Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study

Fletcher, Olivia V.; May, Philip A.; Seedat, Soraya; Sikkema, Kathleen J.; Watt, Melissa H.

doi:10.1016/j.socscimed.2018.09.008

Cited by 27 publications

(58 citation statements)

References 57 publications

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“…[40,41] No participants reported increased drinking, or maintained levels of drinking, as was frequently observed in the series of studies of pregnant women in Cape Town. [12,13,17] Interestingly, some participants became aware of their pregnancy in relation to drinking alcohol, as it seemed to exacerbate their nausea.…”

Section: Sense Of Agencymentioning

confidence: 99%

“…Participants described this as a strong motivating factor to modulate their drinking behaviour. While awareness of the risks of drinking does not guarantee behaviour change, [17] a number of studies show that improving knowledge has a bene cial effect on drinking among pregnant women. [8,42,43] The level of awareness appears higher than found by earlier qualitative studies.…”

Section: Sense Of Agencymentioning

confidence: 99%

“…We found seven qualitative studies of drinking behaviour in women in South Africa. Four of these studies took place in urban contexts, [11][12][13]17] while three were in rural environments. [10,14,18] Only two studies sampled pregnant women speci cally, both by a single research group in a metropolitan area , Watt 2016).…”

mentioning

confidence: 99%

“…[10,14,18] Only two studies sampled pregnant women speci cally, both by a single research group in a metropolitan area , Watt 2016). [12,13,17] The studies of rural women acknowledged that drinking should be viewed as a social norm created by multiple and overlapping historical, social, cultural and personal factors, and should not be viewed solely through a lens of personal choice. Falletisch [18] discussed the historical roles of slavery, peonage and the tot system in creating a sense of learned helplessness that persists to this day for many farm workers.…”

mentioning

confidence: 99%

“…Fletcher et al [17] 's study population was predominantly non-pregnant, but investigated drinking behaviour during a previous pregnancy. It found that while many women recognised drinking in pregnancy to be harmful, this was not consistently coupled with abstinence during pregnancy.…”

mentioning

confidence: 99%

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Barriers and Facilitators of Alcohol Abstinence During Pregnancy - a Qualitative Study in Rural South Africa

Rawoot

Scott

Urban

2021

Preprint

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Background:Fetal Alcohol Spectrum Disorders (FASD) is a common, important and under-recognised health burden in South Africa. There is a limited understanding of why pregnant women drink in the South African context. Existing qualitative research leaves significant knowledge gaps regarding pregnant women in rural settings, where prevalence of FASD is highest.Objective:To provide a qualitative assessment of factors that influence drinking in pregnant women in a rural community in the Northern Cape province of South AfricaMethods:A descriptive phenomenological approach was undertaken to explore the perceptions and experiences of pregnant women who drink, in a purposive sample of 8 women from a rural ante-natal clinic. A semi-structured interview was conducted with each participant and thematic analysis was conducted. Results:Participants appeared more aware of FASD than described in other study populations. Most reduced drinking after pregnancy recognition, although both recognition and cessation were often delayed. Participants described barriers and facilitators of alcohol abstinence. Barriers included social pressure, life stressors, and cravings and habits. Facilitators included desire to avoid FASD, relationships that were supportive without being stigmatising, availability of other “occupations” especially friendships and relationships not centred on drinking, specific body cues such as nausea, and a sense of personal agency. Conclusion:Various personal and contextual factors can act as barriers or facilitators of alcohol abstinence during pregnancy. Addressing barriers at structural, community and individual levels may aid women in reducing harmful drinking during pregnancy. Facilitators of abstinence should be leveraged to effect change in drinking behaviours, and thereby limit the burden of FASD.

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Section: Sense Of Agencymentioning

confidence: 99%

Section: Sense Of Agencymentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Barriers and Facilitators of Alcohol Abstinence During Pregnancy - a Qualitative Study in Rural South Africa

Rawoot

Scott

Urban

2021

Preprint

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Perspectives of Policymakers and Service Providers on Why Fetal Alcohol Spectrum Disorders Remain Unabated in South Africa: a Qualitative Study

Adebiyi

Mukumbang

2021

Int J Ment Health Addiction

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Fetal alcohol spectrum disorder (FASD) remains one of the leading sources of non-genetic intellectual and developmental disabilities globally. South Africa (SA) could be considered to bear the greatest burden of FASD globally with the recorded prevalence of FASD ranging from 29 to 290 per 1000 live births. Despite several efforts to reduce the incidence and prevalence of FASD in SA, its incidence and prevalence remain high. In this study, we examined the factors behind the sustained high incidence and prevalence of FASD in SA. Using an exploratory qualitative design, we explored the perspectives and experiences of 10 policymakers and 65 service providers on why FASD remains unabated despite various efforts to address the problem in SA. Ten in-depth interviews were conducted with policymakers and nine focus group discussions were conducted with the service providers in the Western Cape Province of SA. Data were analyzed inductively using the thematic analysis approach and emerging themes were deductively classified using the ecological model. Our findings revealed several reasons for the sustained high prevalence and increasing incidence of FASD in SA. At the individual level, late antenatal booking, alcohol consumption during pregnancy, and socio-economic conditions of individuals were identified as relevant factors driving the FASD prevalence in SA. Inadequate support groups for women were reported at the interpersonal level. The widespread availability of illegal liquor stores and inadequate specialized prevention programs were reported as community-level challenges. At the institutional level, the reasons included inadequate training of professionals and inadequate collaboration between government departments. At the policy level, the absence of a specific policy addressing FASD constitutes a significant barrier to the unabated FASD. The study findings suggest a cascade effect within the different levels of the ecological model highlighting the need for a holistic and systemic approach to preventing FASD in SA. The design and implementation of holistic, human rights-based, and interdepartment policies and programs addressing the social determinants of FASD should be considered.

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Assessing the sensitivity and specificity of phosphatidylethanol (PEth) cutoffs to identify alcohol exposed pregnancies

Hasken¹,

Marais²,

Vries³

et al. 2023

Current Research in Toxicology

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Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study

Cited by 27 publications

References 57 publications

Barriers and Facilitators of Alcohol Abstinence During Pregnancy - a Qualitative Study in Rural South Africa

Barriers and Facilitators of Alcohol Abstinence During Pregnancy - a Qualitative Study in Rural South Africa

Perspectives of Policymakers and Service Providers on Why Fetal Alcohol Spectrum Disorders Remain Unabated in South Africa: a Qualitative Study

Assessing the sensitivity and specificity of phosphatidylethanol (PEth) cutoffs to identify alcohol exposed pregnancies

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