College of Health Sciences, Makerere School of Public Health, Kampala, Uganda.
Department of Journalism and Communication, College of Humanities and Social Sciences, Kampala, Uganda.
Subst Abuse Treat Prev Policy. 2021 Jan 4;16(1):3. doi: 10.1186/s13011-020-00337-8.
Alcohol use during pregnancy has been associated with several births and developmental disorders. This study set out to determine the various forms of alcohol consumption among pregnant women and their predictors in post conflict Northern Uganda.
In the months of May to June 2019, we conducted a cross sectional study among 420 pregnant women seeking antenatal care services at both Government and private health facilities in Gulu, Kitgum and Pader districts in Northern Uganda. We asked them about consumption of various alcoholic beverages. A three stage stratified cluster sampling approach was used and study participants randomly selected from health facilities of interest. We used descriptive statistics to estimate the prevalence of various forms of alcohol use. The chi- square test and logistic regression were used to assess associations of alcohol use among respondents and their socio - demographic and other characteristics.
Overall 99 women (23.6%) reported current alcohol use (any amount). Up to 11% (N = 11) of all drinkers were identified by the AUDIT to be women with problem drinking behavior, 8% (N = 8) of women reported hazardous drinking and only four (4%) were women with active alcohol dependent behavior. Predictors of maternal alcohol use included pre-pregnancy alcohol consumption, knowledge, attitude, education level, parity and residence.
This study indicates that alcohol use (any mount) during pregnancy is high while alcohol dependence, problematic and hazardous drinking is low. Knowledge and attitude were important predictors of alcohol use. While alleviating alcohol use, development partners and relevant government departments should consider communication and other interventions that increase knowledge and risk perception on maternal drinking. Other risk factors that predict maternal drinking such as prior alcohol use, residence and parity should be mitigated or eliminated.
怀孕期间饮酒与多种出生缺陷和发育障碍有关。本研究旨在确定在冲突后乌干达北部孕妇饮酒的各种形式及其预测因素。
2019 年 5 月至 6 月，我们在乌干达北部的古卢、基特古姆和帕德尔地区的政府和私人卫生机构中，对 420 名寻求产前保健服务的孕妇进行了一项横断面研究。我们询问了她们各种酒精饮料的消费情况。采用三级分层聚类抽样方法，从感兴趣的卫生机构中随机选择研究参与者。我们使用描述性统计来估计各种形式饮酒的流行率。卡方检验和逻辑回归用于评估受访者饮酒与社会人口学和其他特征之间的关联。
总体而言，有 99 名女性（23.6%）报告目前有饮酒行为（任何量）。在所有饮酒者中，有 11%（N=11）的人被 AUDIT 识别为有问题饮酒行为的女性，8%（N=8）的人报告有危险饮酒行为，只有 4%（N=4）的人有活跃的酒精依赖行为。孕产妇饮酒的预测因素包括孕前饮酒、知识、态度、教育水平、产次和居住地。
本研究表明，怀孕期间饮酒（任何量）的比例较高，而酒精依赖、问题性和危险饮酒的比例较低。知识和态度是饮酒的重要预测因素。在减轻饮酒的同时，发展伙伴和相关政府部门应考虑开展宣传和其他干预措施，以提高对孕产妇饮酒的知识和风险认知。其他预测孕产妇饮酒的风险因素，如既往饮酒史、居住地和产次，应加以缓解或消除。
