Health Care Students’ Attitudes About Alcohol Consumption During Pregnancy: Responses to Narrative Vignettes

Coons, Kelly D.; Watson, Shelley L.; Yantzi, Nicole; Lightfoot, Nancy; Larocque, Sylvie

doi:10.1177/2333393617740463

Cited by 14 publications

(33 citation statements)

References 53 publications

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“…It has also been hypothesized that the amount of stress university students are put under could enhance alcohol consumption in this population [84]. It has been reported that healthcare student's positions and beliefs about alcohol are still unclear and probably stereotyped [85]. Furthermore, specific clinical placements in alcohol rehab facilities were proved effective in sensitizing students about alcohol abuse disorder [86].…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Practice towards Alcohol Consumption in a Sample of University Students

Messina

Battagliese

D'Angelo

et al. 2021

IJERPH

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Objective: Alcohol affects many human systems and is involved in the pathogenesis of other diseases. Particular attention must be paid to alcohol consumption among young people. It has been shown that 25% of young people’s deaths are attributable to alcohol, and around 35 million people aged over 11 had consumed at least one alcoholic beverage in 2015. Study Design: Young people aged 18–24 were the most vulnerable to binge drinking in Italy, and 50.6% of teenagers drunk alcohol. Only a few studies in the literature have investigated those habits in university students. This study aims to examine alcohol use habits in a population of university students in Italy. Methods: Between 2018 and 2019, an anonymous online questionnaire was randomly sent to university students from 17 different universities in a network of research centres to study alcohol use disorders. The survey included socio-demographic information, questions about alcohol use, knowledge about alcohol consumption, and related risks. Used questionnaires were the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) and the Drinking Motive Questionnaire-Revised (DMQ-R). Results: the AUDIT-C revealed that 53.3% of students were high-risk drinkers. Regarding binge drinking habits, 13.1% of students admitted to binge drinking behavior at least once a month. In our sample, male students are more likely to be low-risk drinkers than female peers (p < 0.008). Students from northern Italy are more likely to be high-risk drinkers (p = 0.003). Beer (65.9%) and wine (60.9%) were the most consumed alcoholic beverages. The most common places to drink alcohol were pubs (85.5%). The most likely motivations to drink alcohol were enhancement (40.43%), social (38.39%), coping (15.63%), and social pressure or conformity (5.55%). Only 43.8% of participants reported having attended an educational course on alcohol. Conclusions: University students were not fully aware of the implications of alcohol misuse and will be part of the adult society as critical figures and future leaders. It is imperative to inform students about alcohol consumption risks and investigate the motivations to drink. Stress, anxiety, and social pressure are only a few issues young people are exposed to. Special attention must be paid to young people and their coping strategies that involve substance abuse by using educative, preventive, and motivational approaches.

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Section: Discussionmentioning

confidence: 99%

Knowledge and Practice towards Alcohol Consumption in a Sample of University Students

Messina

Battagliese

D'Angelo

et al. 2021

IJERPH

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“…Coons et al [27] suggest that providing advice on alcohol use and pregnancy is neither routine or consistent in health care practice, and that embedding clear, balanced and consistent messaging within clinical practice is a critical aspect of prevention. However, as they elsewhere note [28], providing such advice is further challenged by varying levels of knowledge, education and training on FASD, as well as personal beliefs regarding women’s autonomy and pre-existing beliefs and subjective biases regarding who uses alcohol during pregnancy. It is recognized that the topic of alcohol use and pregnancy can be uncomfortable for health care providers to address, and confusion exists about whose role it is in the health care system to respond to this concern.…”

Section: Introductionmentioning

confidence: 99%

How Personal Perspectives Shape Health Professionals’ Perceptions of Fetal Alcohol Spectrum Disorder and Risk

Bagley

Badry

2019

IJERPH

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This article examines how health, allied health and social service professionals’ personal perspectives about alcohol and the risks associated with alcohol consumption become non-clinical factors that may influence their professional practice responses in relation to fetal alcohol spectrum disorder (FASD). It presents findings derived from a qualitative, interview-based study of professionals from a range of health, allied health and social service professions in New Zealand. The data derived from these interviews revealed four frames of reference that practitioners use when thinking about alcohol and risk: reflection on personal experience; experiences of friends, relatives and colleagues; social constructions of alcohol use and misuse; and comparisons to other types of drug use. The article concludes that these non-clinical factors are important considerations in professional decision making about FASD.

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“…We also found a high agreement with the idea that an FASD policy should include programmes for screening for alcohol use at clinics and hospitals and proper documentation of the history of alcohol use. Therefore, healthcare providers must be equipped with the necessary skills to have informed discussions on alcohol use with women [44, 46]. Discussing alcohol consumption and documenting its history also forms part of the recommendations of the Canadian framework for action on FASD, and the Australian action plans for FASD [34, 36, 37].…”

Section: Discussionmentioning

confidence: 99%

A guideline for the prevention and management of Fetal Alcohol Spectrum Disorder in South Africa

Adebiyi

Mukumbang

Beytell

2019

BMC Health Serv Res

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BackgroundFetal Alcohol Spectrum Disorder (FASD) is a public health problem globally, with South Africa having the highest recorded prevalence of all countries. Government programmes to prevent and manage FASD remain limited because of the lack of a specific policy. Herein, we developed a guideline to inform policy on the prevention and management of FASD in South Africa.MethodsWe applied a modified version of the World Health Organization’s approach to guideline development in three phases. In the first phase, we designed the initial guideline prototype. To do this, we conducted an in-depth interview with policymakers and a focus group with relevant service providers on policy requirements for FASD, a document review of policies on FASD and a scoping review of various interventions for FASD. In phase 2, we refined the initially formulated guideline prototype through a discursive approach with seven local and international experts on FASD. Phase 3 involved refining the prototype using a modified Delphi approach. Forty-three and forty-one experts participated in rounds 1 and 2 of the Delphi approach, respectively. The acceptable consensus for each included policy statement was 85%.ResultsWe identified three aspects of the proposed guideline, which are the approaches and guiding principles, the prevention measures and the management measures. The guideline proposes that a FASD policy should consider lifespan needs, be culturally diverse, collaborative, evidence-based, multi-sectoral and address social determinants of health contributing to FASD. The essential components of FASD prevention policy consist of awareness and education of the dangers of drinking alcohol, access to treatment for alcohol problems and training of service providers. The management components include capacity building related to diagnosis, educating parents regarding the needs and management, appropriate referral pathways, training of teachers regarding classroom management and support for parents and individuals with FASD.ConclusionFASD in South Africa deserves urgent attention. Developing a specific policy to guide programmes could enhance and coordinate the efforts towards preventing and managing FASD. The guideline has the potential to assist policymakers in the development of a comprehensive and multi-sectoral policy for prevention and management of FASD, considering the consensus obtained from the experts.

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Health Care Students’ Attitudes About Alcohol Consumption During Pregnancy: Responses to Narrative Vignettes

Cited by 14 publications

References 53 publications

Knowledge and Practice towards Alcohol Consumption in a Sample of University Students

Knowledge and Practice towards Alcohol Consumption in a Sample of University Students

How Personal Perspectives Shape Health Professionals’ Perceptions of Fetal Alcohol Spectrum Disorder and Risk

A guideline for the prevention and management of Fetal Alcohol Spectrum Disorder in South Africa

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