Alcohol use during pregnancy and associated factors among pregnant women in Sub-Saharan Africa: further analysis of the recent demographic and health survey data.
Alcohol drinking
Pregnancy
Sub-Saharan Africa
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
26 Apr 2022
26 Apr 2022
Historique:
received:
05
09
2021
accepted:
19
04
2022
entrez:
27
4
2022
pubmed:
28
4
2022
medline:
29
4
2022
Statut:
epublish
Résumé
Alcohol drinking during pregnancy is towering despite the well-established proof of its unfavorable pregnancy results and destitute child improvement. Despite such enormous consequences, there are limited data that explore the extent of alcohol drinking and its associated factors among mothers during pregnancy in sub-Saharan Africa. This study aimed to assess the prevalence and associated factors of alcohol consumption during pregnancy among pregnant mothers in sub-Saharan Africa. A community-based crossectional demographic and health survey was conducted from 2013 to 2017 among four Sub-Sahara African countries: Burundi, Ethiopia, Liberia, and Zimbabwe. A two-stage stratified sampling technique was employed to select the participants. Multivariable Logistic regression analysis was used to identify factors associated with alcohol consumption during pregnancy. A p-value less than 0.05 and a 95% confidence interval were used to declare statistical significance. A total of 3953 weighted sample of pregnant mothers were included in the study. The mean age of the participants was 27.3 (± 6.8) years with an age range of 15-49 years. The overall prevalence of alcohol use during pregnancy was 22.8% with (95% CI (21.5, 24)) and it was significantly associated with increased age (AOR = 1.02, 95% CI (1.01, 1.04)), Muslim religion follower ( AOR = 0.07, 95% CI (0.05,0.11), husband/partner's educational status( primary (AOR = 0.7,95% CI (0.55,0.84), secondary (AOR = 0.53, 95% CI ( 0.41,0.7)) and higher (AOR = 0.49, 95% CI (0.31,0.8), being currently working (AOR = 1.5,95% CI ( 1.09,1.55), having ANC visit ( AOR = 0.82, 95% C I(0.68,0.98) and increased gravidity ( AOR = 0.93,95% CI( 0.86,0.99). Alcohol drinking during pregnancy was high among pregnant women in sub-Saharan African countries. Maternal age, religion, husband educational status, current working status of the mother, presence of ANC visit, and gravidity of the mother were factors that have a significant association with alcohol drinking during pregnancy. This calls for a tailored behavior change intervention to reduce alcohol use during pregnancy. More emphasis should also be given to pregnant women with no ANC visit, lower gravidity, and an illiterate husband, currently working and Christianity followers.
Sections du résumé
BACKGROUND
BACKGROUND
Alcohol drinking during pregnancy is towering despite the well-established proof of its unfavorable pregnancy results and destitute child improvement. Despite such enormous consequences, there are limited data that explore the extent of alcohol drinking and its associated factors among mothers during pregnancy in sub-Saharan Africa.
OBJECTIVE
OBJECTIVE
This study aimed to assess the prevalence and associated factors of alcohol consumption during pregnancy among pregnant mothers in sub-Saharan Africa.
METHOD
METHODS
A community-based crossectional demographic and health survey was conducted from 2013 to 2017 among four Sub-Sahara African countries: Burundi, Ethiopia, Liberia, and Zimbabwe. A two-stage stratified sampling technique was employed to select the participants. Multivariable Logistic regression analysis was used to identify factors associated with alcohol consumption during pregnancy. A p-value less than 0.05 and a 95% confidence interval were used to declare statistical significance.
RESULT
RESULTS
A total of 3953 weighted sample of pregnant mothers were included in the study. The mean age of the participants was 27.3 (± 6.8) years with an age range of 15-49 years. The overall prevalence of alcohol use during pregnancy was 22.8% with (95% CI (21.5, 24)) and it was significantly associated with increased age (AOR = 1.02, 95% CI (1.01, 1.04)), Muslim religion follower ( AOR = 0.07, 95% CI (0.05,0.11), husband/partner's educational status( primary (AOR = 0.7,95% CI (0.55,0.84), secondary (AOR = 0.53, 95% CI ( 0.41,0.7)) and higher (AOR = 0.49, 95% CI (0.31,0.8), being currently working (AOR = 1.5,95% CI ( 1.09,1.55), having ANC visit ( AOR = 0.82, 95% C I(0.68,0.98) and increased gravidity ( AOR = 0.93,95% CI( 0.86,0.99).
CONCLUSION
CONCLUSIONS
Alcohol drinking during pregnancy was high among pregnant women in sub-Saharan African countries. Maternal age, religion, husband educational status, current working status of the mother, presence of ANC visit, and gravidity of the mother were factors that have a significant association with alcohol drinking during pregnancy. This calls for a tailored behavior change intervention to reduce alcohol use during pregnancy. More emphasis should also be given to pregnant women with no ANC visit, lower gravidity, and an illiterate husband, currently working and Christianity followers.
Identifiants
pubmed: 35473590
doi: 10.1186/s12884-022-04694-z
pii: 10.1186/s12884-022-04694-z
pmc: PMC9044761
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
361Informations de copyright
© 2022. The Author(s).
Références
Addiction. 2020 Nov;115(11):2148-2163
pubmed: 32149441
Soc Sci Med. 2010 Feb;70(4):534-42
pubmed: 19932549
BMC Public Health. 2019 Jun 24;19(1):810
pubmed: 31234812
Neuropsychiatr Dis Treat. 2021 Mar 25;17:935-943
pubmed: 33790562
BMJ Open. 2021 Dec 8;11(12):e053221
pubmed: 34880023
Alcohol Clin Exp Res. 2012 May;36(5):874-80
pubmed: 22017281
Trop Med Int Health. 2016 Oct;21(10):1209-1239
pubmed: 27429168
JAMA Pediatr. 2017 Oct 1;171(10):948-956
pubmed: 28828483
Rev Panam Salud Publica. 2021 Oct 18;45:e142
pubmed: 34703464
Psychiatry Investig. 2010 Jun;7(2):86-92
pubmed: 20577616
BMC Pregnancy Childbirth. 2019 Dec 5;19(1):472
pubmed: 31805891
Matern Child Health J. 2010 Jul;14(4):492-500
pubmed: 19629663
Subst Abuse Treat Prev Policy. 2020 Apr 15;15(1):29
pubmed: 32293479
PeerJ. 2017 Jun 30;5:e3507
pubmed: 28674660
PLoS One. 2021 Jul 1;16(7):e0253162
pubmed: 34197507
Niger J Clin Pract. 2015 Jan-Feb;18(1):13-7
pubmed: 25511337
Lancet Glob Health. 2017 Mar;5(3):e232-e233
pubmed: 28089488
Pediatrics. 2005 Jan;115(1):39-47
pubmed: 15629980
PLoS One. 2019 Apr 11;14(4):e0214848
pubmed: 30973889
BMC Public Health. 2011 Mar 10;11:160
pubmed: 21392398
BMC Pregnancy Childbirth. 2015 Sep 03;15:205
pubmed: 26337194
Reprod Health. 2011 May 02;8:9
pubmed: 21535876
Obstet Gynecol. 2011 Aug;118(2 Pt 1):383-388
pubmed: 21775870
Alcohol Clin Exp Res. 1978 Apr;2(2):171-7
pubmed: 350081
Am Fam Physician. 1984 Apr;29(4):199-203
pubmed: 6720495
Subst Abuse Treat Prev Policy. 2021 Jan 4;16(1):3
pubmed: 33397420
Reprod Health. 2015 Apr 23;12:36
pubmed: 25902830
Women Birth. 2017 Aug;30(4):e207-e213
pubmed: 28111037
BMC Public Health. 2013 Aug 27;13:780
pubmed: 23981786
Reprod Health. 2012 Aug 06;9:10
pubmed: 22867435
Alcohol Health Res World. 1998;22(3):170-7
pubmed: 15706792