Department of Human Physiology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Health Education and Behavioral Sciences, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Pregnancy Childbirth. 2022 Apr 26;22(1):361. doi: 10.1186/s12884-022-04694-z.
Alcohol drinking during pregnancy is towering despite the well-established proof of its unfavorable pregnancy results and destitute child improvement. Despite such enormous consequences, there are limited data that explore the extent of alcohol drinking and its associated factors among mothers during pregnancy in sub-Saharan Africa.
This study aimed to assess the prevalence and associated factors of alcohol consumption during pregnancy among pregnant mothers in sub-Saharan Africa.
A community-based crossectional demographic and health survey was conducted from 2013 to 2017 among four Sub-Sahara African countries: Burundi, Ethiopia, Liberia, and Zimbabwe. A two-stage stratified sampling technique was employed to select the participants. Multivariable Logistic regression analysis was used to identify factors associated with alcohol consumption during pregnancy. A p-value less than 0.05 and a 95% confidence interval were used to declare statistical significance.
A total of 3953 weighted sample of pregnant mothers were included in the study. The mean age of the participants was 27.3 (± 6.8) years with an age range of 15-49 years. The overall prevalence of alcohol use during pregnancy was 22.8% with (95% CI (21.5, 24)) and it was significantly associated with increased age (AOR = 1.02, 95% CI (1.01, 1.04)), Muslim religion follower ( AOR = 0.07, 95% CI (0.05,0.11), husband/partner's educational status( primary (AOR = 0.7,95% CI (0.55,0.84), secondary (AOR = 0.53, 95% CI ( 0.41,0.7)) and higher (AOR = 0.49, 95% CI (0.31,0.8), being currently working (AOR = 1.5,95% CI ( 1.09,1.55), having ANC visit ( AOR = 0.82, 95% C I(0.68,0.98) and increased gravidity ( AOR = 0.93,95% CI( 0.86,0.99).
Alcohol drinking during pregnancy was high among pregnant women in sub-Saharan African countries. Maternal age, religion, husband educational status, current working status of the mother, presence of ANC visit, and gravidity of the mother were factors that have a significant association with alcohol drinking during pregnancy. This calls for a tailored behavior change intervention to reduce alcohol use during pregnancy. More emphasis should also be given to pregnant women with no ANC visit, lower gravidity, and an illiterate husband, currently working and Christianity followers.
尽管已有充分的证据表明饮酒会对妊娠产生不利影响，并会导致儿童发育不良，但在撒哈拉以南非洲地区，孕妇饮酒的现象仍十分严重。尽管后果严重，但目前仍缺乏数据来探究该地区孕妇在怀孕期间饮酒的程度及其相关因素。
本研究旨在评估撒哈拉以南非洲地区孕妇在怀孕期间饮酒的流行程度及其相关因素。
2013 年至 2017 年期间，在布隆迪、埃塞俄比亚、利比里亚和津巴布韦四个撒哈拉以南非洲国家进行了一项基于社区的横断面人口与健康调查。采用两阶段分层抽样技术选择参与者。多变量逻辑回归分析用于确定与怀孕期间饮酒相关的因素。p 值小于 0.05 和 95%置信区间用于表示统计学意义。
共有 3953 名符合条件的孕妇纳入了本研究。参与者的平均年龄为 27.3（±6.8）岁，年龄范围为 15-49 岁。怀孕期间饮酒的总体流行率为 22.8%（95%置信区间（21.5，24）），且与年龄增加（AOR=1.02，95%置信区间（1.01，1.04））、穆斯林宗教信仰（AOR=0.07，95%置信区间（0.05，0.11））、丈夫/伴侣的教育程度（小学（AOR=0.7，95%置信区间（0.55，0.84））、中学（AOR=0.53，95%置信区间（0.41，0.7））和高等教育（AOR=0.49，95%置信区间（0.31，0.8））、当前工作状态（AOR=1.5，95%置信区间（1.09，1.55））、接受 ANC 检查（AOR=0.82，95%置信区间（0.68，0.98））和增加孕次（AOR=0.93，95%置信区间（0.86，0.99））显著相关。
撒哈拉以南非洲国家孕妇在怀孕期间饮酒的现象较为普遍。母亲年龄、宗教信仰、丈夫教育程度、母亲当前工作状态、接受 ANC 检查和母亲孕次是与怀孕期间饮酒显著相关的因素。这呼吁采取有针对性的行为改变干预措施来减少怀孕期间的饮酒行为。此外，还应更加关注那些未接受 ANC 检查、孕次较低、丈夫文盲、当前工作且信仰基督教的孕妇。
