Racial Disparities in Pregnancy-Related Drinking Reduction

Tenkku, Leigh E.; Morris, Daniel S.; Salas, Joanne; Xaverius, Pamela K.

doi:10.1007/s10995-008-0409-2

Cited by 33 publications

(31 citation statements)

References 18 publications

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“…The previously described cessation and reduction patterns are also found among women with unintended pregnancies (Hellerstedt et al, 1998, Kost et al, 1998, Pirie et al, 2000, Johnson et al, 1987, Tenkku et al, 2009, Terplan et al, 2013). There has also been substantial research examining predictors of alcohol use among pregnant women, including in income and race/ethnicity subgroups (Chambers et al, 2005, Tenkku et al, 2009, Pirie et al, 2000, Harrison and Sidebottom, 2009, Chasnoff et al, 2005, Johnson et al, 1987, Hellerstedt et al, 1998, Kost et al, 1998, Ethen et al, 2009).…”

Section: Introductionsupporting

confidence: 61%

“…There has also been substantial research examining predictors of alcohol use among pregnant women, including in income and race/ethnicity subgroups (Chambers et al, 2005, Tenkku et al, 2009, Pirie et al, 2000, Harrison and Sidebottom, 2009, Chasnoff et al, 2005, Johnson et al, 1987, Hellerstedt et al, 1998, Kost et al, 1998, Ethen et al, 2009). However, literature on alcohol use patterns and risk factors among women with unwanted pregnancies is sparse.…”

Section: Introductionmentioning

confidence: 99%

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Alcohol Use Before and During Unwanted Pregnancy

Roberts

Wilsnack

Foster

et al. 2014

Alcoholism Clin & Exp Res

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Background There is little information about pregnancy-related changes in alcohol use and factors contributing to changes among women with unwanted pregnancies. This study describes changes in alcohol use from before pregnancy recognition to during pregnancy and identifies important predictors of alcohol use severity among women with unwanted pregnancies. Methods Data are from the Turnaway Study of 956 women seeking pregnancy termination at 30 U.S. facilities between 2008 and 2010, some of whom were denied care because they were past the gestational limit of the facility where they were recruited and were still pregnant at the baseline interview, one week after termination-seeking. Predictors of alcohol use severity (a latent variable) were identified. Results 56% of the total sample reported any alcohol use the month before pregnancy recognition, with 23% reporting six or more drinks on an occasion. Among the total sample, 35% of those drinking before pregnancy recognition had quit and 20% had reduced one week after termination seeking. Among those denied terminations and still pregnant, 71% had quit and 14% had reduced. In a multivariate model predicting alcohol severity, younger age, still pregnant, one or more previous births, later gestation, childhood physical abuse, and marijuana and other drug use were associated with lower severity; having completed college, tobacco use, and recent physical violence were associated with higher severity. Conclusions The proportion of the total sample drinking before pregnancy recognition is similar to national samples of women of childbearing age while the proportion binge drinking appears higher. Of women denied terminations who were still pregnant, the proportion having quit is similar to other populations of pregnant women. More research is needed to examine whether pregnant women may be substituting alcohol for marijuana and other drugs. Interventions focusing on alcohol use severity during pregnancy may need to also focus on tobacco.

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Section: Introductionsupporting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Alcohol Use Before and During Unwanted Pregnancy

Roberts

Wilsnack

Foster

et al. 2014

Alcoholism Clin & Exp Res

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“…The majority of the women in this study were African American, which may explain the low reported levels of alcohol use at baseline, as well as the larger percentage of African American women who were not eligible for the study (78.9%) compared to those eligible (59.5%). But heavy or binge drinking African American women are significantly less likely to reduce drinking or binging after becoming pregnant when compared to White women (Tenkku, Morris, Salas, & Xaverius, 2009). In addition, the CDC Fetal Alcohol Syndrome Surveillance Network (FASSNet) reported FAS rates to be highest for black and American Indian/Alaska Native children (Miller et al, 2002).…”

Section: Discussionmentioning

confidence: 99%

Single-session motivational intervention to decrease alcohol use during pregnancy

Osterman

Carle

Ammerman

et al. 2014

Journal of Substance Abuse Treatment

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This randomized clinical trial tested the effectiveness of a single-session of motivational interviewing (MI) to decrease alcohol use during pregnancy, while examining theory-based mechanisms of the intervention. Eligible pregnant women who drank any amount of alcohol in the previous year (n=122) were randomized to an intervention or comparison group. Drinking behaviors, basic psychological need satisfaction, and autonomous motivation to decrease prenatal alcohol use were measured at baseline, 30 day postbaseline, and 30 day postpartum follow-ups. Poisson and linear regression with generalized estimating equations were used to evaluate treatment effects over time. Although MI was not found effective in decreasing alcohol use, low levels of reported alcohol use by the women at baseline left little room for improvement due to the intervention. To prevent fetal alcohol spectrum disorders, future studies will use self-report and biomarkers to more accurately identify women in need of interventions to reduce their risk of alcohol-exposed pregnancies.

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“…African American women, in particular, may be less likely to reduce binge drinking (four or more drinks on one occasion) during pregnancy. 9 Data from the 2007-2008 National Survey on Drug Use and Health 7 suggest that 10% of African American pregnant women report binge drinking in the past month; this is up from 6% in 2005-2006 and is higher than for pregnant women overall, regardless of race or ethnicity (4.5% in 2007-2008).…”

Section: Introductionmentioning

confidence: 99%