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, Catriona; Matebese, Sibongile; Tsetse, Nontozamo

doi:10.15270/56-1-792

Cited by 2 publications

(3 citation statements)

References 22 publications

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“…Mixed views about accessibility of resources and support for alcohol use were also identified with the majority believing there are no resources beyond information provided at primary healthcare. The lack of support and in particular partner support influencing drinking behaviour is consistent with other studies which found that lack of partner support featured as a major factor in pregnant women’s drinking ( 45 ). Similar to previous studies with women in this setting ( 43 , 44 ), our findings thus support the need for interventions to address intimate partner violence and associated mental health needs of women who are pregnant and breastfeeding, and to develop community-based networks such as support groups for those who want to reduce drinking.…”

Section: Discussionsupporting

confidence: 90%

“…Similar to previous studies with women in this setting ( 43 , 44 ), our findings thus support the need for interventions to address intimate partner violence and associated mental health needs of women who are pregnant and breastfeeding, and to develop community-based networks such as support groups for those who want to reduce drinking. Evidence of partner co-dependency and traditional gender norms in relationships ( 45 ) supports the recommendation for couple interventions to include partners with regard to prenatal care, breastfeeding, and drinking.…”

Section: Discussionmentioning

confidence: 97%

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Perceptions of perinatal alcohol use and treatment needs in Cape Town, South Africa: a qualitative study

Petersen Williams,

Erasmus-Claassen,

Taylor

et al. 2024

Front. Psychiatry

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BackgroundSouth Africa has one of the world’s highest rates of foetal alcohol spectrum disorders (FASD). Recent evidence also showed that alcohol use during lactation significantly compromises child development in children exposed to alcohol through breastfeeding, independent of prenatal alcohol exposure. This study explored perceptions of perinatal alcohol use and treatment needs in Cape Town, South Africa, to inform the development of an intervention to encourage alcohol abstinence during pregnancy and breastfeeding.MethodsIndividual in-depth interviews (IDIs) were conducted with women who were pregnant with a recent history of alcohol use (n=32) and clinic and community stakeholders (n=16). Interviews were audio recorded and transcribed verbatim. Coding and thematic analyses were conducted in NVivo 12.ResultsResults indicate widespread perception that women know the dangers of drinking alcohol while pregnant with much less known about drinking while breastfeeding. Mixed views were shared about whether women who are pregnant or breastfeeding experience alcohol-related stigma. Participants described contextual factors impacting drinking that include interpersonal violence, lack of support, stress, anxiety and poverty, and drinking being normalised. Finally, participants had mixed views and conflicting knowledge of available resources to support alcohol reduction and highlighted a desire for support groups and the involvement of partners in alcohol interventions.ConclusionsFindings from this study highlight the need for an alcohol intervention programme that is innovative and tailored to the needs of women who are pregnant or postpartum. It also highlights the importance of including community-based support and partner involvement in these interventions.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 97%

Perceptions of perinatal alcohol use and treatment needs in Cape Town, South Africa: a qualitative study

Petersen Williams,

Erasmus-Claassen,

Taylor

et al. 2024

Front. Psychiatry

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“…The burden of childcare and resource provision rests on them entirely, even though they are unemployed. Paternity denial also represents betrayal, and studies suggest adolescent girls often contemplate abortion or killing their partners [29,59]. In some of Burkina Faso's ethnic groups, such as the Mossi, where most of our participants belong, cultural norms prohibit an unmarried pregnant girl from living in the same household as her male family members, especially her father [60].…”

Section: 8% Prevalence Of Probable Depression In Malawi Andmentioning

confidence: 99%

Socio-ecological factors associated with probable depression among pregnant and parenting adolescent girls: findings from a cross-sectional study in Burkina Faso and Malawi

et al. 2023

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Background Pregnant and parenting adolescent girls are at risk of poor mental health because of stigma and social exclusion. Despite one in four girls starting childbearing by the age of 19 in Africa, no study, to the best of our knowledge, has examined the multi-layered factors (individual, family, friends, and neighborhood-related factors) associated with depressive symptoms among pregnant and parenting girls in Africa. Our study contributes to addressing this gap by examining the socio-ecological factors associated with depression symptoms among pregnant and parenting adolescent girls. Methods Our study adopted a cross-sectional design. Between March and September 2021, we interviewed 980 pregnant and parenting adolescent girls in Ouagadougou, Burkina Faso, and 669 in Blantyre, Malawi. We recruited pregnant and parenting adolescent girls in randomly selected urban and rural enumeration areas in Burkina Faso (n = 71) and Malawi (n = 66). We assessed depressive symptoms using the Patient Health Questionnaire (PHQ-9), which generated an overall score of 27. We considered a score of 10 or more as probable depression. We also obtained information on individual, family, friends, and neighborhood characteristics. We employed logistic regression models to examine the significant factors associated with probable depression among pregnant and parenting adolescent girls. Results The prevalence of probable depression was 18.8% and 14.5% in Burkina Faso and Malawi, respectively. At the individual level, having secondary education was significantly associated with a lower likelihood of probable depression in Malawi (AOR: 0.47; 95% CI 0.27–0.82) but not in Burkina Faso. At the family level, denying paternity (AOR: 3.14; 95% CI 1.34–7.11 in Malawi) and no parental support (AOR: 2.08; 95% CI 1.22–3.55 in Burkina Faso) were associated with higher odds of probable depression. At the community level, perceived neighborhood safety was associated with a lower likelihood of probable depression in Malawi (AOR: 0.74; 95% CI 0.61–0.89) and Burkina Faso (AOR: 0.81; 95% CI 0.73–0.90). Having a safety net within the community was associated with lower odds of probable depression in Burkina Faso (AOR: 0.87; 95% CI 0.78–0.96) but not in Malawi. Conclusion Depressive symptoms are common among pregnant and parenting adolescents, suggesting the need to screen them regularly for depression during antenatal and postnatal visits. Factors associated with depression among pregnant and parenting girls operate at multiple levels suggesting a need for multilevel interventions that address all areas of vulnerabilities.

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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

Cited by 2 publications

References 22 publications

Perceptions of perinatal alcohol use and treatment needs in Cape Town, South Africa: a qualitative study

Perceptions of perinatal alcohol use and treatment needs in Cape Town, South Africa: a qualitative study

Socio-ecological factors associated with probable depression among pregnant and parenting adolescent girls: findings from a cross-sectional study in Burkina Faso and Malawi

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