Predictors of alcohol use disorders in argentinean pregnant women

Autores
López, Mariana Beatríz; Lichtenberger, Aldana; Cremonte, Mariana
Año de publicación
2019
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background and Objective High prenatal alcohol exposure, such as that presented by women with an alcohol use disorder (AUD), is related to severe adverse consequences such as fetal alcohol syndrome. Since most research on this topic comes from english speaking countries and is scarce in the Argentina, the aim of this study was to identify risk factors of AUD in Argentinean pregnant women. Predictors explored here included drinking alcohol, the use of other substances, and their accompanying motivational and socio-cultural characteristics. Material and Methods A systematic probabilistic sample of 641 puerperal women from an Argentinean city were personally interviewed after giving birth. DSM-5 AUD was established through the International Composite Diagnostic Interview -CIDI-, socio-economic level with the Graffar-Méndez Castellano scale and socio-demographic and psycho-social variables through ad-hoc questions. We then estimated the prevalence of AUD among all women and current drinkers. To identify predictors of AUD we performed logistic regressions with AUD status (positive vs. negative) as the outcome; drinking and substance use variables (age of alcohol consumption on set, usual type of drink, tobacco use during pregnancy, any consumption of other illegal substances), family and living conditions (partner status, previous children, occupation-labor situation, education level, socioeconomic level) and age, the number of health checkups during pregnancy, and general attitude towards alcohol consumption while pregnant, as predictors. ResultsThe prevalence of AUD was 8%, and among current drinkers was 9.5%. The participants age, age of alcohol consumption onset, tobacco use during pregnancy, illegal substances use (ever), number of health checkups during pregnancy and general attitude towards alcohol consumption during pregnancy, showed a significant relationship with AUD. As age increased a positive diagnosis of AUD was less likely, while having started to drink before the age of 15 made it more likely. Moreover, if the woman had used tobacco during pregnancy, it was 147% more likely to meet AUD diagnostic criteria, and if she had ever used illegal substances, she was 381% more likely to have an AUD. Finally, a positive diagnosis of AUD was less likely among those who had a negative attitude towards alcohol consumption during pregnancy and among those who had more health checkups during pregnancy. Notwithstanding, in the general model, age, age of alcohol consumption onset and tobacco use during pregnancy were not significant as predictors, which suggests that their relationship with AUD is explained by factors common to the other variables of the model. Conclusion urgent action is needed in the region to prevent prenatal drinking, and pregnant women with an AUD should be the focus of distinct efforts. Interventions should target younger women, those who consume or have consumed illegal substances and those who maintain a more permissive attitude towards alcohol consumption during pregnancy.
Fil: López, Mariana Beatríz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Saavedra 15. Centro Interdisciplinario de Investigaciones en Psicología Matemática y Experimental "Dr. Horacio J. A. Rimoldi". Grupo Vinculado CIIPME - Entre Ríos - Centro Interdisciplinario de Investigaciones en Psicología Matemática y Experimental "Dr. Horacio J. A. Rimoldi"; Argentina
Fil: Lichtenberger, Aldana. Universidad Nacional de Mar del Plata. Facultad de Psicología; Argentina
Fil: Cremonte, Mariana. Universidad Nacional de Mar del Plata. Facultad de Psicología; Argentina
Materia
WOMEN
ETHANOL
ALCOHOLICS
RISK FACTORS
PREGNANCY
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/110123

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network_name_str CONICET Digital (CONICET)
spelling Predictors of alcohol use disorders in argentinean pregnant womenLópez, Mariana BeatrízLichtenberger, AldanaCremonte, MarianaWOMENETHANOLALCOHOLICSRISK FACTORSPREGNANCYhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background and Objective High prenatal alcohol exposure, such as that presented by women with an alcohol use disorder (AUD), is related to severe adverse consequences such as fetal alcohol syndrome. Since most research on this topic comes from english speaking countries and is scarce in the Argentina, the aim of this study was to identify risk factors of AUD in Argentinean pregnant women. Predictors explored here included drinking alcohol, the use of other substances, and their accompanying motivational and socio-cultural characteristics. Material and Methods A systematic probabilistic sample of 641 puerperal women from an Argentinean city were personally interviewed after giving birth. DSM-5 AUD was established through the International Composite Diagnostic Interview -CIDI-, socio-economic level with the Graffar-Méndez Castellano scale and socio-demographic and psycho-social variables through ad-hoc questions. We then estimated the prevalence of AUD among all women and current drinkers. To identify predictors of AUD we performed logistic regressions with AUD status (positive vs. negative) as the outcome; drinking and substance use variables (age of alcohol consumption on set, usual type of drink, tobacco use during pregnancy, any consumption of other illegal substances), family and living conditions (partner status, previous children, occupation-labor situation, education level, socioeconomic level) and age, the number of health checkups during pregnancy, and general attitude towards alcohol consumption while pregnant, as predictors. ResultsThe prevalence of AUD was 8%, and among current drinkers was 9.5%. The participants age, age of alcohol consumption onset, tobacco use during pregnancy, illegal substances use (ever), number of health checkups during pregnancy and general attitude towards alcohol consumption during pregnancy, showed a significant relationship with AUD. As age increased a positive diagnosis of AUD was less likely, while having started to drink before the age of 15 made it more likely. Moreover, if the woman had used tobacco during pregnancy, it was 147% more likely to meet AUD diagnostic criteria, and if she had ever used illegal substances, she was 381% more likely to have an AUD. Finally, a positive diagnosis of AUD was less likely among those who had a negative attitude towards alcohol consumption during pregnancy and among those who had more health checkups during pregnancy. Notwithstanding, in the general model, age, age of alcohol consumption onset and tobacco use during pregnancy were not significant as predictors, which suggests that their relationship with AUD is explained by factors common to the other variables of the model. Conclusion urgent action is needed in the region to prevent prenatal drinking, and pregnant women with an AUD should be the focus of distinct efforts. Interventions should target younger women, those who consume or have consumed illegal substances and those who maintain a more permissive attitude towards alcohol consumption during pregnancy.Fil: López, Mariana Beatríz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Saavedra 15. Centro Interdisciplinario de Investigaciones en Psicología Matemática y Experimental "Dr. Horacio J. A. Rimoldi". Grupo Vinculado CIIPME - Entre Ríos - Centro Interdisciplinario de Investigaciones en Psicología Matemática y Experimental "Dr. Horacio J. A. Rimoldi"; ArgentinaFil: Lichtenberger, Aldana. Universidad Nacional de Mar del Plata. Facultad de Psicología; ArgentinaFil: Cremonte, Mariana. Universidad Nacional de Mar del Plata. Facultad de Psicología; ArgentinaDougmar Press2019-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/110123López, Mariana Beatríz; Lichtenberger, Aldana; Cremonte, Mariana; Predictors of alcohol use disorders in argentinean pregnant women; Dougmar Press; Journal of Fetal Alcohol Spectrum Risk and Prevention; 2; 1; 1-2019; 23-282561-9187CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/http://jfasrp.com/index.php/JFASRPinfo:eu-repo/semantics/altIdentifier/doi/10.22374/jfasrp.v2i1.4info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:06:28Zoai:ri.conicet.gov.ar:11336/110123instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:06:28.524CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Predictors of alcohol use disorders in argentinean pregnant women
title Predictors of alcohol use disorders in argentinean pregnant women
spellingShingle Predictors of alcohol use disorders in argentinean pregnant women
López, Mariana Beatríz
WOMEN
ETHANOL
ALCOHOLICS
RISK FACTORS
PREGNANCY
title_short Predictors of alcohol use disorders in argentinean pregnant women
title_full Predictors of alcohol use disorders in argentinean pregnant women
title_fullStr Predictors of alcohol use disorders in argentinean pregnant women
title_full_unstemmed Predictors of alcohol use disorders in argentinean pregnant women
title_sort Predictors of alcohol use disorders in argentinean pregnant women
dc.creator.none.fl_str_mv López, Mariana Beatríz
Lichtenberger, Aldana
Cremonte, Mariana
author López, Mariana Beatríz
author_facet López, Mariana Beatríz
Lichtenberger, Aldana
Cremonte, Mariana
author_role author
author2 Lichtenberger, Aldana
Cremonte, Mariana
author2_role author
author
dc.subject.none.fl_str_mv WOMEN
ETHANOL
ALCOHOLICS
RISK FACTORS
PREGNANCY
topic WOMEN
ETHANOL
ALCOHOLICS
RISK FACTORS
PREGNANCY
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background and Objective High prenatal alcohol exposure, such as that presented by women with an alcohol use disorder (AUD), is related to severe adverse consequences such as fetal alcohol syndrome. Since most research on this topic comes from english speaking countries and is scarce in the Argentina, the aim of this study was to identify risk factors of AUD in Argentinean pregnant women. Predictors explored here included drinking alcohol, the use of other substances, and their accompanying motivational and socio-cultural characteristics. Material and Methods A systematic probabilistic sample of 641 puerperal women from an Argentinean city were personally interviewed after giving birth. DSM-5 AUD was established through the International Composite Diagnostic Interview -CIDI-, socio-economic level with the Graffar-Méndez Castellano scale and socio-demographic and psycho-social variables through ad-hoc questions. We then estimated the prevalence of AUD among all women and current drinkers. To identify predictors of AUD we performed logistic regressions with AUD status (positive vs. negative) as the outcome; drinking and substance use variables (age of alcohol consumption on set, usual type of drink, tobacco use during pregnancy, any consumption of other illegal substances), family and living conditions (partner status, previous children, occupation-labor situation, education level, socioeconomic level) and age, the number of health checkups during pregnancy, and general attitude towards alcohol consumption while pregnant, as predictors. ResultsThe prevalence of AUD was 8%, and among current drinkers was 9.5%. The participants age, age of alcohol consumption onset, tobacco use during pregnancy, illegal substances use (ever), number of health checkups during pregnancy and general attitude towards alcohol consumption during pregnancy, showed a significant relationship with AUD. As age increased a positive diagnosis of AUD was less likely, while having started to drink before the age of 15 made it more likely. Moreover, if the woman had used tobacco during pregnancy, it was 147% more likely to meet AUD diagnostic criteria, and if she had ever used illegal substances, she was 381% more likely to have an AUD. Finally, a positive diagnosis of AUD was less likely among those who had a negative attitude towards alcohol consumption during pregnancy and among those who had more health checkups during pregnancy. Notwithstanding, in the general model, age, age of alcohol consumption onset and tobacco use during pregnancy were not significant as predictors, which suggests that their relationship with AUD is explained by factors common to the other variables of the model. Conclusion urgent action is needed in the region to prevent prenatal drinking, and pregnant women with an AUD should be the focus of distinct efforts. Interventions should target younger women, those who consume or have consumed illegal substances and those who maintain a more permissive attitude towards alcohol consumption during pregnancy.
Fil: López, Mariana Beatríz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Saavedra 15. Centro Interdisciplinario de Investigaciones en Psicología Matemática y Experimental "Dr. Horacio J. A. Rimoldi". Grupo Vinculado CIIPME - Entre Ríos - Centro Interdisciplinario de Investigaciones en Psicología Matemática y Experimental "Dr. Horacio J. A. Rimoldi"; Argentina
Fil: Lichtenberger, Aldana. Universidad Nacional de Mar del Plata. Facultad de Psicología; Argentina
Fil: Cremonte, Mariana. Universidad Nacional de Mar del Plata. Facultad de Psicología; Argentina
description Background and Objective High prenatal alcohol exposure, such as that presented by women with an alcohol use disorder (AUD), is related to severe adverse consequences such as fetal alcohol syndrome. Since most research on this topic comes from english speaking countries and is scarce in the Argentina, the aim of this study was to identify risk factors of AUD in Argentinean pregnant women. Predictors explored here included drinking alcohol, the use of other substances, and their accompanying motivational and socio-cultural characteristics. Material and Methods A systematic probabilistic sample of 641 puerperal women from an Argentinean city were personally interviewed after giving birth. DSM-5 AUD was established through the International Composite Diagnostic Interview -CIDI-, socio-economic level with the Graffar-Méndez Castellano scale and socio-demographic and psycho-social variables through ad-hoc questions. We then estimated the prevalence of AUD among all women and current drinkers. To identify predictors of AUD we performed logistic regressions with AUD status (positive vs. negative) as the outcome; drinking and substance use variables (age of alcohol consumption on set, usual type of drink, tobacco use during pregnancy, any consumption of other illegal substances), family and living conditions (partner status, previous children, occupation-labor situation, education level, socioeconomic level) and age, the number of health checkups during pregnancy, and general attitude towards alcohol consumption while pregnant, as predictors. ResultsThe prevalence of AUD was 8%, and among current drinkers was 9.5%. The participants age, age of alcohol consumption onset, tobacco use during pregnancy, illegal substances use (ever), number of health checkups during pregnancy and general attitude towards alcohol consumption during pregnancy, showed a significant relationship with AUD. As age increased a positive diagnosis of AUD was less likely, while having started to drink before the age of 15 made it more likely. Moreover, if the woman had used tobacco during pregnancy, it was 147% more likely to meet AUD diagnostic criteria, and if she had ever used illegal substances, she was 381% more likely to have an AUD. Finally, a positive diagnosis of AUD was less likely among those who had a negative attitude towards alcohol consumption during pregnancy and among those who had more health checkups during pregnancy. Notwithstanding, in the general model, age, age of alcohol consumption onset and tobacco use during pregnancy were not significant as predictors, which suggests that their relationship with AUD is explained by factors common to the other variables of the model. Conclusion urgent action is needed in the region to prevent prenatal drinking, and pregnant women with an AUD should be the focus of distinct efforts. Interventions should target younger women, those who consume or have consumed illegal substances and those who maintain a more permissive attitude towards alcohol consumption during pregnancy.
publishDate 2019
dc.date.none.fl_str_mv 2019-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/110123
López, Mariana Beatríz; Lichtenberger, Aldana; Cremonte, Mariana; Predictors of alcohol use disorders in argentinean pregnant women; Dougmar Press; Journal of Fetal Alcohol Spectrum Risk and Prevention; 2; 1; 1-2019; 23-28
2561-9187
CONICET Digital
CONICET
url http://hdl.handle.net/11336/110123
identifier_str_mv López, Mariana Beatríz; Lichtenberger, Aldana; Cremonte, Mariana; Predictors of alcohol use disorders in argentinean pregnant women; Dougmar Press; Journal of Fetal Alcohol Spectrum Risk and Prevention; 2; 1; 1-2019; 23-28
2561-9187
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://jfasrp.com/index.php/JFASRP
info:eu-repo/semantics/altIdentifier/doi/10.22374/jfasrp.v2i1.4
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Dougmar Press
publisher.none.fl_str_mv Dougmar Press
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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