scholarly journals “The Dop System of Alcohol Distribution is Dead, but It’s Legacy Lives On….”

Author(s):  
Philip May ◽  
Anna-Susan Marais ◽  
Marlene De Vries ◽  
Julie Hasken ◽  
Julie Stegall ◽  
...  

Objective: Determine the prevalence of Dop, a system of labor payment via alcoholic beverages, in a South African province, and its influence on maternal drinking and fetal alcohol spectrum disorders (FASD). Methods: Data from studies of FASD epidemiology were analyzed. Results: Forty-two percent to 67% of mothers reported drinking. In 1999, 5% of women reported Dop allocations in their lifetime: 14% of mothers of FASD children and 1% of controls. In 2010, 1.1% of mothers reported lifetime Dop: 1.6% of FASD mothers and 0.7% of controls. Commercial alcohol sales have replaced the Dop system. Total FASD rates remained high in rural areas in 2010 and rose in urban settings. Urban rates of total FASD surpassed rural area rates in 2010. Correlation analysis did not reveal a strong or significant, direct relationship between Dop experience and heavy drinking (r = 0.123, p < 0.001, r2 = 0.015), or the diagnosis of FASD in children (OR = 0.003, p = 0.183). Conclusion: Dop, as a systematic practice, is dead and does not have a direct influence on alcohol availability, heavy maternal drinking, or the probability of an FASD diagnosis. Nevertheless, today’s problematic drinking patterns were heavily influenced (shaped) by Dop and have negatively impacted the prevalence and severity of FASD.

2015 ◽  
Vol 167 (4) ◽  
pp. 752-755 ◽  
Author(s):  
H. Eugene Hoyme ◽  
Derek B. Hoyme ◽  
Amy J. Elliott ◽  
Jason Blankenship ◽  
Wendy O. Kalberg ◽  
...  

2010 ◽  
Vol 8 (3) ◽  
pp. 368-375
Author(s):  
Maria dos Anjos Mesquita

ABSTRACT The purpose of this article was to present a review of the effects of alcohol consumption by pregnant mothers on their newborn. Definitions, prevalence, pathophysiology, clinical features, diagnostic criteria, follow-up, treatment and prevention were discussed. A search was performed in Medline, LILACS, and SciELO databases using the following terms: “fetus”, “newborn”, “pregnant woman”, “alcohol”, “alcoholism”, “fetal alcohol syndrome”, and “alcohol-related disorders”. Portuguese and English articles published from 2000 to 2009 were reviewed. The effects of alcohol consumed by pregnant women on newborns are extremely serious and occur frequently; it is a major issue in Public Health worldwide. Fetal alcohol spectrum disorders cause harm to individuals, their families, and the entire society. Nevertheless, diagnostic difficulties and inexperience of healthcare professionals result in such damage, being remembered rarely or even remaining uncovered. Alcohol-related injury to the fetus is fully avoidable; all it takes is for women not to drink alcoholic beverages during pregnancy. Therefore, detecting women who consume alcohol during pregnancy is paramount, as are specific programs to educate people about the consequences of alcohol use during pregnancy and breastfeeding.


2017 ◽  
Vol 13 (5) ◽  
pp. 496.e1-496.e7 ◽  
Author(s):  
Sylvia Roozen ◽  
Leana Olivier ◽  
Justine Niemczyk ◽  
Alexander von Gontard ◽  
Gjalt-Jorn Y. Peters ◽  
...  

2008 ◽  
Author(s):  
Mary J. O'Connor ◽  
Evy Lowe ◽  
Susan Hall-Marley ◽  
Elizabeth A. Laugeson ◽  
Kathleen Welch-Torres

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