Alcohol use and associated factors among pregnant women during the mid-pandemic of COVID-19 at Debre Tabor Comprehensive Specialized Hospital, South Gondar Zone, Ethiopia

Abstract

Objective: The aim of this study was to assess the proportion of alcohol use and associated factors among pregnant women attending antenatal care during the mid-pandemic of COVID-19 at Debre Tabor Comprehensive Specialized Hospital from May 1–30, 2021. Methods: A hospital-based, cross-sectional study was conducted on 612 pregnant women attending a prenatal clinic. Data were entered into EpiData version 3.1 statistical software and then exported to Statistical Package for Social Science version 25 for analysis. A binary logistic regression model was used to predict the association between alcohol use and the independent variable. p = 0.05 variables were considered statistically significant associated factors. Results: The prevalence of alcohol consumption by pregnant women was 26.3%: residence (Adjusted Odd Ratio (AOR) = 4.08, 95% confidence interval: 2.23, 7.48), antenatal care follow-up before the survey (AOR = 2.69, 95% confidence interval: 1.37, 5.26), unplanned pregnancy (AOR = 3.28, 95% confidence interval: 1.88, 5.70), partner alcohol use (AOR = 6.88, 95% confidence interval: 3.92, 12.06), and knowledge toward effect of alcohol on the fetus (AOR = 2.26, 95% confidence interval: 1.17, 4.33). Conclusions: The magnitude of alcohol use during pregnancy was high and this might be related to the pandemic. Antenatal care follow-up before the survey, unplanned pregnancy, partner alcohol use, and knowledge were found to be statistically significant associated factors.

The epidemiology of khat (catha edulis) chewing and alcohol consumption among pregnant women in Ethiopia: A systematic review and meta-analysis

“…The main characteristics of all included studies presented in S3A and S3B Table . Overall, 7 studies assessed khat use only [6,7,10,[38][39][40][41], and 12 studies assessed alcohol consumption only [21,[24][25][26][27][28][29][30][31][32][33][34], and 4 studies assessed both khat and alcohol use during pregnancy [19,20,22,38]. These studies were all cross-sectional and conducted in 5 regions of Ethiopia between 2014 and 2020.…”

“…These studies were all cross-sectional and conducted in 5 regions of Ethiopia between 2014 and 2020. Eight studies were conducted in Amhara region [24,[26][27][28][31][32][33][34], three in Addis Ababa [6,29,30], four in Eastern Ethiopia [10,22,38,40], three in SNNPR [21,23,39], four in Oromia region [7,19,20,41]. One study was a national survey [25].…”

“…For alcohol use, the selected studies included 9820 participants, with a mean sample size of 613 (range 228-1216). Seven of sixteen studies included in alcohol use meta-analysis utilized a standard tool (AUDIT or CAGE) [21,23,24,27,[29][30][31] for the assessment of alcohol consumption and the remaining nine utilized dichotomous questionnaire [19,20,22,25,26,28,[32][33][34]. For khat use, two factors were extracted from 2 included studies [39,41].…”

“…Sixteen studies [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] had reported the prevalence of alcohol consumption among pregnant women. The reported prevalence of alcohol consumption among pregnant women among studies included in this meta-analysis ranges from 4.1% in Oromia [19] to 76.7% in Amhara region [34].…”

“…Several alcohol use epidemiological studies among pregnant women are available in Ethiopia. However, the results of these studies showed a wide variation of prevalence ranging from 4.10 to 76.70% [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] over time and across geographical areas. Similarly, a national study conducted using Ethiopian Demographic Health Survey (EDHS) 2016 data showed that the spatial distribution of alcohol consumption was highly variable across the country.…”