Prevalence and predictors of alcohol use during pregnancy: findings from international multicentre cohort studies.

Hdl Handle:
http://hdl.handle.net/10147/605500
Title:
Prevalence and predictors of alcohol use during pregnancy: findings from international multicentre cohort studies.
Authors:
O'Keeffe, Linda M; Kearney, Patricia M; McCarthy, Fergus P; Khashan, Ali S; Greene, Richard A; North, Robyn A; Poston, Lucilla; McCowan, Lesley M E; Baker, Philip N; Dekker, Gus A; Walker, James J; Taylor, Rennae; Kenny, Louise C
Citation:
Prevalence and predictors of alcohol use during pregnancy: findings from international multicentre cohort studies. 2015, 5 (7):e006323 BMJ Open
Publisher:
BMJ Open
Journal:
BMJ open
Issue Date:
Jul-2015
URI:
http://hdl.handle.net/10147/605500
DOI:
10.1136/bmjopen-2014-006323
PubMed ID:
26152324
Abstract:
To compare the prevalence and predictors of alcohol use in multiple cohorts.; Cross-cohort comparison of retrospective and prospective studies.; Population-based studies in Ireland, the UK, Australia and New Zealand.; 17,244 women of predominantly Caucasian origin from two Irish retrospective studies (Growing up in Ireland (GUI) and Pregnancy Risk Assessment Monitoring System Ireland (PRAMS Ireland)), and one multicentre prospective international cohort, Screening for Pregnancy Endpoints (SCOPE) study.; Prevalence of alcohol use pre-pregnancy and during pregnancy across cohorts. Sociodemographic factors associated with alcohol consumption in each cohort.; Alcohol consumption during pregnancy in Ireland ranged from 20% in GUI to 80% in SCOPE, and from 40% to 80% in Australia, New Zealand and the UK. Levels of exposure also varied substantially among drinkers in each cohort ranging from 70% consuming more than 1-2 units/week in the first trimester in SCOPE Ireland, to 46% and 15% in the retrospective studies. Smoking during pregnancy was the most consistent predictor of gestational alcohol use in all three cohorts, and smokers were 17% more likely to drink during pregnancy in SCOPE, relative risk (RR)=1.17 (95% CI 1.12 to 1.22), 50% more likely to drink during pregnancy in GUI, RR=1.50 (95% CI 1.36 to 1.65), and 42% more likely to drink in PRAMS, RR=1.42 (95% CI 1.18 to 1.70).; Our data suggest that alcohol use during pregnancy is prevalent and socially pervasive in the UK, Ireland, New Zealand and Australia. New policy and interventions are required to reduce alcohol prevalence both prior to and during pregnancy. Further research on biological markers and conventions for measuring alcohol use in pregnancy is required to improve the validity and reliability of prevalence estimates.
Item Type:
Article
Language:
en
Keywords:
PREGNANCY; ALCOHOL CONSUMPTION
MeSH:
Adult; Alcohol Drinking; Australia; Female; Great Britain; Health Behavior; Humans; Ireland; Linear Models; New Zealand; Population Surveillance; Pregnancy; Pregnancy Complications; Prognosis; Prospective Studies; Retrospective Studies; Risk Assessment; Risk Factors; Smoking; Young Adult
ISSN:
2044-6055

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Keeffe, Linda Men
dc.contributor.authorKearney, Patricia Men
dc.contributor.authorMcCarthy, Fergus Pen
dc.contributor.authorKhashan, Ali Sen
dc.contributor.authorGreene, Richard Aen
dc.contributor.authorNorth, Robyn Aen
dc.contributor.authorPoston, Lucillaen
dc.contributor.authorMcCowan, Lesley M Een
dc.contributor.authorBaker, Philip Nen
dc.contributor.authorDekker, Gus Aen
dc.contributor.authorWalker, James Jen
dc.contributor.authorTaylor, Rennaeen
dc.contributor.authorKenny, Louise Cen
dc.date.accessioned2016-04-15T15:12:30Zen
dc.date.available2016-04-15T15:12:30Zen
dc.date.issued2015-07en
dc.identifier.citationPrevalence and predictors of alcohol use during pregnancy: findings from international multicentre cohort studies. 2015, 5 (7):e006323 BMJ Openen
dc.identifier.issn2044-6055en
dc.identifier.pmid26152324en
dc.identifier.doi10.1136/bmjopen-2014-006323en
dc.identifier.urihttp://hdl.handle.net/10147/605500en
dc.description.abstractTo compare the prevalence and predictors of alcohol use in multiple cohorts.en
dc.description.abstractCross-cohort comparison of retrospective and prospective studies.en
dc.description.abstractPopulation-based studies in Ireland, the UK, Australia and New Zealand.en
dc.description.abstract17,244 women of predominantly Caucasian origin from two Irish retrospective studies (Growing up in Ireland (GUI) and Pregnancy Risk Assessment Monitoring System Ireland (PRAMS Ireland)), and one multicentre prospective international cohort, Screening for Pregnancy Endpoints (SCOPE) study.en
dc.description.abstractPrevalence of alcohol use pre-pregnancy and during pregnancy across cohorts. Sociodemographic factors associated with alcohol consumption in each cohort.en
dc.description.abstractAlcohol consumption during pregnancy in Ireland ranged from 20% in GUI to 80% in SCOPE, and from 40% to 80% in Australia, New Zealand and the UK. Levels of exposure also varied substantially among drinkers in each cohort ranging from 70% consuming more than 1-2 units/week in the first trimester in SCOPE Ireland, to 46% and 15% in the retrospective studies. Smoking during pregnancy was the most consistent predictor of gestational alcohol use in all three cohorts, and smokers were 17% more likely to drink during pregnancy in SCOPE, relative risk (RR)=1.17 (95% CI 1.12 to 1.22), 50% more likely to drink during pregnancy in GUI, RR=1.50 (95% CI 1.36 to 1.65), and 42% more likely to drink in PRAMS, RR=1.42 (95% CI 1.18 to 1.70).en
dc.description.abstractOur data suggest that alcohol use during pregnancy is prevalent and socially pervasive in the UK, Ireland, New Zealand and Australia. New policy and interventions are required to reduce alcohol prevalence both prior to and during pregnancy. Further research on biological markers and conventions for measuring alcohol use in pregnancy is required to improve the validity and reliability of prevalence estimates.en
dc.language.isoenen
dc.publisherBMJ Openen
dc.rightsArchived with thanks to BMJ openen
dc.subjectPREGNANCYen
dc.subjectALCOHOL CONSUMPTIONen
dc.subject.meshAdulten
dc.subject.meshAlcohol Drinkingen
dc.subject.meshAustraliaen
dc.subject.meshFemaleen
dc.subject.meshGreat Britainen
dc.subject.meshHealth Behavioren
dc.subject.meshHumansen
dc.subject.meshIrelanden
dc.subject.meshLinear Modelsen
dc.subject.meshNew Zealanden
dc.subject.meshPopulation Surveillanceen
dc.subject.meshPregnancyen
dc.subject.meshPregnancy Complicationsen
dc.subject.meshPrognosisen
dc.subject.meshProspective Studiesen
dc.subject.meshRetrospective Studiesen
dc.subject.meshRisk Assessmenten
dc.subject.meshRisk Factorsen
dc.subject.meshSmokingen
dc.subject.meshYoung Adulten
dc.titlePrevalence and predictors of alcohol use during pregnancy: findings from international multicentre cohort studies.en
dc.typeArticleen
dc.identifier.journalBMJ openen
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.