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Analyzing Questions About Alcohol in Pregnancy Using Web-Based Forum Topics: Qualitative Content Analysis
Nessie Felicia Frennesson1, Julie Barnett2, Youssouf Merouani3
1Tobacco and Alcohol Research Group, School of Psychological Science, University of Bristol, Bristol, United Kingdom.
JMIR Infodemiology
|June 20, 2024
Summary
Public confusion persists regarding alcohol consumption during pregnancy. A UK parenting forum analysis revealed ongoing questions about safety and limits, highlighting a need for clearer public health messaging on fetal alcohol spectrum disorder risks.
Area of Science:
- Public Health
- Maternal and Child Health
- Digital Health and Social Media Analysis
Background:
- Prenatal alcohol exposure is a significant public health issue linked to pregnancy complications and fetal alcohol spectrum disorder (FASD).
- UK guidelines advise alcohol abstinence during pregnancy, yet public understanding and awareness of risks remain unclear.
- Limited research exists on public queries regarding alcohol consumption in pregnancy outside clinical settings.
Purpose of the Study:
- To analyze questions and topics related to alcohol consumption during pregnancy discussed on a UK-based parenting forum.
- To compare these discussions against official public health guidelines, specifically around the 2016 low-risk drinking guidelines and the 2020 COVID-19 lockdown.
- To understand public information-seeking behaviors concerning alcohol and pregnancy.
Main Methods:
- Qualitative content analysis of 395 thread starts mentioning alcohol in the Mumsnet
- Pregnancy
- forum from 2002 to 2022.
- Descriptive statistics were employed to track topic frequency over time and in relation to key events.
- Analysis focused on identifying recurring themes and user queries regarding alcohol consumption and pregnancy.
Main Results:
- Key topics included seeking advice on safe alcohol consumption limits and concerns about alcohol use before pregnancy awareness.
- Discussions also centered on research, guidelines, and official information about alcohol in pregnancy.
- While topics remained consistent, posts admitting prenatal alcohol use decreased after the revised UK Chief Medical Officers' (CMO) guidelines were introduced.
Conclusions:
- Online parenting forums reveal persistent public uncertainty regarding alcohol consumption guidelines and risks during pregnancy.
- Users actively seek peer advice and reassurance on platforms like Mumsnet when facing uncertainty about alcohol and pregnancy.
- Findings underscore a gap between official guidance and public comprehension, suggesting a need for improved public health communication strategies.
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