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Laurence Simmat-Durand, Stéphanie Toutain

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 20, 2022
    PubMed
    Summary
    This summary is machine-generated.

    Maternal alcohol consumption during pregnancy is higher in French Guyana than in metropolitan France, with distinct consumer profiles. Targeted prevention strategies are needed, considering education levels and cultural factors for better maternal and child health outcomes.

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    Area of Science:

    • Public Health
    • Maternal and Child Health
    • Substance Use Research

    Context:

    • Data on maternal alcohol, tobacco, and substance use in French Guyana are scarce, hindering tailored prevention policies.
    • A 2017-2018 survey in Guyana's maternity units assessed consumption, information received, and professional engagement regarding substance use during pregnancy.

    Purpose:

    • To address the lack of data on substance use among pregnant women in French Guyana.
    • To identify consumption patterns, information sources, and professional interactions related to substance use during pregnancy.
    • To inform the development of context-specific prevention strategies.

    Summary:

    • Tobacco use was 2% and alcohol use 17% at the end of pregnancy in French Guyana.
    • Two alcohol consumer profiles emerged: educated women in Cayenne occasionally drinking wine, and regular beer consumers in Saint-Laurent-du-Maroni among riverine language speakers.

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  • Pemba (clay) use was reported by 15% of pregnant women, raising concerns, especially when combined with alcohol.

    • Impact:

    • Alcohol consumption during pregnancy is higher in French Guyana than in metropolitan France.
    • Specific profiles of alcohol users are linked to residence, education, traditional practices (Pemba), and prior miscarriage history.
    • Healthcare professionals tend to inquire more about alcohol consumption among women with lower education or non-French/Creole mother tongues, indicating potential gaps in communication and targeted prevention.