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Published on: July 13, 2014
Health Promotion and Support Grounded in Interconnected Influences on Alcohol Use in Pregnancy.
Nancy Poole1,2, Lindsay Wolfson1, Ella Huber1
1Centre of Excellence for Women's Health, E209-4500 Oak Street Box 48, Vancouver, BC V6H 3N1, Canada.
Understanding factors influencing alcohol use during pregnancy is crucial for preventing Fetal Alcohol Spectrum Disorders (FASD). Addressing informational, stress, social, health, and structural factors is key for effective interventions.
Area of Science:
- Public Health
- Maternal Health
- Addiction Research
Background:
- Alcohol use during pregnancy poses risks for fetal development.
- Limited research has explored the complex, multilevel influences on maternal alcohol consumption.
- Understanding these influences is vital for effective prevention strategies.
Purpose of the Study:
- To analyze the diverse factors impacting alcohol use in pregnancy.
- To identify key areas for future health promotion and intervention efforts.
- To synthesize current research on influences and risk factors for Fetal Alcohol Spectrum Disorder (FASD) prevention.
Main Methods:
- A narrative review of articles published between January and December 2023.
- Searched six databases (EBSCOhost) using keywords related to alcohol use in pregnancy and FASD prevention.
- Included 32 English-language articles focusing on prevalence, influences, and risk factors.
Main Results:
- Maternal alcohol use is influenced by five key categories: informational, stress-related, social determinants of health (SDoH), preconception/prenatal health, and structural factors.
- These factors are interconnected and contribute to the complexity of alcohol use during pregnancy.
- Identified specific influences within each of the five categories.
Conclusions:
- Future interventions must adopt a holistic approach, addressing all five identified categories of influence.
- Recommended strategies include non-judgmental, health-promoting, trauma-informed, harm-reduction-oriented, and culturally safe education, programming, and policy.
- A comprehensive strategy is essential for reducing alcohol use in pregnancy and preventing FASD.
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