Prevalence and Predictors of Alcohol Consumption during Pregnancy in South-Eastern Nigeria

Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: a systematic review and meta-analysis' as given in the submission system

“…In the final review, articles were published from 10 countries among 46 countries were included. Of these studies, eleven studies were found from Ethiopia [13,19,[30][31][32][33][34][35][36][37][38], nine articles were from South Africa [20,22,[39][40][41][42][43][44][45][46], five articles were from Nigeria [18,[47][48][49][50], two studies were from Ghana [51,52], one article was from Kenya [53], three articles were from Tanzania [54][55][56], two studies were from Uganda [21,57] one study was from Burkina Faso [58], and one article was from Zambia [59]. Regarding the study designs, twenty-five (83%) of them were cross-sectional, three studies (3.5%) were cohort and three articles (3.5%) were case-control.…”

“…The studies indicated that alcohol consumption during pregnancy associated with three major themes in Sub-Saharan Africa: socioeconomic factors like educational The review showed that post-primary educational status as compared to primary education (AOR 10.64, 95% CI 1.89,19.84) [55], High School and TVET compared with illiterate women (AOR = 2.70; 95% CI: 1.25, 5.81) [19], having Knowledge on harmful effect of alcohol use (AOR = 0.37; 95% CI: 0.20, 0.70) [20], AOR = 3.26; 95% CI:1.79, 5.97) [47], making local brews as a source of income (AOR = 11.444; 95% CI: 1.01,19.86) [55], being unemployed (AOR = 3.11; 95% CI: 1.73, 5.60) [19] were predictors of alcohol consumption during pregnancy.…”

“…Regarding obstetric factors, not having complications in previous pregnancies (AOR = 4.93; 95% CI: 1.031, 23.59) [55], being married (AOR = 3.09; 95% CI: 1.79, 5.33) [19], unplanned (AOR = 3.12; 95% CI: 1.85, 5.28) [19], (OR = 1.9; 95% CI: 1.06-3.4) [55], (AOR = 2.12; 95% CI:1.2,3.73) [37], and nulliparity (OR = 1.94; 95%CI: 1.10, 3.40) [47] were factors associated with alcohol consumption during pregnancy. On the other hand, prepregnancy alcohol consumption (AOR = 5.19; 95% CI: 4.791,34.87) [55], (OR = 4.522) [39], (AOR = 1.94; 95% CI:1.18, 3.18) [47], (AOR = 2.17, 95% CI: 1.18, 4.00) [37], alcohol consumption encouraged by somebody or having friends who use alcohol (AOR = 3.84; 95% CI: 2.34, 6.30) [19], (AOR = 1.57; 95% CI: 1.39,6.25) [55], (AOR = 2.36; 95% CI: 1.72, 3.23) [21], partner alcohol use (AOR = 1.71; 95% CI:1.09, 2.67) [19], (AOR = 2.58; 95% CI: 1.12, 5.97) [20], (AOR = 1.56; 95% CI:1.21, 2.02) [21], (OR = 4.87; 95% CI: 2.64-8.997) [55], smoking (AOR = 2.92; 95% CI: 1.10, 7.79) [20], (AOR = 1.23; 95% CI:1.15, 1.32) [21] were determinants of alcohol use during pregnancy.…”

“…To determine the correlation between alcohol consumption of the pregnant mothers and their knowledge of the harmful effect of alcohol use on birth outcomes two studies were analyzed [20,47]. Pregnant women who had awareness of the adverse effect of alcohol drinking during pregnancy on birth outcomes were 64% less likely to consume alcohol as compared to their counterparts (OR: 0.36, 95% CI: 0.29, 0.45) with (I 2 = 0.0% and p = 0.596).…”

“…Women who had unplanned their pregnancy were twice more likely to drink alcohol as compared to those who had planned [19,37,55] (OR: 2.33, 95% CI: 1.17, 4.63) with (I 2 = 0.0% and p = 0.779). In addition, the pooled result of analysis indicated that drinking encouraged by friends or having alcohol drinking friends [19,21,55] (OR: 1.78, 95% CI: 0.79, 4.05) with (I 2 = 46.8% and p = 0.153), pre-pregnancy alcohol consumption [37,39,47,55] (OR: 2.05, 95% CI: 0.93, 4.50) with (I 2 = 0.0% and p = 0.983), and cigarette smoking [20,21,46] (OR: 2.37, 95% CI: 0.70, 7.99) with (I 2 = 83.3% and p = 0.002) were not statistically significant factors for alcohol consumption.…”