Fiona M. Crawford-Williams BHlthSc, PhD Candidate, Andrea Fielder PhD, Research Fellow, Antonina Mikocka-Walus PhD, Senior Lecturer, Adrian Esterman PhD, Professor of Biostatistics.
A critical review of public health interventions aimed at reducing alcohol consumption and/or increasing knowledge among pregnant women
Article first published online: 20 MAY 2014
© 2014 Australasian Professional Society on Alcohol and other Drugs
Drug and Alcohol Review
Volume 34, Issue 2, pages 154–161, March 2015
How to Cite
Crawford-Williams, F., Fielder, A., Mikocka-Walus, A. and Esterman, A. (2015), A critical review of public health interventions aimed at reducing alcohol consumption and/or increasing knowledge among pregnant women. Drug and Alcohol Review, 34: 154–161. doi: 10.1111/dar.12152
- Issue published online: 10 MAR 2015
- Article first published online: 20 MAY 2014
- Manuscript Accepted: 15 APR 2014
- Manuscript Received: 28 OCT 2013
- public health;
It is well established that alcohol can cross the placenta to the fetus and can affect both physical and psychological development of the infant; however, many women continue to drink during pregnancy. It is therefore important to determine whether interventions can be successful in reducing alcohol consumption among pregnant women. Past reviews have investigated the effectiveness of clinical interventions in reducing alcohol consumption in pregnancy; however, the aim of the current review was to focus on the effectiveness of public health interventions.
A critical literature review was conducted by searching several electronic databases using key words such as ‘pregnancy’, ‘alcohol’, ‘interventions’ and ‘public health’. Studies were included if they utilised a public health intervention and included alcohol consumption or levels of knowledge as an outcome measure.
Seven studies were included in the review. Interventions included multimedia and educational interventions. Improvements in knowledge were reported in six studies, whereas one study found contradictory results. Four studies used alcohol consumption rates as an outcome measure, and although a reduction in consumption was reported, the results were non-significant.
The effectiveness of public health interventions that aim to increase awareness and reduce alcohol consumption among pregnant women cannot be assessed because of the paucity of studies.
The results of this critical review emphasise a lack of evidence and highlight the need for further evaluation research on this topic.
[Crawford-Williams F, Fielder A, Mikocka-Walus A, Esterman A. A critical review of public health interventions aimed at reducing alcohol consumption and/or increasing knowledge among pregnant women. Drug Alcohol Rev 2015;34:154–61]