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Related Experiment Videos

Identifying risk drinking in expectant fathers.

Grace Chang1, Tay McNamara, E John Orav

  • 1Psychiatry, Brigham and Women's Hospital and Harvard Medical School in Boston, Massachusetts 02115, USA.

Birth (Berkeley, Calif.)
|May 31, 2006
PubMed
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The T-ACE questionnaire can help identify risk drinking in expectant fathers, a critical step in supporting maternal sobriety and paternal health during pregnancy. This screening tool offers a practical approach for healthcare providers.

Area of Science:

  • Obstetrics and Gynecology
  • Addiction Medicine
  • Public Health

Background:

  • Risk drinking in expectant fathers can impact maternal alcohol use and couple's well-being during pregnancy.
  • Early identification of paternal alcohol use is crucial for prenatal care and family health.
  • The T-ACE questionnaire assesses alcohol tolerance, annoyance by comments, cut-down attempts, and morning use.

Purpose of the Study:

  • To evaluate the T-ACE screening questionnaire's effectiveness in identifying risk drinking among male partners of pregnant women.
  • To compare the predictive accuracy of the T-ACE with the Alcohol Use Disorders Identification Test (AUDIT).

Main Methods:

  • 254 male partners completed the T-ACE, AUDIT, and alcohol use questions during pregnancy (T1) and after delivery (T2).

Related Experiment Videos

  • Risk drinking was defined as >4 drinks/day or >14 drinks/week.
  • The T-ACE and AUDIT predictive abilities were compared against this criterion standard.
  • Main Results:

    • A significant minority of expectant fathers exhibited risk drinking (31% at T1, 25% at T2).
    • The T-ACE, particularly with a tolerance threshold exceeding 2 drinks, showed favorable sensitivity and specificity compared to the AUDIT.
    • While AUDIT was a stronger independent predictor, T-ACE demonstrated practical utility at a specific threshold.

    Conclusions:

    • The T-ACE questionnaire is a practical tool for identifying risk drinking in expectant fathers.
    • This screening method can aid clinicians in supporting both pregnant women and their partners in managing alcohol consumption.