Alcohol use during pregnancy in rural Lesotho: “There is nothing else except alcohol”

Marlow, Marguerite; Christie, Hope; Skeen, Sarah; Rabie, Stephan; Louw, Jacobus G.; Swartz, Leslie; Mofokeng, Shoeshoe; Makhetha, Moroesi; Tomlinson, Mark

doi:10.1016/j.socscimed.2021.114482

Cited by 5 publications

(2 citation statements)

References 51 publications

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“…Moreover, substantial gendered differences regarding perceptions and attitudes about alcohol use have been identified in rural spaces [ 11 ]. These findings extend to social and cultural events where pregnant women are similarly encouraged to drink and well-established prenatal health risks are minimized [ 9 , 12 ].…”

Section: Introductionmentioning

confidence: 75%

“…Behavioral patterns and social dynamics have been extensively studied in relation to perinatal alcohol use. Alcohol consumption has been identified as a coping mechanism to help deal with stress, hunger, and poverty [ 9 ]. Family dynamics and personal relationships strengthen popular misconceptions that may influence a woman to continue drinking during pregnancy [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter

Culp

et al. 2022

Healthcare

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(1) Background: perinatal alcohol use generates a variety of health risks. Social media platforms discuss fetal alcohol spectrum disorder (FASD) and other widespread outcomes, providing personalized user-generated content about the perceptions and behaviors related to alcohol use during pregnancy. Data collected from Twitter underscores various narrative structures and sentiments in tweets that reflect large-scale discourses and foster societal stigmas; (2) Methods: We extracted alcohol-related tweets from May 2019 to October 2021 using an official Twitter search API based on a set of keywords provided by our clinical team. Our exploratory study utilized thematic content analysis and inductive qualitative coding methods to analyze user content. Iterative line-by-line coding categorized dynamic descriptive themes from a random sample of 500 tweets; (3) Results: qualitative methods from content analysis revealed underlying patterns among inter-user engagements, outlining individual, interpersonal and population-level stigmas about perinatal alcohol use and negative sentiment towards drinking mothers. As a result, the overall silence surrounding personal experiences with alcohol use during pregnancy suggests an unwillingness and sense of reluctancy from pregnant adults to leverage the platform for support and assistance due to societal stigmas; (4) Conclusions: identifying these discursive factors will facilitate more effective public health programs that take into account specific challenges related to social media networks and develop prevention strategies to help Twitter users struggling with perinatal alcohol use.

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Section: Introductionmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter

Culp

et al. 2022

Healthcare

View full text Add to dashboard Cite

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Prevalence of Mental Health and Substance use Problems and Awareness of Need for Services in Lesotho: Results from a Population-Based Survey

Fernández,

Yoon,

Firima

et al. 2024

Int J Ment Health Addiction

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We conducted a household survey among 6061 adults in Lesotho to (1) assess the prevalence of moderate/severe mental health (MH) and substance use (SU) problems (2) describe the MH and SU service cascades, and (3) assess predictors of MH and SU problem awareness (i.e., awareness of having a MH/SU problem that requires treatment). Moderate/severe MH or SU problems was reported between 0.7% for anxiety in the past 2 weeks to 36.4% for alcohol use in the past 3 months. The awareness and treatment gaps were high for both MH (62% awareness gap; 82% treatment gap) and SU (89% awareness gap; 95% treatment gap). Individuals with higher than the median household wealth had lower MH and SU problem awareness and those living in urban settings had greater SU problem awareness. Research should investigate how to increase population awareness of MH/SU problems to reduce the burden of these conditions in this setting.

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Trapped in a maze: A meta-ethnography of women's experiences of alcohol use in pregnancy

Pistone,

Dahl,

Bondas

2024

Social Science & Medicine

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Alcohol use during pregnancy in rural Lesotho: “There is nothing else except alcohol”

Cited by 5 publications

References 51 publications

Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter

Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter

Prevalence of Mental Health and Substance use Problems and Awareness of Need for Services in Lesotho: Results from a Population-Based Survey

Trapped in a maze: A meta-ethnography of women's experiences of alcohol use in pregnancy

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