The relationship between pregnancy intention and alcohol use behavior: an analysis of PRAMS data.
This study examined the relationship between pregnancy intention and change in perinatal alcohol use between 3 months prior to pregnancy and the last 3 months of pregnancy from a large national sample of women in the United States, the 2004-2008 Pregnancy Risk Assessment Monitoring System (PRAMS). The study sample consisted of 95,728 women who reported any alcohol drinking in 3 months prior to pregnancy. There was no relationship between pregnancy intention and cessation or reduction in alcohol use. Those whose pregnancies were unwanted were significantly more likely to report binge drinking during pregnancy compared to women with intended/mistimed pregnancies (AOR 1.55 [95% CI: 1.20, 1.99]). These findings suggest that interventions targeting binge drinking, perhaps particularly among women who drink in the 3 months prior to pregnancy and who do not want to become pregnant, are needed.
Departments of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.
Mishka
M
Terplan
Maternal Child Health Surveillance and Quality Initiatives, Maryland Department of Health and Mental Hygiene, Baltimore, MD, USA.
Diana
D
Cheng
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: chisolmmeg@yahoo.com.
Margaret S
MS
Chisolm
D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D063425:Binge Drinking / Q000453:epidemiology*; D003625:Data Collection; D005260:Female; D006801:Humans; D033182:Intention; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D011275:Pregnancy, Unwanted; D018570:Risk Assessment; D014481:United States / Q000453:epidemiology; D055815:Young Adult
Alcohol; Epidemiology; Family planning; Pregnancy