School of Health and Related Research, University of Sheffield, Sheffield, UK.
Centre for Health and Services Studies, Centre for Care, University of Kent, Canterbury, UK.
Drug Alcohol Rev. 2023 Jul;42(5):1165-1194. doi: 10.1111/dar.13643. Epub 2023 Mar 27.
Numerous studies have explored alcohol consumption in pregnancy, but less is known about women's drinking in the early parenting period (EPP, 0-5 years after childbirth). We synthesise research related to three questions: (i) How are women's drinking patterns and trajectories associated with socio-demographic and domestic circumstances?; (ii) What theoretical approaches are used to explain changes in consumption?; (iii) What meanings have been given to mothers' drinking?
Three databases (Ovid-MEDLINE, Ovid-PsycINFO and CINAHL) were systematically searched. Citation tracking was conducted in Web of Science Citation Index and Google Scholar. Eligible papers explored mothers' alcohol consumption during the EPP, focusing on general population rather than clinical samples. Studies were critically appraised and their characteristics, methods and key findings extracted. Thematic narrative synthesis of findings was conducted.
Fourteen quantitative and six qualitative studies were identified. The (sub)samples ranged from n = 77,137 to n = 21 women. Mothers' consumption levels were associated with older age, being White and employed, not being in a partnered relationship, higher education and income. Three theoretical approaches were employed to explain these consumption differences: social role, role deprivation, social practice theories. By drinking alcohol, mothers expressed numerous aspects of their identity (e.g., autonomous women and responsible mothers).
Alcohol-related interventions and policies should consider demographic and cultural transformations of motherhood (e.g., delayed motherhood, changes in family structures). Mothers' drinking should be contextualised carefully in relation to socio-economic circumstances and gender inequalities in unpaid labour. The focus on peer-reviewed academic papers in English language may limit the evidence.
许多研究都探讨了孕期饮酒问题，但对于女性产后 0-5 年的育儿早期（EPP）的饮酒情况则知之甚少。我们综合了与以下三个问题相关的研究：（i）女性的饮酒模式和轨迹与社会人口学和家庭环境有何关联？；（ii） 哪些理论方法用于解释消费变化？；（iii）母亲饮酒的意义是什么？
我们系统地检索了三个数据库（Ovid-MEDLINE、Ovid-PsycINFO 和 CINAHL）。在 Web of Science Citation Index 和 Google Scholar 中进行了引文追踪。符合条件的论文探讨了母亲在 EPP 期间的饮酒情况，重点关注一般人群，而不是临床样本。对研究进行了批判性评估，并提取了其特征、方法和主要发现。对研究结果进行了主题叙事综合。
确定了 14 项定量研究和 6 项定性研究。（亚）样本范围从 n = 77,137 到 n = 21 名女性。母亲的饮酒量与年龄较大、白人、有工作、没有伴侣关系、受教育程度较高和收入较高有关。有三种理论方法用于解释这些消费差异：社会角色、角色剥夺、社会实践理论。通过饮酒，母亲表达了其身份的许多方面（例如，自主的女性和负责任的母亲）。
与酒精相关的干预措施和政策应考虑到母性的人口和文化转变（例如，晚育、家庭结构的变化）。应根据社会经济环境和无偿劳动中的性别不平等，仔细将母亲的饮酒情况置于背景之中。仅关注英文同行评审学术论文可能会限制证据。
