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Predictors of alcohol use prior to pregnancy recognition among township women in Cape Town, South Africa

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  • O'Connor, Mary J.
  • Tomlinson, Mark
  • LeRoux, Ingrid M.
  • Stewart, Jacqueline
  • Greco, Erin
  • Rotheram-Borus, Mary Jane

Abstract

South Africa has the highest prevalence of Fetal Alcohol Spectrum Disorders (FASDs) in the world. The purpose of this study was to identify high risk factors associated with drinking alcohol prior to pregnancy recognition in 24 neighborhoods in the Cape Flats outside Cape Town, South Africa. An interviewer assessed risk among 619 pregnant Black/African women between the ages of 18 and 41 years. Logistic regression analyses explored factors associated with drinking alcohol post conception but prior to pregnancy recognition. Forced multiple logistic regression analysis revealed that drinking prior to pregnancy recognition was associated with being younger, single, having better living conditions, smoking, having a longer gestation prior to pregnancy recognition, having a greater number of sexual partners, and a higher incidence of intimate partner violence. Depressive symptoms tended to be higher among alcohol users. These risk factors were consistent with other research on the characteristics of South African women having children with a diagnosis of Fetal Alcohol Spectrum Disorders and/or of non pregnant women at high risk for an alcohol-exposed pregnancy. These findings highlight the need for women of child-bearing age to be routinely screened for alcohol use and its associated risk factors. Intervention efforts could be integrated into health initiatives already present in South Africa including the prevention and treatment of HIV/AIDS, tuberculosis, and malnutrition. Preconception care is particularly important since pregnancy recognition often occurs several weeks to months following conception and could be implemented by South African community health workers. These endeavors should facilitate national goals of healthier pregnancies and the elimination of FASDs in South Africa.

Suggested Citation

  • O'Connor, Mary J. & Tomlinson, Mark & LeRoux, Ingrid M. & Stewart, Jacqueline & Greco, Erin & Rotheram-Borus, Mary Jane, 2011. "Predictors of alcohol use prior to pregnancy recognition among township women in Cape Town, South Africa," Social Science & Medicine, Elsevier, vol. 72(1), pages 83-90, January.
    • Handle: RePEc:eee:socmed:v:72:y:2011:i:1:p:83-90
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    References listed on IDEAS

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    1. May, P.A. & Gossage, J.P. & Brooke, L.E. & Snell, C.L. & Marais, A.-S. & Hendricks, L.S. & Croxford, J.A. & Viljoen, D.L., 2005. "Maternal risk factors for fetal alcohol syndrome in the Western Cape Province of South Africa: A population-based study," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1190-1199.
    2. Morojele, Neo K. & London, Leslie & Olorunju, Steve A. & Matjila, Maila J. & Davids, Adlai S. & Rendall-Mkosi, Kirstie M., 2010. "Predictors of risk of alcohol-exposed pregnancies among women in an urban and a rural area of South Africa," Social Science & Medicine, Elsevier, vol. 70(4), pages 534-542, February.
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    1. Tsai, Alexander C. & Tomlinson, Mark & Comulada, W. Scott & Rotheram-Borus, Mary Jane, 2016. "Food insufficiency, depression, and the modifying role of social support: Evidence from a population-based, prospective cohort of pregnant women in peri-urban South Africa," Social Science & Medicine, Elsevier, vol. 151(C), pages 69-77.
    2. Watt, Melissa H. & Eaton, Lisa A. & Choi, Karmel W. & Velloza, Jennifer & Kalichman, Seth C. & Skinner, Donald & Sikkema, Kathleen J., 2014. "“It's better for me to drink, at least the stress is going away”: Perspectives on alcohol use during pregnancy among South African women attending drinking establishments," Social Science & Medicine, Elsevier, vol. 116(C), pages 119-125.
    3. Fletcher, Olivia V. & May, Philip A. & Seedat, Soraya & Sikkema, Kathleen J. & Watt, Melissa H., 2018. "Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study," Social Science & Medicine, Elsevier, vol. 215(C), pages 98-106.

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