Prevalence and Predictors of Maternal Alcohol Consumption in 2 Regions of Ukraine
Version of Record online: 3 DEC 2013
Copyright © 2013 by the Research Society on Alcoholism
Alcoholism: Clinical and Experimental Research
Volume 38, Issue 4, pages 1012–1019, April 2014
How to Cite
Chambers, C. D., Yevtushok, L., Zymak-Zakutnya, N., Korzhynskyy, Y., Ostapchuk, L., Akhmedzhanova, D., Chan, P. H., Xu, R. and Wertelecki, W. (2014), Prevalence and Predictors of Maternal Alcohol Consumption in 2 Regions of Ukraine. Alcoholism: Clinical and Experimental Research, 38: 1012–1019. doi: 10.1111/acer.12318
- Issue online: 9 APR 2014
- Version of Record online: 3 DEC 2013
- Manuscript Accepted: 29 SEP 2013
- Manuscript Received: 18 AUG 2013
- National Institute on Alcohol and Alcohol Abuse (NIAAA)
- NIH-NIAAA Grant. Grant Number: U01AA014835
Fetal alcohol spectrum disorders are thought to be a leading cause of developmental disabilities worldwide. However, data are lacking on alcohol use among pregnant women in many countries. The purpose of this study was to evaluate the prevalence and predictors of alcohol consumption by pregnant women in Ukraine.
Cross-sectional screening of pregnant women was conducted in 2 regions of Ukraine during the recruitment phase of an ongoing clinical study that is part of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders. Women attending a routine prenatal visit at 1 of 2 participating regional centers were asked about alcohol consumption. Quantity and frequency of alcoholic beverages consumed in the month around conception and in the most recent month of pregnancy were measured using a standard interview instrument.
Between 2007 and 2012, 11,909 pregnant women were screened on average in the second trimester of pregnancy. Of these, 92.7% reported being ever-drinkers. Among ever-drinkers, 54.8% reported drinking alcohol in the month around conception and 12.9% consumed at least 3 drinks on at least 1 day in that time period. In the most recent month of pregnancy, 46.3% continued to report alcohol use and 9.2% consumed at least 3 drinks per day. Significant predictors of average number of drinks or heavier drinking per day in either time period in pregnancy included lower gravidity, being single, unmarried/living with a partner, or separated, lower maternal education, smoking, younger age at initiation of drinking, and higher score on the TWEAK screening test for harmful drinking.
These findings support the need for education/intervention in women of childbearing age in Ukraine and can help inform targeted interventions for women at risk of an alcohol-exposed pregnancy. The initiation of a standard screening protocol in pregnancy is a step in the right direction.