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Understanding the Relationship between Predictors of Alcohol Consumption in Pregnancy: Towards Effective Prevention of FASD

Author

Listed:
  • Isabel Corrales-Gutierrez

    (Foetal Medicine Unit, University Hospital Virgen Macarena, C.P. 41009 Seville, Spain
    Department of Surgery, University of Seville, 41009 Seville, Spain)

  • Ramon Mendoza

    (Department of Social, Developmental and Educational Psychology, University of Huelva, 21007 Huelva, Spain
    Research Group on Health Promotion and Development of Lifestyle across Lifespan, University of Huelva, 21007 Huelva, Spain
    Center for Research in Contemporary Thought and Innovation for Social Development (COIDESO), 21007 Huelva, Spain)

  • Diego Gomez-Baya

    (Department of Social, Developmental and Educational Psychology, University of Huelva, 21007 Huelva, Spain
    Research Group on Health Promotion and Development of Lifestyle across Lifespan, University of Huelva, 21007 Huelva, Spain)

  • Fatima Leon-Larios

    (Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain)

Abstract

Background: Prenatal alcohol exposure can produce serious changes in neurodevelopment that last a lifetime, as well as a wide range of congenital abnormalities, and is the main non-hereditary, avoidable cause of intellectual disability in developed countries. It is therefore crucial to understand the determinants of alcohol consumption during pregnancy. This study is aimed at determining the factors that predict it, as well as the interactions between them. Methods: A cross-sectional study was carried out using a random sample of 426 pregnant women being treated at the outpatient clinic of a public university hospital in Seville (Spain), when they were in their twentieth week of pregnancy. A custom-designed questionnaire was used for data collection and applied in the course of an interview administered by trained health professionals. The data collected were analyzed using hierarchical regression, moderation analysis, and a structural equations model. Results: Alcohol consumption prior to pregnancy proved to be the most powerful predictor of alcohol intake during pregnancy. Other particularly significant predictors were the percentage of professionals who gave correct advice to the expectant mother—not to consume any alcohol during pregnancy—and perception of the risk from drinking wine during pregnancy. The number of pregnancies correlates positively with alcohol intake during pregnancy, while the expectant mother’s level of education correlates negatively. Conclusions: Identifying these predictive factors will allow the design of more effective fetal alcohol spectrum disorder (FASD) prevention strategies.

Suggested Citation

  • Isabel Corrales-Gutierrez & Ramon Mendoza & Diego Gomez-Baya & Fatima Leon-Larios, 2020. "Understanding the Relationship between Predictors of Alcohol Consumption in Pregnancy: Towards Effective Prevention of FASD," IJERPH, MDPI, vol. 17(4), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:4:p:1388-:d:323430
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    References listed on IDEAS

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    1. O'Connor, M.J. & Whaley, S.E., 2007. "Brief intervention for alcohol use by pregnant women," American Journal of Public Health, American Public Health Association, vol. 97(2), pages 252-258.
    2. Deirdre J. Murphy & Clare Dunney & Aoife Mullally & Nita Adnan & Tom Fahey & Joe Barry, 2014. "A Prospective Cohort Study of Alcohol Exposure in Early and Late Pregnancy within an Urban Population in Ireland," IJERPH, MDPI, vol. 11(2), pages 1-15, February.
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    Cited by:

    1. Lorraine Greaves, 2020. "Missing in Action: Sex and Gender in Substance Use Research," IJERPH, MDPI, vol. 17(7), pages 1-7, March.
    2. Bianca Jordan & Naiefa Rashied & Marius Venter, 2023. "Rethinking Local Economic Development for Fetal Alcohol Spectrum Disorder in Renosterberg Local Municipality, South Africa," IJERPH, MDPI, vol. 20(5), pages 1-13, March.

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