Alcohol use and binge drinking among U.S. men, pregnant and non-pregnant women ages 18–44: 2002–2017

Hasin, Deborah S.; Shmulewitz, Dvora; Keyes, Katherine M.

doi:10.1016/j.drugalcdep.2019.107590

Cited by 57 publications

(32 citation statements)

References 44 publications

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“…The high proportion of less dysmorphic cases (PFAS and ARND) diagnosed seems indicative of (i) a community with a range of drinking styles, as opposed to a dominance of chronic alcohol consumption; (ii) a population that has norms allowing, or encouraging, drinking, at least until official recognition of pregnancy; and (iii) comorbid drug use before and during the index pregnancies. And if similar trends are at work in this community, as to those reported for the United States in the past 20 years, these FASD rates may be higher than 20 years ago (Grant et al, 2015; Hasin et al, 2019; Shmulewitz and Hasin, 2019). Furthermore, the rates of alcohol use reported by controls at this site parallel those of the U.S. Centers for Disease Control (Denny et al, 2009; Tan et al, 2015) where 50 to 54% of women of childbearing age drank alcohol, 18% binge drank, and 7% of pregnancies were alcohol‐exposed.…”

Section: Discussionsupporting

confidence: 68%

“…From clinical studies (Aase, 1994; Abel and Hannigan, 1995; Blume, 1985; Esper and Furtado, 2014; Jones and Smith, 1973) to basic science investigations (Balaraman et al, 2016; Sulik, 2014), a number of maternal risk factors have been identified in drinking prevalence studies (Denny et al, 2009, 2019; Hasin et al, 2019). Furthermore, an understanding of drinking quantity and frequency reported by women of childbearing age and pregnant women has been well covered (Denny et al, 2019; Grant et al, 2017; Green et al, 2016; Hasin et al, 2019; Keyes et al, 2011; Keyes and Miech, 2013; Roozen et al, 2018; Shmulewitz and Hasin, 2019). However, in such studies drinking patterns or quantities cannot be matched to specific child outcomes, because they do not have the link to a formal diagnosis of children on the continuum of FASD as do ACA studies.…”

Section: Previous Epidemiology Studies Of Children With Fasdmentioning

confidence: 99%

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Fetal Alcohol Spectrum Disorders in a Southeastern County of the United States: Child Characteristics and Maternal Risk Traits

May

Hasken

Stegall

et al. 2020

Alcoholism Clin & Exp Res

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Objective: To detail the characteristic traits of children with fetal alcohol spectrum disorders (FASDs) and maternal risk factors in a southeastern U.S. County.Methods: Independent samples were drawn from 2 different cohorts of first-grade students. All consented children (49.8%) were measured for height, weight, and head circumference, and those ≤ 25th centile entered the study along with a random sample drawn from all enrolled students. Study children were examined for physical growth, dysmorphology, and neurobehavior, and their mothers were interviewed.Results: Total dysmorphology scores discriminated well the physical traits of children across the FASD continuum: fetal alcohol syndrome (FAS) = 15.8, partial FAS (PFAS) = 10.8, alcohol-related neurobehavioral disorder (ARND) = 5.2, and typically developing controls = 4.4. Additionally, a neurobehavioral battery distinguished children with each FASD diagnosis from controls. Behavioral problems qualified more children for FASD diagnoses than cognitive traits. Significant proximal maternal risk variables were as follows: reports of prepregnancy drinking, drinking in any trimester, and comorbid use of other drugs in lifetime and during pregnancy, especially alcohol and marijuana (14.9% among mothers of children with FASD vs. 0.4% for controls). Distal maternal risks included reports of other health problems (e.g., depression), living unmarried with a partner during pregnancy, and a lower level of spirituality. Controlling for other drug use during pregnancy, having a child diagnosed with a FASD was 17.5 times greater for women who reported usual consumption of 3 drinks per drinking day prior to pregnancy than for nondrinking mothers (p < 0.001, 95% CI = 5.1 to 59.9). There was no significant difference in the prevalence of FASD by race, Hispanic ethnicity, or socioeconomic status. The prevalence of FASD was not lower than 17.3 per 1,000, and weighted estimated prevalence was 49.0 per 1,000 or 4.9%.Conclusion: This site had the second lowest rate in the CoFASP study, yet children with FASD are prevalent.

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Section: Discussionsupporting

confidence: 68%

Section: Previous Epidemiology Studies Of Children With Fasdmentioning

confidence: 99%

Fetal Alcohol Spectrum Disorders in a Southeastern County of the United States: Child Characteristics and Maternal Risk Traits

May

Hasken

Stegall

et al. 2020

Alcoholism Clin & Exp Res

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“…Other national surveys also include questions about alcohol consumption. For example, a recent report using the National Surveys on Drug Use and Health (NSDUH), another nationally representative survey monitoring substance use and health, examined trends in binge drinking according to age, sex, and pregnancy status; the authors found similar increases in binge drinking among nonpregnant women in midlife and decreases in binge drinking among younger groups [75]. Different surveys have different strengths and weaknesses, and validation of these results across data sets is an important future direction.…”

Section: Discussionmentioning

confidence: 99%

Heavy and binge alcohol drinking and parenting status in the United States from 2006 to 2018: An analysis of nationally representative cross-sectional surveys

McKetta

Keyes

2019

PLoS Med

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Background Binge and heavy drinking are preventable causes of mortality and morbidity. Alcohol consumption by women who parent is damaging to child health, and it is concerning that women in the United States in their reproductive years have experienced increased drinking over the past decade. Although media attention has focused on the drinking status of women who are child-rearing, it remains unclear whether binge and heavy drinking vary by parenting status and sex. Methods and findings We examined national trends in binge drinking, defined as 5 or more drinks in a single day for men and 4 or more drinks for women, and heavy drinking, defined as 60 or more days with binge episodes in a year. We used survey-weighted logistic regression from the 2006-2018 waves of the cross-sectional National Health Interview Survey (NHIS, N = 239,944 eligible respondents) to study time trends in drinking outcomes by sex, age, and parenting status. Binge drinking increased for both sexes in nearly all age groups, with the largest increase among women ages 30-44 without children (from 21% reporting binge drinking in 2006 to 42% in 2018); the exception was young men (ages 18-29) with children, among whom binge drinking declined. By 2012, the prevalence of binge drinking among young men with children (38.5%) declined to below that of young women without children (39.2%) and stayed lower thereafter. Despite widespread increases in binge drinking, heavy drinking declined or remained stable for all groups except older women (ages 45-55) without children (odds ratio [OR] for heavy drinking each year = 1.06, 95% CI 1.02-1.10) and women ages 30-44, regardless of parenting status. For binge drinking outcomes only, we saw evidence of interaction in drinking trends by parenting status, but this was shown to be confounded by sex and age. Men and women with children reported consistently lower levels of drinking than those without children. Rates of abstention mirrored trends in binge outcomes

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“…A report using data from NSDUH suggests that past-month alcohol use did not decline between 2002 and 2017 for non-pregnant women ages 18 to 44 (from 57% to 58%) but did decline for pregnant women in this age group (from 13% to 10%). 42 Between 2002 and 2014, past-month binge drinking—in this case, five or more drinks on an occasion—increased for non-pregnant women (24.9% to 26.6%) but declined for pregnant women (4.7% to 2.9%). 42 Risk factors associated with alcohol use or binge drinking during pregnancy include the use of other substances, meeting DSM-IV criteria for AUD, depression, and being unmarried.…”

Section: Pregnancymentioning

confidence: 99%

“… 42 Between 2002 and 2014, past-month binge drinking—in this case, five or more drinks on an occasion—increased for non-pregnant women (24.9% to 26.6%) but declined for pregnant women (4.7% to 2.9%). 42 Risk factors associated with alcohol use or binge drinking during pregnancy include the use of other substances, meeting DSM-IV criteria for AUD, depression, and being unmarried. An examination of NSDUH data averaged between 2001 and 2011 suggests that alcohol use during pregnancy tends to decline abruptly after the first month as women discover they are pregnant.…”

Section: Pregnancymentioning

confidence: 99%

Gender Differences in the Epidemiology of Alcohol Use and Related Harms in the United States

White

2020

ARCR

378

218

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Over the past century, differences in alcohol use and related harms between males and females in the United States have diminished considerably. In general, males still consume more alcohol and experience and cause more alcohol-related injuries and deaths than females do, but the gaps are narrowing. Among adolescents and emerging adults, gaps in drinking have narrowed primarily because alcohol use among males has declined more than alcohol use among females. Among adults, alcohol use is increasing for women but not for men. Rates of alcohol-related emergency department visits, hospitalizations, and deaths all have increased among adults during the past two decades. Consistent with the changing patterns of alcohol use, increases in these outcomes have been larger for women. Recent studies also suggest that females are more susceptible than males to alcohol-induced liver inflammation, cardiovascular disease, memory blackouts, hangovers, and certain cancers. Prevention strategies that address the increases in alcohol consumption and unique health risks for women are needed.

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Alcohol use and binge drinking among U.S. men, pregnant and non-pregnant women ages 18–44: 2002–2017

Cited by 57 publications

References 44 publications

Fetal Alcohol Spectrum Disorders in a Southeastern County of the United States: Child Characteristics and Maternal Risk Traits

Fetal Alcohol Spectrum Disorders in a Southeastern County of the United States: Child Characteristics and Maternal Risk Traits

Heavy and binge alcohol drinking and parenting status in the United States from 2006 to 2018: An analysis of nationally representative cross-sectional surveys

Gender Differences in the Epidemiology of Alcohol Use and Related Harms in the United States

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