scholarly journals General practitioners, pregnancy and addictions in France in 2015

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Andler ◽  
C Cogordan ◽  
A Pasquereau ◽  
J-F Buyck ◽  
V Nguyen-Thanh
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Pregnant Women ◽  
General Practitioners ◽  
Tobacco Smoking ◽  
Alcohol Drinking ◽  
Health Hazard ◽  
Active Role ◽  
Antenatal Visit ◽  
Smoking During Pregnancy

Abstract Background Tobacco smoking and alcohol drinking during pregnancy result in serious health hazard for both the baby and the mother. In France, about 17% of pregnant women smoke and 20% consume alcohol. General practitioners (GPs) can have an active role in preventing those behaviors as they often interact with pregnant patients: one quarter of French pregnant women have had at least one antenatal visit with a GP. The aim of our study is to describe French GPs’ practices (screening and counseling) toward pregnant patients regarding tobacco smoking and alcohol drinking. Methods In 2015, a telephone survey was set based on a stratified random sampling of metropolitan France GPs. A representative sample of 1,414 French GPs completed the study. Results Screening for alcohol consumption at least once for every patient was done by 61% of GPs and for smoking by 82% of GPs. Counselling to quit alcohol consumption was done by 77% of GPs while counselling to quit smoking was done by about 90% of them. GPs’ practices were significantly better among those who had more recent ongoing training. Regular drinkers GPs were less likely to systematically screen for alcohol use and GPs’ alcohol use frequency was adversely related to recommending quitting. Current and former smokers GPs were less likely to recommend quitting to pregnant patients smoking over 5 cigarettes per day. Conclusions Screening for alcohol use and smoking during pregnancy is not yet systematic among GPs in France. GPs’ prevention role with pregnant patients could be emphasized, potentially through initial and ongoing trainings adaptation. Besides, as regular alcohol use and smoking are related to unwanted practices, prevention for the benefit of GPs could be even more fruitful. Key messages Screening for alcohol use and smoking during pregnancy is not systematically done by French GPs. GPs’ prevention role with pregnant patients could be emphasized, potentially through initial and ongoing trainings adaptation.

scholarly journals Alcohol Use During Pregnancy and Associated Factors Among Pregnant Women in Sub-saharan Africa: Further Analysis of the Recent Demographic and Health Survey Data

2021 ◽  
Author(s):  
Bezawit Mulat ◽  
Wallelign Alemnew ◽  
Kegnie Shitu
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Pregnant Women ◽  
Alcohol Drinking ◽  
Associated Factors ◽  
Educational Status ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Sub Saharan ◽  
Pregnant Mothers

Abstract BackgroundAlcohol drinking during pregnancy is towering in spite of the well-established prove on its unfavorable pregnancy results and destitute child improvement. Despite such enormous consequences, there are limited data that explore about the extent of alcohol drinking and its associated factors among mothers during pregnancy in sub-Saharan Africa. ObjectiveThis study aimed to assess the prevalence and associated factors of alcohol consumption during pregnancy among pregnant mothers in sub-Saharan Africa. MethodA community based crossectional demographic and health survey was conducted from 2013 to 2017 among four Sub-Sahara African countries: Burundi, Ethiopia, Liberia and Zimbabwe. A two-stage stratified sampling technique was employed to select the participants. Multivariable Logistic regression analysis was used to identify factors associated with alcohol consumption during pregnancy. A p-value less than 0.05 and 95% confidence interval were used to declare statistical significance.ResultA total of 3,953 weighed sample of pregnant mothers were included in the study. The mean age of the participants was 27.3 (± 6.8) years with an age range of 15-49 years. The overall prevalence of alcohol use during pregnancy was 22.8% with (95% CI (21.5, 24)) and it was significantly associated with increased age (AOR=1.02, 95% CI (1.01, 1.04)), Muslim religion follower ( AOR=0.07, 95% (0.05,0.11), husband/partner’s educational status of primary (AOR=0.7 ,95% CI (0.55,0.84), secondary (AOR=0.53, 95% CI ( 0.41,0.7)) and higher (AOR=0.49 , 95% CI(0.31,0.8), being currently working (AOR=1.5,95% CI ( 1.09,1.55) , having ANC visit ( AOR=0.82, 95% C I(0.68,0.98) and increased gravidity ( AOR=0.93,95% CI( 0.86,0.99).Conclusion Alcohol drinking during pregnancy was high among pregnants in sub-Saharan African countries. Maternal age, religion, husband educational status, current working status of the mother, presence of ANC visit and gravidity of the mother were factors which have significant association with alcohol drinking during pregnancy. This calls a tailored behavior change intervention to reduce alcohol use during pregnancy. More emphasis should also be given for pregnant women with no ANC visit, lower gravidity, and an illiterate husband, currently working and Christianity followers.

The practices of French general practitioners regarding screening and counselling pregnant women for tobacco smoking and alcohol drinking

2018 ◽  
Vol 63 (5) ◽  
pp. 631-640 ◽  
Author(s):  
Raphaël Andler ◽  
Chloé Cogordan ◽  
Anne Pasquereau ◽  
Jean-François Buyck ◽  
Viêt Nguyen-Thanh
Keyword(s):  
Pregnant Women ◽  
General Practitioners ◽  
Tobacco Smoking ◽  
Alcohol Drinking

scholarly journals 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

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Alemu Earsido Addila ◽  
Telake Azale Bisetegn ◽  
Yigzaw Kebede Gete ◽  
Mezgebu Yitayal Mengistu ◽  
Getnet Mihretie Beyene
Keyword(s):  
Systematic Review ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Pregnant Women ◽  
Associated Factors ◽  
Unplanned Pregnancy ◽  
Meta Analysis ◽  
Sub Saharan Africa ◽  
Pooled Prevalence ◽  
Sub Saharan

Abstract Background Alcohol consumption during pregnancy represents a significant public health concern. It has several adverse health effects for both the mother and the developing fetus. This study aimed to estimate the pooled prevalence and the effect size of associated factors of alcohol consumption during pregnancy in Sub-Saharan Africa countries. Methods The results of the review were reported based on the Preferred Reporting Items for Systematic Review and Meta-Analysis statement (PRISMA) guideline and, it was registered in the Prospero database, number CRD42019127103. The available primary studies were collated from different databases: PubMed, CINAHL, Cochrane Library, PsycINFO, Google Scholar, African Journals Online and Centre for Addiction and Mental Health Library. The main search terms were [((alcohol consumption) OR (alcohol drinking) OR (alcohol use) OR (ethanol use) OR (alcohol exposure)) AND ((pregnant women) OR (pregnant mother) OR (during pregnancy)) AND (Sub-Saharan Africa)]. We used the Joanna Briggs Institute (JBI) for critical appraisal of studies. The random-effects model was computed to estimate the pooled prevalence. Heterogeneity between studies was checked using the I2 statistic and the Cochrane Q test. Results The review resulted in 963 original studies after searching various databases, and finally 37 studies in qualitative synthesis and 30 articles in the systematic review and meta-analysis were included. The overall summary estimate of the prevalence of alcohol consumption during pregnancy was found to be 20.83% (95% CI: 18.21, 23.46). The pooled estimate of meta-analysis showed that depression (OR: 1.572; 95% CI: 1.34, 1.845), partners’ alcohol use (OR: 1.32, 95% CI: 1.11, 1.57), knowledge on harmful effect of alcohol consumption (OR: 0.36, 95% CI: 0.29, 0.45) and, unplanned pregnancy (OR: 2.33, 95% CI: 1.17, 4.63) were statistically significant factors with alcohol consumption during pregnancy. Conclusions The result showed that there was high alcohol consumption during pregnancy in Sub- Saharan Africa. Alcohol consumption during pregnancy was associated with depression, partners’ alcohol use, unplanned pregnancy and knowledge of the harmful effects of alcohol consumption. Therefore, this will be a basis for public policy and resource allocation for prevention initiatives.

Determinants of alcohol use in pregnant women at risk for alcohol consumption

2003 ◽  
Vol 25 (6) ◽  
pp. 659-666 ◽  
Author(s):  
George Haynes ◽  
Tim Dunnagan ◽  
Suzanne Christopher
Keyword(s):  
At Risk ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Pregnant Women

scholarly journals Tobacco smoking prevalence in pregnant women: metanalysis of cross sectional studies

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Restivo ◽  
S Pizzo ◽  
A Marrella ◽  
F Caracci ◽  
F Vitale ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Tobacco Smoking ◽  
English Language ◽  
Smoking Prevalence ◽  
Secondary Analysis ◽  
Population Based ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Smoking During Pregnancy ◽  
High Prevalence

Abstract Background Notwithstanding tobacco smoking during pregnancy is associated with negative health outcomes, its prevalence was not included by worldwide surveillance system. The main objective was to estimate the number of women who had smoked at least one cigarette during her pregnancy in comparison to not smoking women. Methods A systematic review and metanalysis was conducted searching on MEDLINE, Pubmed and Scopus on the 2 January 2020. Keywords were searched with English language limits from 2017 to 2019. Three authors independently screened all titles and abstracts applying the inclusion criteria, extracted the data, filled a database and two other authors assessed doubt eligibility. Quality was assessed by the NOS scale and the prevalence of smoking during pregnancy was assessed dividing the number of women smoking by the total number of pregnant women reported in the studies. Results A total of 1424 articles were screened and 726 were evaluated to be included in the final database of 234 articles. Of these, 85 were properly designed as cross-sectional, 85 were conducted as secondary analysis of cohort, and 64 were population-based studies. The overall smoking prevalence during pregnancy was 12% (95% CI 11%-13%) with an increase to 14% (95%CI 12%-15%) for studies that had smoking as the primary endpoint. In the metaregression analysis, the risk of smoking increased in South America (meta regression coefficent [MC]=0.46, p = 0.02). On the other hand, smoking prevalence decreased during time (studies conducted from 2000 to 2010 MC=-0.15, p = 0.008 and studies conducted after 2010 MC=-0.11, p = 0.04). Conclusions This study revealed a high prevalence of smoking during pregnancy worldwide with higher values than reported in another metanalysis conducted from 1985 to 2016. However, prevalence decreased during the three years considered and was higher in some countries that need more preventive interventions. Key messages Women of childbearing age need to be educated about the potential detrimental effects of tobacco use on the developing fetus and infant. Evidence-based smoking cessation interventions should be integrated into routine prenatal care.

Prevalence and characteristics associated with concurrent smoking and alcohol misuse within Australian general practice patients

2020 ◽  
Vol 44 (1) ◽  
pp. 125
Author(s):  
Breanne Hobden ◽  
Jamie Bryant ◽  
Kristy Forshaw ◽  
Christopher Oldmeadow ◽  
Tiffany-Jane Evans ◽  
...  
Keyword(s):  
General Practice ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
General Practitioners ◽  
Alcohol Misuse ◽  
Smoking Status ◽  
Demographic Characteristics ◽  
International Studies ◽  
Australian General Practice ◽  
Different Levels

Objectives This study sought to determine, among a large sample of Australian general practice patients: (1) the prevalence of smoking among different levels of alcohol misuse; and (2) whether the associations between demographic characteristics and alcohol use differ according to smoking status. Methods A cross-sectional survey was administered from 2010 to 2011 to 3559 patients from 12 Australian urban general practices. Patients reported their demographic details, smoking status and their alcohol intake. Results The overall prevalence of reported concurrent smoking and alcohol misuse was 7.8%. Smokers were 3.81-fold more likely to have a higher level of alcohol consumption than non-smokers (95% confidence interval 3.13–4.63; P<0.0001). There was evidence that smoking was an effect modifier of the relationship between alcohol misuse and chronic illness. Conclusions There was an increasing prevalence of smoking with increasing level of alcohol consumption. In addition, those with chronic conditions who smoked had greater odds of higher levels of alcohol consumption. Preventative interventions for these substances are needed to reduce the burden associated with concurrent smoking and alcohol misuse. What is known about the topic? Tobacco and alcohol are the most commonly used substances and contribute to over 10million deaths annually. The risk of disease is high when using either of these substances, however, concurrent use is associated with a greatly compounded risk. Australian data is limited regarding the prevalence of concurrent tobacco and alcohol misuse, however, international studies suggest variation in prevalence rates between different clinical settings. What does this paper add? This study examined the prevalence of concurrent smoking and alcohol misuse among different levels of alcohol misuse severity within an Australian general practice setting. Additionally it explored whether the associations between demographic characteristics and alcohol use differ according to smoking status. What are the implications for practitioners? This study has important implications for disease prevention and the delivery of preventive health services by general practitioners. Considering one in 100 clinical treatments provided in general practice relate to preventative smoking or alcohol counselling, it is critical that efforts are made to ascertain risk factors such as smoking and alcohol misuse to increase treatment rates. General practitioners should consider screening for smoking and alcohol misuse opportunistically during routine clinical encounters, as well as screening for smoking or alcohol misuse if one or the other is present.

scholarly journals Combined Effects of Repetitive Mild Traumatic Brain Injury and Alcohol Drinking on the Neuroinflammatory Cytokine Response and Cognitive Behavioral Outcomes

2020 ◽  
Vol 10 (11) ◽  
pp. 876
Author(s):  
Jessica Hoffman ◽  
Jin Yu ◽  
Cheryl Kirstein ◽  
Mark S. Kindy
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Alcohol Drinking ◽  
Behavioral Outcomes ◽  
Cytokine Response ◽  
Cognitive Behavioral ◽  
Behavioral Deficits ◽  
Mild Tbi

The relationship between alcohol consumption and traumatic brain injury (TBI) often focuses on alcohol consumption increasing the likelihood of incurring a TBI, rather than alcohol use outcomes after TBI. However, patients without a history of an alcohol use disorder can also show increased problem drinking after single or multiple TBIs. Alcohol and mild TBI share diffuse deleterious neurological impacts and cognitive impairments; therefore, the purpose of these studies was to determine if an interaction on brain and behavior outcomes occurs when alcohol is consumed longitudinally after TBI. To examine the impact of mild repetitive TBI (rmTBI) on voluntary alcohol consumption, mice were subjected to four mild TBI or sham procedures over a 2 week period, then offered alcohol (20% v/v) for 2 weeks using the two-bottle choice, drinking in the dark protocol. Following the drinking period, mice were evaluated for neuroinflammatory cytokine response or tested for cognitive and behavioral deficits. Results indicate no difference in alcohol consumption or preference following rmTBI as compared to sham; however, increases in the neuroinflammatory cytokine response due to alcohol consumption and some mild cognitive behavioral deficits after rmTBI and alcohol consumption were observed. These data suggest that the cytokine response to alcohol drinking and rmTBI + alcohol drinking is not necessarily aggregate, but the combination does result in an exacerbation of cognitive behavioral outcomes.

Patterns and perception of alcohol drinking among the Lahu people, Northern Thailand

2018 ◽  
Vol 32 (3) ◽  
pp. 185-197 ◽  
Author(s):  
Sudkhed Detpitukyon ◽  
Tawatchai Apidechkul ◽  
Rachanee Sunsern ◽  
Amornrat Anuwatnonthakate ◽  
Onnalin Singhhorn ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Alcohol Drinking ◽  
Social Acceptance ◽  
Parental Behavior ◽  
Negative Impact ◽  
Peer Pressure ◽  
Northern Thailand ◽  
Content Type ◽  
Farming Community

Purpose The purpose of this paper is to understand the pattern and perception of alcohol drinking among the Lahu people in northern Thailand. Design/methodology/approach A qualitative method was used to elicit information on the patterns and perceptions of alcohol drinking amongst the Lahu tribespeople. Question guidelines had been developed from literature reviews and approved by three experts in the field of public health and alcohol studies. A total of 21 participants of different ages and sexes from 3 separate Lahu villages were invited to provide information. All interviews were taped and transcribed before analysis. A content analysis was used. Findings Lahu people begin alcohol consumption at an average of 12 years, with males usually beginning before females of the same age. Consuming alcohol is perceived to be a sign of adulthood and is also used as a means of gaining social acceptance from others in the community. Alcohol is consumed throughout the year with young and old, male and females, describing varied reasons for drinking. Income, parental behavior, and peer pressure contributes to the onset of alcohol drinking among young Lahu people. Several factors contributed to the use of alcohol among the Lahu people such as sex, age, occupation and income, peer pressure, taste and price as well as cultural adaptations amongst the farming community that play a significant role in the frequency of alcohol consumption amongst the Lahu community. Originality/value The results should support the development of peer education on the negative impact of alcohol use among the young people, and development of a community agreement on reducing excessive alcohol use in the Lahu community should be implemented.

scholarly journals Various forms of alcohol use and their predictors among pregnant women in post conflict northern Uganda: a cross sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Apophia Agiresaasi ◽  
Goretti Nassanga ◽  
Gakenia Wamuyu Maina ◽  
Juliet Kiguli ◽  
Elizabeth Nabiwemba ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Hazardous Drinking ◽  
Health Facilities ◽  
Northern Uganda ◽  
Sectional Study ◽  
Cross Sectional ◽  
Post Conflict

Abstract Background Alcohol use during pregnancy has been associated with several births and developmental disorders. This study set out to determine the various forms of alcohol consumption among pregnant women and their predictors in post conflict Northern Uganda. Methods In the months of May to June 2019, we conducted a cross sectional study among 420 pregnant women seeking antenatal care services at both Government and private health facilities in Gulu, Kitgum and Pader districts in Northern Uganda. We asked them about consumption of various alcoholic beverages. A three stage stratified cluster sampling approach was used and study participants randomly selected from health facilities of interest. We used descriptive statistics to estimate the prevalence of various forms of alcohol use. The chi- square test and logistic regression were used to assess associations of alcohol use among respondents and their socio - demographic and other characteristics. Results Overall 99 women (23.6%) reported current alcohol use (any amount). Up to 11% (N = 11) of all drinkers were identified by the AUDIT to be women with problem drinking behavior, 8% (N = 8) of women reported hazardous drinking and only four (4%) were women with active alcohol dependent behavior. Predictors of maternal alcohol use included pre-pregnancy alcohol consumption, knowledge, attitude, education level, parity and residence. Conclusions This study indicates that alcohol use (any mount) during pregnancy is high while alcohol dependence, problematic and hazardous drinking is low. Knowledge and attitude were important predictors of alcohol use. While alleviating alcohol use, development partners and relevant government departments should consider communication and other interventions that increase knowledge and risk perception on maternal drinking. Other risk factors that predict maternal drinking such as prior alcohol use, residence and parity should be mitigated or eliminated.

How accurately do general practitioners detect concurrent tobacco use and risky alcohol consumption? A cross-sectional study in Australian general practice

2018 ◽  
Vol 24 (5) ◽  
pp. 378
Author(s):  
Jamie Bryant ◽  
Breanne Hobden ◽  
Kristy Forshaw ◽  
Christopher Oldmeadow ◽  
Justin Walsh ◽  
...  
Keyword(s):  
General Practice ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
General Practitioners ◽  
Tobacco Use ◽  
Self Report ◽  
Evidence Based ◽  
Preventative Health ◽  
Risky Alcohol ◽  
Risky Alcohol Consumption

The negative health consequences of tobacco and risky alcohol consumption are compounded when used concurrently. Australian preventative health guidelines recommend that general practitioners (GPs) assess and provide evidence-based intervention. No studies, however, have examined the accuracy of GP detection of concurrent tobacco use and risky alcohol consumption or the factors associated with accurate detection. This study aimed to examine the: (i) accuracy of GP detection of concurrent tobacco and risky alcohol use compared to patient self-report; and (ii) GP and patient characteristics associated with accurate detection following a single clinical encounter. Patients attending 12 Australian general practices completed a survey assessing smoking and alcohol consumption. For each participating patient, GPs completed a checklist to indicate the presence of these risk factors. GP judgements were compared to patient self-report. Fifty-one GPs completed a health risk checklist for 1332 patients. Only 23% of patients who self-reported concurrent tobacco and risky alcohol use identified by their GP. Patients who visited their GP four to six times in the last year were most likely to have concurrent tobacco and risky alcohol use were identified. It is imperative to establish systems to increase detection of preventative health risks in general practice to enable the provision of evidence-based treatments.

Sign in / Sign up

Export Citation Format

Share Document