The prevalence and associated factors of alcohol use among pregnant women attending antenatal care at public hospitals Addis Ababa, Ethiopia, 2019

Abstract

Background Alcohol use during pregnancy is a significant public health problem, ultimately affecting the neonatal offspring. Recent studies explore that no safe amount and safe time to drink alcohol during pregnancy. Even though drinking in pregnancy has a wide range of problems, a small number of scientific publications document on the magnitude of drinking alcohol during pregnancy in Sub-Saharan African countries including Ethiopia. The aim of this study was to assess prevalence and associated factors of alcohol use among pregnant women attending prenatal care at public hospitals, Addis Ababa, Ethiopia. Methods Hospital based cross sectional study was employed from May 7 to June 6, 2019 at public hospitals, Addis Ababa. A total of 585 pregnant women participated in the study selected through systematic random sampling technique. Frequency of consumption was measured by using AUDIT. Frequency tables and graphs were used to describe the study variable. The association between variables analyzed with bi-variable and multivariable binary logistic regression. A statistical significance was declared at p value < 0.05 with 95% confidence interval. Result A total of 585 participants were included in the study with the response rate of 98.6%. The study showed that the prevalence of alcohol use among pregnant women were 37.1% with (95% CI, 33.2–41). Factors like no formal education [AOR = 3.22, 95%CI, 1.72, 6.02], pre-pregnancy alcohol use [AOR = 3.16, 95%CI, 2.03, 4.91], partner alcohol use [AOR = 3.43, 95%CI, 2.21, 5.32], and poor social support [AOR = 3.16, 95%CI, 1.88, 5.31] were statistically associated with alcohol use during pregnancy. Conclusion In this study the prevalence of alcohol use during pregnancy was high as compared to majority of other studies. This study observed that no formal education, pre-pregnancy alcohol use, partner alcohol use, and poor social support, were highly associated with alcohol use during pregnancy. Based on the findings of this study early management of alcohol use and problematic alcohol use is needed for pregnant women.

The use of medicinal plants by pregnant women in Africa: A systematic review

“…Since smaller size studies have diminished statistical power and representativeness, they do not normally yield reliable or precise estimates and lead to less conclusive results. Similarly, few studies have assessed the use of one or more social drugs among women in communities or antenatal care (ANC) settings in Ethiopia and almost all of them were carried out in other corners of Ethiopia [78,91,[160][161][162]. Only limited studies have been conducted among ambulatory patients at healthcare facilities in southwest Ethiopia [87,163], and they are of smaller sample size and focused only on the use of khat during pregnancy.…”

Magnitude and associated factors of substance use among pregnant women attending antenatal care in public hospitals of eastern Ethiopia

“…Furthermore, among Sub-Saharan countries, the prevalence was reported to be 20.2% in South Africa [5], 22.6% in South-Eastern Nigeria [14], 48% in Ghana [15] and 29.5% in Uganda [16]. In Ethiopia, studies about the prevalence of alcohol drinking among pregnant women at different towns of the country showed 29.7% in Jimma [7], 34% in Bahir Dar [17], 37.1% in Addis Ababa [18] and 10.0% in Butajira [8].…”

Assessment of alcohol utilization during pregnancy and its associated factors among reproductive women in Mecha Woreda of North Western Ethiopia

“…The Binary Logistic Regression Model (BLRM) was employed to establish a relationship between the utilization of alcohol during pregnancy and a set of explanatory variables. As Hulsizer and Woolf noted, binary logistic regression has become the preferred tool for predicting dichotomous outcomes in the social sciences because it is more flexible than any other model [ 12 ]. In the study area, the binary logistic regression model was employed to establish the relationship between dependent (utilization of alcohol during pregnancy) and independent variables (socio-demographic and economic factors) affecting utilization of alcohol during pregnancy.…”