, women who consumed alcohol during pregnancy had lower mean scores for satisfaction with partners' relationship and ability to discuss problems (p < .05) compared with light drinkers/abstainers. Conclusions: This study suggests that development of partner-based interventions, as opposed to those solely focused on maternal drinking, might be warranted as a strategy to prevent FASD. (J. Stud. Alcohol Drugs, 72, 536-544, 2011)

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Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Paternal Drinking, Intimate Relationship Quality, and Alcohol Consumption in Pregnant Ukrainian Women

Bakhireva¹,

Wilsnack²,

Kristjanson³

et al. 2011

J. Stud. Alcohol Drugs

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“…In two European observational studies, men and their pregnant partners were found to reduce smoking and drinking over the course of pregnancy (Hyssala, Rautava, Sillanpaa, & Tuominen, 1992;Waterson, Evans, & Murray-Lyon, 1990). A recent large-scale randomized controlled trial in Australia directed intervention to 561 expectant fathers during pregnancy and found that 16.5% in the experimental condition and 9.3% in the control condition quit smoking at 6 months postpartum (Stanton, Lowe, Moffatt, & Del Mar, 2004).…”

Section: Introductionmentioning

confidence: 96%

A pilot study of smoking and associated behaviors of low‐income expectant fathers

Everett¹,

Gage

Bullock

et al. 2005

Nicotine & Tobacco Research

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Pregnancy is considered a teachable moment for helping women who smoke to quit, yet few studies have examined smoking behavior of expectant fathers. The present study considers the possibility that pregnancy is a teachable moment for expectant fathers as well and describes smoking and associated behaviors of men during their partner's pregnancy. Participants were 138 low-income men living with their pregnant partners. Using telephone interviews, we found 63% of the men had smoked at least 100 cigarettes in their lifetime. Current smoking was reported by 49.3% of expectant fathers (39.1% daily smoking; 10.2% some days). Expectant fathers' current smoking was associated with having a lower level of education (p<.0001), pregnant partner being a current smoker (p=.0002), higher quantity of alcohol consumption per day of drinking (p=.0003), and absence of smoking prohibitions inside the home (p<.0001). In the past year, 70.1% of the current smokers tried to quit. We found high rates of smoking in low-income expectant fathers, and an expectant father's smoking during his partner's pregnancy was associated with his pregnant partner continuing to smoke. A majority of expectant fathers identified as current smokers tried to quit in the past year or indicated an intention to quit in the near future. Intervention during pregnancy that targets pregnant women and expectant fathers who smoke could lead to more households without tobacco use and thus have positive implications for paternal, maternal, and family health. Further clinical and research attention is needed to address the smoking behaviors of both expectant fathers and their pregnant partners.

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“…For example, research on breast-feeding has consistently identified fathers as an important source of support in the decision to breast-feed and its implementation (Bar-Yam and Darby, 1997;Wolfberg et al, 2004). Partners' smoking habits have been one of the strongest predictors of prenatal cigarette use (Olsen, 1993;Waterson et al, 1990). Maternal drinking is highly correlated with paternal drinking (Passaro et al, 1998), because the premarriage alcohol consumption of husbands has been found to be unilaterally influential on their wives' drinking after marriage (Leonard and Das Eiden, 1999;Leonard and Mudar, 2003).…”

Section: Abstract Objectivementioning

confidence: 99%

Alcohol use by pregnant women: partners, knowledge, and other predictors.

et al. 2006

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ABSTRACT. Objective:The impact of a couple's knowledge about healthy pregnancy habits involving alcohol and substance use was assessed in the context of other factors previously identified to predict prenatal alcohol consumption in a sample of 254 pregnant women and their male partners. Method: Couples were asked to assess independently a series of statements (true or false) describing the consequences of prenatal substance exposure, while also providing information about their own drinking. Results: Although the couples demonstrated good knowledge of healthy habits during pregnancy, they did not agree when the element of chance was considered. Median household income was more highly predictive of a pregnant woman's knowledge score than her partner's score. In turn, the subject's knowledge of healthy pregnancy habits as manifested in the assessment score had only a weak relationship with prenatal alcohol consumption. Previous alcohol use by the pregnant woman was the strongest predictor of prenatal alcohol use. Conclusions: Because previous alcohol consumption use by the pregnant woman was the strongest predictor of prenatal alcohol use, the importance of its accurate identification is emphasized. Although pending further investigation, knowledge about healthy pregnancy behaviors may exert greater impact if it is shared by a pregnant woman and her partner. (J. Stud. Alcohol 67: [245][246][247][248][249][250][251] 2006)

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Is pregnancy a time of changing drinking and smoking patterns for fathers as well as mothers? An initial investigation

Cited by 50 publications

References 30 publications

Paternal Drinking, Intimate Relationship Quality, and Alcohol Consumption in Pregnant Ukrainian Women

Paternal Drinking, Intimate Relationship Quality, and Alcohol Consumption in Pregnant Ukrainian Women

A pilot study of smoking and associated behaviors of low‐income expectant fathers

Alcohol use by pregnant women: partners, knowledge, and other predictors.

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