Increasing the Report of Alcohol Use among Low-Income Pregnant Women

Purpose. To increase the report of prenatal alcohol use in a community setting. Methods. A self-administered alcohol screening tool was developed and introduced at 12 randomly selected sites that administer the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). A matched sample of 12 WIC sites continued to use the existing verbal standard of care for assessing alcohol use. Results. Rates of reported prenatal alcohol consumption at the 12 WIC intervention sites were compared with rates at 12 control WIC sites using a repeated-measures analysis of variance (ANOVA) and independent-samples t-tests. Within 8 months of study commencement, rates of reported prenatal alcohol consumption were significantly higher at the intervention sites than at the control sites. Discussion. Use of a brief, self-administered screening tool in the WIC setting significantly increased reports of prenatal alcohol use, a key first step in the reduction of prenatal alcohol use. The WIC setting represents an excellent place to address the significant public health issue of prenatal alcohol exposure.

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Trajectories of Prenatal Alcohol Consumption in An Australian Population-Based Cohort of Pregnant Women - A Data Driven Approach

10.21203/rs.3.rs-760148/v1 ◽

2021 ◽

Author(s):

Evelyne Muggli ◽

Stephen Hearps ◽

Jane Halliday ◽

Elizabeth J Elliott ◽

Anthony Penington ◽

...

Keyword(s):

Alcohol Consumption ◽

Alcohol Use ◽

Pregnant Women ◽

Child Outcomes ◽

Alcohol Exposure ◽

Accurate Information ◽

Dose Frequency ◽

Maternal Characteristics ◽

Prenatal Alcohol ◽

In Pregnancy

Abstract Accurate information on dose, frequency and timing of maternal alcohol consumption is critically important when investigating fetal risks from prenatal alcohol exposure. Identification of distinct alcohol use behaviours can also assist in developing directed public health interventions to prevent adverse child outcomes, including Fetal Alcohol Spectrum Disorder. We aimed to determine group-based trajectories of time-specific, unit-level, alcohol consumption using data from 1458 pregnant women in the Asking Questions about Alcohol in Pregnancy (AQUA) longitudinal study in Melbourne, Australia. Six alcohol consumption trajectories were identified incorporating four timepoints across gestation. Labels were assigned based on consumption in trimester one and whether alcohol use was continued throughout pregnancy: abstained (33.8%); low discontinued (trimester one) (14.4%); moderate discontinued (11.7%); low sustained (13.0%); moderate sustained (23.5%); and high sustained (3.6%). Median weekly consumption in trimester one ranged from 3 grams (low discontinued) to 184 grams of absolute alcohol (high sustained). Alcohol use after pregnancy recognition decreased dramatically for all sustained drinking trajectories, indicating some awareness of fetal risk. Improved understanding of factors that contribute to alcohol consumption in pregnancy in specific sub-populations is critical when developing prevention strategies. Maternal characteristics associated with different trajectories can inform the strategic development of such initiatives.

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Screening Instruments and Brief Interventions for Prenatal Alcohol Use

PsycEXTRA Dataset ◽

10.1037/e510302007-001 ◽

2006 ◽

Author(s):

Grace Chang

Keyword(s):

Alcohol Use ◽

Brief Interventions ◽

Screening Instruments ◽

Prenatal Alcohol Use ◽

Prenatal Alcohol

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Discordance Between Perinatal Alcohol Use Among Women and Provider Counseling for Alcohol Use: An Assessment of the Pregnancy Risk Assessment Monitoring System

Public Health Reports ◽

10.1177/0033354920984146 ◽

2021 ◽

pp. 003335492098414

Author(s):

Erika L. Thompson ◽

Tracey E. Barnett ◽

Dana M. Litt ◽

Erica C. Spears ◽

Melissa A. Lewis

Keyword(s):

Black Women ◽

Alcohol Use ◽

Universal Screening ◽

White Women ◽

Hispanic Women ◽

Pregnancy Risk ◽

Health Insurance Status ◽

Prenatal Alcohol Use ◽

Prenatal Alcohol ◽

Alcohol Counseling

Objective In the United States, guidelines indicate all pregnant women should be screened for and counseled on alcohol use to prevent adverse perinatal outcomes due to alcohol consumption. The objective of this study was to describe sociodemographic factors associated with receipt of prenatal alcohol counseling and perinatal alcohol use among US women. Methods State health departments collected data for the Pregnancy Risk Assessment Monitoring System Phase 7 during 2012-2015, and we restricted the sample to a complete case analysis (N = 135 111). The 3 dichotomous outcomes were preconception alcohol use (3 months before pregnancy), prenatal alcohol use (during last 3 months of pregnancy), and prenatal alcohol counseling. Predictor variables were age, race, Hispanic ethnicity, education, marital status, health insurance status, and previous live births. We estimated survey-weighted logistic regression models for each outcome. Results Half (56.0%) of pregnant women reported preconception alcohol use, 70.5% received prenatal alcohol counseling, and 7.7% reported prenatal alcohol use during the last 3 months of pregnancy. Black women were significantly less likely than White women (odds ratio [OR] = 0.49; 95% CI, 0.46-0.52) and Hispanic women were significantly less likely than non-Hispanic women (OR = 0.62; 95% CI, 0.58-0.66) to report preconception alcohol use. We found similar patterns for prenatal alcohol use among Black women. Black women were significantly more likely than White women (OR = 1.66; 95% CI, 1.55-1.77) and Hispanic women were significantly more likely than non-Hispanic women (OR = 1.51; 95% CI, 1.40-1.61) to receive prenatal alcohol counseling. We found similar patterns for age, education, and health insurance status. Conclusion Disparities in alcohol counseling occurred despite the national recommendation for universal screening and counseling prenatally. Continued integration of universal screening for alcohol use during pregnancy is needed.

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Two Prenatal Alcohol Use Screening Instruments Compared With a Physiologic Measure

Journal of Obstetric Gynecologic & Neonatal Nursing ◽

10.1111/j.1552-6909.2000.tb02032.x ◽

2000 ◽

Vol 29 (2) ◽

pp. 129-136 ◽

Cited By ~ 10

Author(s):

Karen W. Budd ◽

Kathleen Ross-Alaolmolki ◽

Richard A. Zeller

Keyword(s):

Alcohol Use ◽

Screening Instruments ◽

Prenatal Alcohol Use ◽

Prenatal Alcohol

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Prenatal alcohol exposure and offspring alcohol use and misuse at 22 years of age: A prospective longitudinal study

Neurotoxicology and Teratology ◽

10.1016/j.ntt.2018.11.001 ◽

2019 ◽

Vol 71 ◽

pp. 1-5 ◽

Cited By ~ 10

Author(s):

Lidush Goldschmidt ◽

Gale A. Richardson ◽

Natacha M. De Genna ◽

Marie D. Cornelius ◽

Nancy L. Day

Keyword(s):

Longitudinal Study ◽

Alcohol Use ◽

Prenatal Alcohol Exposure ◽

Alcohol Exposure ◽

Prospective Longitudinal Study ◽

Prenatal Alcohol ◽

Prospective Longitudinal

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Prenatal alcohol exposure programs offspring disease: Insulin resistance in adult males in a rat model of acute exposure

10.1101/684639 ◽

2019 ◽

Author(s):

Tam M T Nguyen ◽

Sarah E Steane ◽

Karen M Moritz ◽

Lisa K Akison

Keyword(s):

Insulin Resistance ◽

Blood Glucose ◽

Chronic Disease ◽

Alcohol Consumption ◽

Fetal Development ◽

Prenatal Alcohol Exposure ◽

Alcohol Exposure ◽

Metabolic Dysfunction ◽

Specific Manner ◽

Prenatal Alcohol

AbstractAlcohol consumption is highly prevalent amongst women of reproductive age. Given that approximately 50% of pregnancies are unplanned, alcohol has the potential to affect fetal development and program chronic disease in offspring. We examined the effect of an acute but moderate prenatal alcohol exposure (PAE) on glucose metabolism, lipid levels and dietary preference in adolescent and/or adult rat offspring. Pregnant Sprague-Dawley rats received an oral gavage of ethanol (1g/kg maternal body weight, n=9 dams) or an equivalent volume of saline (control, n=8 dams) at embryonic days 13.5 and 14.5. PAE resulted in a blood alcohol concentration of 0.05-0.06% 1h post-gavage in dams. Fasting blood glucose concentration was not affected by PAE in offspring at any age, nor were blood glucose levels during a glucose tolerance test (GTT) in 6-month old offspring (P>0.5). However, there was evidence of insulin resistance in PAE male offspring at 6 months of age, with significantly elevated fasting plasma insulin (P= 0.001), a tendency for increased first phase insulin secretion during the GTT and impaired glucose clearance following an insulin challenge (P= 0.007). This was accompanied by modest alterations in protein kinase B (AKT) signalling in adipose tissue. PAE also resulted in reduced calorie consumption by offspring compared to controls (P= 0.04). These data suggest that a relatively low-level, acute PAE programs metabolic dysfunction in offspring in a sex-specific manner. These results highlight that alcohol consumption during pregnancy has the potential to affect the long-term health of offspring.Key points summaryPrenatal alcohol exposure has the potential to affect fetal development and program chronic disease in offspring.Previous preclinical models typically use high, chronic doses of alcohol throughout pregnancy to examine effects on offspring, particularly on the brain and behaviour.In this study we use a rat model of moderate, acute, prenatal alcohol exposure to determine if this can be detrimental to maintenance of glucose homeostasis in adolescent and adult offspring.Although female offspring were relatively unaffected, there was evidence of insulin resistance in 6-month old male offspring exposed to prenatal alcohol, suggestive of a pre-diabetic state.This result suggests that even a relatively low-dose, acute exposure to alcohol during pregnancy can still program metabolic dysfunction in a sex-specific manner.

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EFFECT OF PRENATAL ALCOHOL EXPOSURE ON NEONATAL SLEEP-WAKE BEHAVIOUR AND ADULT ALCOHOL CONSUMPTION IN THE AA AND ANA RAT LINES

Alcohol and Alcoholism ◽

10.1093/oxfordjournals.alcalc.a044703 ◽

1987 ◽

Cited By ~ 1

Keyword(s):

Alcohol Consumption ◽

Prenatal Alcohol Exposure ◽

Alcohol Exposure ◽

Prenatal Alcohol

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Psychiatric Disorders and Alcohol Consumption Among Low-Income African Americans:Gender Differences

Brain Sciences ◽

10.3390/brainsci9040086 ◽

2019 ◽

Vol 9 (4) ◽

pp. 86 ◽

Cited By ~ 1

Author(s):

Sharon Cobb ◽

Shervin Assari

Keyword(s):

Alcohol Consumption ◽

Alcohol Use ◽

Linear Regression ◽

Low Income ◽

Regression Models ◽

Future Research ◽

Linear Regression Models ◽

Cross Sectional ◽

Men And Women ◽

Compulsive Disorder

Background: Although cooccurrence of nonsubstance use disorders (non-SUDs) and substance use is well-established in the literature, most of what we know in this regard is derived from studies that have recruited predominantly White sample populations. As a result, there is a gap in knowledge on this link among low-income African Americans (AAs). There is also a need to understand how low-income AA men and women differ in these associations. Objective: To study whether there is an association between number of non-SUDs and amount of alcohol consumption by AA adults, and whether this association varies between AA men and women. Methods: This cross-sectional study recruited a nonrandom sample of 150 AA adults with non-SUDs (i.e., major depression, bipolar disorders, obsessive–compulsive disorder, paranoid disorder, panic disorder, posttraumatic stress disorder (PTSD), and schizoaffective disorder). The independent variable was the number of non-SUDs. The dependent variable was the amount of alcohol consumption. Age, socioeconomic status (educational attainment and household income), and self-rated health were covariates. Gender was the moderator. Linear regression models were used to analyze the data. Results: A higher number of non-SUDs was not associated with a higher amount of alcohol use in the pooled sample of AA adults. We, however, found a significant interaction between gender and number of non-SUDs on the amount of alcohol use, suggesting a stronger effect of non-SUDs on alcohol consumption in AA men than in AA women. Gender-stratified linear regression models showed a positive association between number of non-SUDs and amount of alcohol consumption in AA men but not in AA women. Conclusion: Non-SUDs impact alcohol use of AA men but not women. Future research should test whether AA men may have a higher tendency to turn to alcohol to regulate their emotions and cope with psychological pain due to multiple non-SUDs. The results also suggest that integration of services for SUDs and non-SUDs may be more relevant to provision of mental health services for AA men than AA women.

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