Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: a systematic review and meta-analysis' as given in the submission system

Addila, Alemu Earsido; Bisetegn, Telake Azale; Gete, Yigzaw Kebede; Yitayal, Mezgebu; Beyene, Getenet

doi:10.1186/s13011-020-00269-3

Cited by 38 publications

(49 citation statements)

References 65 publications

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“…In previous local studies, the prevalence of alcohol use during pregnancy varied from 4.3-45% [10,18], which is consistent with the national survey. However, the prevalence is higher compared to a recent meta-analysis in sub-Saharan Africa [20.8% (95% CI: 18.2, 23.5)] [22], the World Health Organization Africa region (18.5%) [23], Korea (16.4%) [24], the United States (11.5%) [25], and global estimated prevalence (9.8%) [26]. On the other hand, this nding is lower than studies done in Australia (64%) [27] and Russia (60%) [28].…”

Section: Discussioncontrasting

confidence: 64%

“…Findings of a systematic review showed that alcohol consumption during pregnancy was associated with socioeconomic factors, like source of income, employment status, and knowledge of harmful effects of alcohol; and behavioral factors, like prior alcohol consumption, partner's alcohol use, peer pressure to use alcohol, and smoking [22]. Other studies show that women's alcohol drinking has been increasing due to having their own income, socialization with friends, peer pressure, and lack of adequate information about the adverse health effect of alcohol [31][32][33][34][35].…”

Section: Discussionmentioning

confidence: 99%

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Alcohol use and its associated factors during pregnancy in Ethiopia: a population-based survey

Addis

Azage

Nigatu

et al. 2020

Preprint

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Background: Alcohol use during pregnancy is a modifiable health behavior that causes a range of health problems in infants, including impaired growth, stillbirth, and fetal alcohol spectrum disorder. However, there is lack of comprehensive information on alcohol use and associated factors during pregnancy using a population-based dataset in Ethiopia. Therefore, this study aimed to assess the prevalence of alcohol use during pregnancy and associated factors using a national, population-based survey.Methods: The study utilized data from the 2011 and 2016 Ethiopian Demographic and Health Survey, a cross-sectional survey conducted on a nationally representative sample. The survey employed a multistage cluster sampling method to generate representative national and sub-national health and health related indicators. A total of 2,341 pregnant women were included in the analysis. Factors associated with alcohol use were identified using multivariable logistic regression model. Adjusted odds ratios (AOR) with 95% confidence interval (CI) were computed to quantify the degree of association between independent variables and alcohol use.Results: In Ethiopia, the prevalence of alcohol use among pregnant women was 30.2% (95% CI: 28.4%-32.2%). The study identified that being employed (AOR: 2.07; 95%CI: 1.55-2.77), ever attempted termination of pregnancy (AOR: 2.21; 95% CI: 1.60-3.05), having two (AOR: 2.56; 95% CI: 1.76-3.72), or three (AOR: 2.98; 95% CI: 1.40-6.35) sexual partners in lifetime and chat chewing (AOR: 8.91; 95% CI: 4.61-17.23) had increased the odds of alcohol use during pregnancy.Conclusion: In this study, the prevalence of alcohol use during pregnancy among Ethiopian mothers was high. Working status, ever used something to terminate the pregnancy, more than one lifetime partner, and chat chewing were factors associated with alcohol use during pregnancy. Thus, prevention interventions and strategies can draw on the identified modifiable health behaviors.

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Section: Discussioncontrasting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Alcohol use and its associated factors during pregnancy in Ethiopia: a population-based survey

Addis

Azage

Nigatu

et al. 2020

Preprint

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“…It is disturbing that most of the pregnancies are not planned and that could predispose the embryo to alcohol during early pregnancy [74,75]. Unplanned pregnancies constituted over a half of the total among women in this study, and the necessity to reduce unplanned pregnancies has been suggested by other researchers [5]. Lack of proper information on the possible health outcomes of alcohol use by potential mothers, and related fatal consequences, exacerbates drinking among women of reproductive age, leading to growth problems and morbidity and mortality among infants [14,41].…”

Section: Discussionmentioning

confidence: 70%

“…Tobacco and alcohol are the psychosocial factors contributing to public health issues in low and middle-income countries (LMICs) [ 1 , 2 , 3 , 4 ]. In Africa, the prevalence of alcohol use during pregnancy ranges from 4.30% to 59.28%, and varies within and across countries, while in Sub-Saharan Africa (SSA), the prevalence has been estimated between 4.30% and 59.28% [ 5 ]. These variations have been reported to originate from factors, such as maternal drinking behaviors, environmental, policy, and cultural differences [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Maternal Tobacco and Alcohol Use in Relation to Child Malnutrition in Gauteng, South Africa: A Retrospective Analysis

Modjadji

Pitso

2021

Children

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Tobacco and alcohol use among mothers is associated with numerous adverse consequences for affected offspring, including poor growth and development. This study determined the association between maternal tobacco and alcohol use, and malnutrition, among infants aged ≤ 12 months (n = 300), in selected health facilities situated in Gauteng, South Africa. Data on alcohol and tobacco use were collected using a validated questionnaire, in addition to mothers’ socio-demographic characteristics and obstetric history. Stunting (low height/length-for-age), underweight (low weight-for-age) and thinness (low body mass index-for-age) were calculated using z-scores based on the World Health Organization child growth standards. The association of tobacco and alcohol use with stunting, underweight and thinness was analysed using logistic regression analysis. The results showed a mean age of 29 years (24.0; 35.0) for mothers and 7.6 ± 3 months for infants, and over half of the mothers were unemployed (63%). Approximately 18.7% of mothers had used tobacco and 3% had used alcohol during pregnancy. The prevalence of current tobacco and alcohol use among mothers were estimated at 14.3% and 49.7%, respectively, and almost three-quarters (67.3%) of them were still breastfeeding during the study period. Stunting (55%) was the most prevalent malnutrition indicator among infants, while underweight was 41.7%, and thinness was 22%. Current tobacco use was associated with increased odds of being thin [OR = 2.40, 95% CI: 1.09–5.45), and after adjusting for confounders, current alcohol use was associated with the likelihood of being underweight [AOR = 1.96, 95% CI: 1.06–3.63] among infants. Future prospective cohort studies that examine growth patterns among infants who are exposed to maternal tobacco and alcohol use from the intrauterine life to infancy are necessary to inform, partly, the public health programmes, to reduce malnutrition among children.

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“…Following publication of the original article [ 1 ], we have been notified that there is a mistake in the title of the article.…”

mentioning

confidence: 99%

Correction to: Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: A systematic review and meta-analysis

Addila

Bisetegn

Gete

et al. 2020

Subst Abuse Treat Prev Policy

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Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: a systematic review and meta-analysis' as given in the submission system

Cited by 38 publications

References 65 publications

Alcohol use and its associated factors during pregnancy in Ethiopia: a population-based survey

Alcohol use and its associated factors during pregnancy in Ethiopia: a population-based survey

Maternal Tobacco and Alcohol Use in Relation to Child Malnutrition in Gauteng, South Africa: A Retrospective Analysis

Correction to: Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: A systematic review and meta-analysis

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