Alcohol use, smoking and their co-occurrence during pregnancy among Canadian women, 2003 to 2011/12

Lange, Shannon; Probst, Charlotte; Quere, Mathilde; Rehm, Jürgen; Popova, Svetlana

doi:10.1016/j.addbeh.2015.06.018

Cited by 37 publications

(30 citation statements)

References 30 publications

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“…Therefore, prenatal tobacco exposure can lead to characteristics that resemble FASD, even in the absence of alcohol exposure. Prenatal smoking is more common among mothers with an unplanned pregnancy, mothers with other forms of substance use, mothers who report prenatal stress, 1 3 younger mothers, and mothers of lower socioeconomic status (SES) [19,69,73,77].…”

Section: Smoking During Pregnancymentioning

confidence: 99%

“…Qualitative evidence suggests that some mothers may use alcohol to alleviate stress during pregnancy [62,134,151]. Prenatal stress has been found to predict co-occurrence of PAE, prenatal smoking, illicit drug use, and poor nutrition [77,83]. It is important to acknowledge that substance use may also cause prenatal stress; however, in the literature, stress is typically thought to precede substance use [33].…”

Section: Prenatal Stressmentioning

confidence: 99%

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The causal web of foetal alcohol spectrum disorders: a review and causal diagram

McQuire

Daniel

Hurt

et al. 2019

Eur Child Adolesc Psychiatry

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Foetal alcohol spectrum disorders (FASDs) are a leading cause of developmental disability. Prenatal alcohol use is the sole necessary cause of FASD, but it is not always sufficient. Multiple factors influence a child's susceptibility to FASD following prenatal alcohol exposure. Much of the FASD risk factor literature has been limited to discussions of association, rather than causation. While knowledge of predictor variables is important for identifying who is most at risk of FASD and for targeting interventions, causal knowledge is important for identifying effective mechanisms for prevention and intervention programmes. We conducted a systematic search and narrative synthesis of the evidence and used this to create a causal diagram (directed acyclic graph; DAG) to describe the causal pathways to FASD. Our results show that the aetiology of FASD is multifaceted and complex. FASD risk is determined by a range of lifestyle, sociodemographic, maternal, social, gestational, and genetic factors. The causal diagram that we present in this review provides a comprehensive summary of causal risk factors for FASD and can be used as a tool to inform data collection and statistical modelling strategies to minimise bias in future studies of FASD.

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Section: Smoking During Pregnancymentioning

confidence: 99%

Section: Prenatal Stressmentioning

confidence: 99%

The causal web of foetal alcohol spectrum disorders: a review and causal diagram

McQuire

Daniel

Hurt

et al. 2019

Eur Child Adolesc Psychiatry

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“…The association between smoking and other variables such as alcohol use during pregnancy, being unemployed and having low annual family income increases the likelihood of tobacco use among pregnant women. (15) Pregnant women who live with smokers in their families are more exposed to the use of tobacco, and the association with smoking is a risk factor for the early use of tobacco. (2) Similarly, pregnant women who had a diagnosis of mental disorder and have received some specialized treatment tend to use tobacco, and have more difficulties to stop their use than those without mental disorders.…”

Section: Discussionmentioning

confidence: 99%

Fatores associados ao uso nocivo do tabaco durante a gestação

et al. 2016

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Objective:To calculate the prevalence and analyze factors associated with tobacco use once in a lifetime and check their harmful use among pregnant women. Methods: Cross-sectional study conducted with 330 pregnant women assisted in specialized center for women primary health care (Central Brazil). The data of personal/family history and tracing of tobacco use were obtained through a sociodemographic questionnaire (Alcohol, Smoke and Substance Involvement Screening Test) and analyzed using logistic regression. Results: The use of tobacco once in a lifetime was associated with income, family history of alcohol and personal mental disorder. The harmful use of tobacco during pregnancy was associated with a family history of smoking and alcohol consumption. Conclusion: The prevalence of tobacco use as "once in a lifetime" in the sample was 37.1% (124) and "harmful use" of tobacco during pregnancy was 9.6% (32). ResumoObjetivo: Calcular a prevalência e analisar os fatores associados ao uso de tabaco uma vez na vida e verificar o seu uso nocivo entre gestantes. Métodos: Estudo transversal em 330 gestantes atendidas em centro especializado no atendimento à saúde das mulheres na atenção básica (Brasil Central). Os dados dos antecedentes pessoais/familiares e o rastreamento de uso de tabaco foram obtidos por meio de questionário sociodemográfico (Alcohol, Smokeand Substance Involvement Screening Test) e analisados usando regressão logística. Resultados: O uso de tabaco uma vez na vida mostrou estar associado à renda, antecedentes familiares de consumo de álcool e pessoais de transtorno mental. O uso nocivo de tabaco durante a gestação foi associado a antecedentes familiares de tabagismo e consumo de álcool. Conclusão: A prevalência de uso de tabaco uma "vez na vida" na amostra estudada foi de 37,1% (124) e "uso nocivo" de tabaco na gestação foi de 9,6% (32).

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“…Internationally, studies have found that 10-30% of women smoke tobacco during pregnancy (20)(21)(22)(23)(24), 97-100% do not meet all pregnancy food group recommendations (25,26), 20-80% consume alcohol (27,28), and 53-75% do not meet the recommended 150 minutes of moderate physical activity each week (29)(30)(31). The clustering of SNAP health behaviours is well established in the general population (32,33) and among pregnant women speci cally (34)(35)(36)(37)(38). In the Canadian Community Health Survey, pregnant women who smoked daily during pregnancy were 2.5 times more likely to have consumed alcohol in pregnancy compared with pregnant women who had never smoked in their life (35).…”

Section: Introductionmentioning

confidence: 99%

Are antenatal interventions effective in improving multiple health behaviours among pregnant women? A systematic review protocol.

Hollis¹,

Doherty

Dray³

et al. 2020

Preprint

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Background: Maternal behaviours in pregnancy associated with adverse pregnancy, birth and health outcomes include tobacco smoking, poor nutrition, alcohol consumption and low physical activity, collectively referred to as the SNAP risk factors. Due to the high prevalence, co-occurrence, and possible interactive health effects of such health behaviours in pregnancy, antenatal interventions that support pregnant women to improve multiple SNAP behaviours have a greater potential impact on the health outcomes of women and their children than interventions addressing single behaviours. The objective of this review is to determine the effectiveness of interventions delivered as part of antenatal care that aim to improve multiple SNAP behaviours among pregnant women.Methods: Seven electronic databases will be searched for potentially eligible studies. Eligible studies will include those where pregnant women are attending antenatal care. Studies that examine the effect of an intervention that addresses multiple SNAP behaviours (≥ two behaviours) during pregnancy and are delivered or instigated through antenatal care in a healthcare service will be included. Systematic reviews of randomised controlled trials (RCTs), RCTs, cluster RCTs, stepped wedge RCTs, and non-randomised control trials will be eligible. Studies that include a no intervention control, wait-list control group, standard/usual care, or another active single behavioural intervention (e.g. addressing one behaviour only) will be considered. Two independent reviewers will conduct study screening, data extraction and risk of bias assessment. Discrepancies will be resolved by consensus or a third reviewer if required. A random effects model will be used to synthesise the results. Alternative synthesis methods will be investigated in instances where a meta-analysis is not appropriate, such as summarising effect estimates, combining P values, vote counting based on direction of effect, or synthesis in narrative form.Discussion: The review will synthesise the evidence on the effect of interventions that address multiple SNAP behaviours in antenatal care, and will help researchers, policy makers, and health services to develop and deliver best practice integrated models of antenatal care that have the potential to impact on both the short and long term health outcomes for women and their children.Systematic review registration: PROSPERO 2018 CRD42018095315

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Alcohol use, smoking and their co-occurrence during pregnancy among Canadian women, 2003 to 2011/12

Cited by 37 publications

References 30 publications

The causal web of foetal alcohol spectrum disorders: a review and causal diagram

The causal web of foetal alcohol spectrum disorders: a review and causal diagram

Fatores associados ao uso nocivo do tabaco durante a gestação

Are antenatal interventions effective in improving multiple health behaviours among pregnant women? A systematic review protocol.

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