Correlates of Lifetime Trauma Exposure Among Pregnant Women from Cape Town, South Africa

Myers, Bronwyn; Jones, Hendrée E.; Doherty, Irene A.; Kline, Tracy; Key, Mary E.; Johnson, Kim K. P.; Wechsberg, Wendee M.

doi:10.1007/s11469-015-9544-3

Cited by 6 publications

(3 citation statements)

References 46 publications

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“…In addition, findings provide guidance for the design of interventions to reduce hazardous alcohol use among pregnant women in South Africa. In keeping with findings reported by previous South African studies (Choi et al., ; Myers et al., ; O'Connor et al., ), mothers reporting hazardous tobacco use and past‐year exposure to IPV were more likely to report hazardous drinking during pregnancy than women without these exposures. This implies that interventions to reduce hazardous alcohol use during pregnancy should also address potential exposure to IPV and hazardous tobacco use.…”

Section: Discussionsupporting

confidence: 89%

Effect of Hazardous Alcohol Use During Pregnancy on Growth Outcomes at Birth: Findings from a South African Cohort Study

Myers

Koen

Donald

et al. 2017

Alcoholism Clin & Exp Res

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BackgroundCohort studies have noted associations between hazardous alcohol use during pregnancy and infant growth outcomes, but many have not controlled for potential psychosocial confounders. To assess the unique contribution of hazardous alcohol use, we examined its effect on infant growth outcomes while controlling for maternal psychosocial stressors and hazardous tobacco and drug use in a cohort of 986 pregnant South African women enrolled into the Drakenstein Child Health Study between 2012 and 2015.MethodsData on psychosocial stressors and maternal risk behaviors were collected between 28 and 32 weeks of gestation. Participants were categorized as hazardous alcohol users if they obtained moderate or high scores (>10) on the Alcohol, Smoking and Substance Involvement Screening Test at this assessment or retrospectively reported drinking at least 2 drinks weekly during any trimester of pregnancy. Infant growth outcomes were recorded at delivery. Multivariable regression models examined correlates of hazardous alcohol use and associations between hazardous alcohol use and birth outcomes.ResultsOverall, 13% of mothers reported hazardous alcohol use. Recent exposure to intimate partner violence (adjusted odds ratio (aOR) = 2.08; 95% confidence interval (CI): 1.37, 3.18) and hazardous tobacco use (aOR = 5.03; 95% CI: 2.97, 8.52) were significant correlates of hazardous alcohol use. After controlling for potential psychosocial confounders, hazardous alcohol use remained associated with lower infant weight‐for‐age (B = −0.35, 95% CI: −0.56, −0.14), height‐for‐age (B = −0.46, 95% CI: −0.76, −0.17), and head‐circumference‐for‐age z‐scores (B = −0.43, 95% CI: −0.69, −0.17).ConclusionsInterventions to reduce hazardous alcohol use among pregnant women in South Africa are needed to prevent alcohol‐related infant growth restrictions. As these growth deficits may lead to neurodevelopmental consequences, it is critical to identify alcohol‐related growth restrictions at birth and link exposed infants to early interventions for neurodevelopment.

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Section: Discussionsupporting

confidence: 89%

Effect of Hazardous Alcohol Use During Pregnancy on Growth Outcomes at Birth: Findings from a South African Cohort Study

Myers

Koen

Donald

et al. 2017

Alcoholism Clin & Exp Res

Self Cite

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show abstract

“…This association between trauma and substance use is confirmed in a study conducted amongst pregnant women in the Western Cape. This survey revealed that women who reported lifetime substance use had fourfold greater odds of reporting trauma exposure compared to women without substance use (Myers, Jones, Doherty, Kline, Key, Johnson & Wechsburg, 2015).…”

Section: Traumamentioning

confidence: 89%

I Drank Because I Wanted to Deal With the Frustration”: Explaining Alcohol Consumption During Pregnancy in a Low-Resource Setting – Women’s, Partners and Family Members’ Narratives

Macleod

Matebese

Tsetse

2020

SWORK

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“…Furthermore, another advantage of mobile applications is that they can support learning, reflective practices and provide emotional support for midwives working in remote and resource-poor areas [25]. Community health workers in South Africa, who offer a range of community-based services, have started using mobile technologies to support a more accurate collection of data during visits, screening practices, and communication with women [26][27][28]. In SA, community health workers' major role is to serve and respond to the community's health needs.…”

Section: Introductionmentioning

confidence: 99%

Reflections on Digital Maternal and Child Health Support for Mothers and Community Health Workers in Rural Areas of Limpopo Province, South Africa

Muthelo

Mbombi

Bopape

et al. 2023

IJERPH

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Introduction: Digital health support using mobile and digital technologies, such as MomConnect and WhatsApp, is providing opportunities to improve maternal and child healthcare in low- and middle-income countries. Yet, the perspective of health service providers, pregnant women, and mothers as recipients of digital health support is under-researched in rural areas. Material and Methods: An exploratory-descriptive qualitative research approach was adopted to reflect on the experiences of mothers, community leaders, and community health workers on mobile health opportunities in the context of maternal and child health in rural areas. Purposive sampling was used to select 18 participants who participated in the two focus groups and individual semi-structured interviews for data collection about digital maternal and child health support. The thematic open coding method of data analysis assisted authors in making sense of the given reflections of mothers, community leaders, and healthcare workers about digital health support. Results: Participants commented on different existing digital support apps and their importance for maternal and child health. For example, MoMConnect, Pregnancy+, WhatsApp, and non-digital resources were perceived as useful ways of communication that assist in improving maternal and child health. However, participants reported several challenges related to the use of digital platforms, which affect following the health instructions given to pregnant women and mothers. Conclusions: Participants expressed the significant role of digital support apps in maternal and child health, which is impacted by various challenges. Addressing the lack of digital resources could improve access to health instructions for pregnant women and mothers.

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Correlates of Lifetime Trauma Exposure Among Pregnant Women from Cape Town, South Africa

Cited by 6 publications

References 46 publications

Effect of Hazardous Alcohol Use During Pregnancy on Growth Outcomes at Birth: Findings from a South African Cohort Study

Effect of Hazardous Alcohol Use During Pregnancy on Growth Outcomes at Birth: Findings from a South African Cohort Study

I Drank Because I Wanted to Deal With the Frustration”: Explaining Alcohol Consumption During Pregnancy in a Low-Resource Setting – Women’s, Partners and Family Members’ Narratives

Reflections on Digital Maternal and Child Health Support for Mothers and Community Health Workers in Rural Areas of Limpopo Province, South Africa

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