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Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Alcohol consumption among partners of pregnant women in Sweden: a cross sectional study

Authors: Hjördis Högberg, Janna Skagerström, Fredrik Spak, Per Nilsen, Margareta Larsson

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

Antenatal care in Sweden involves a visit in pregnancy week 6–7 for counseling about lifestyle issues, including alcohol. The aim of this study was to investigate alcohol consumption among partners of pregnant women, their motives for changing drinking patterns when becoming a parent and their perceptions of the midwife’s counseling about alcohol.

Method

The study was conducted at 30 antenatal care centers across Sweden in 2009–2010. All partners who accompanied a pregnant women in pregnancy week >17 were asked to participate. The questionnaire included questions on alcohol consumption.

Results

Questionnaires from 444 partners were analyzed. Most, 95 %, of the partners reported alcohol consumption before pregnancy; 18 % were binge drinking (6 standard drinks or more per occasion, each drink containing 12 grams of pure alcohol) at least once every month during the last year. More than half, 58 %, of all partners had decreased their alcohol consumption following pregnancy recognition and a higher proportion of binge drinkers decreased their consumption compared to non-frequent binge drinkers (p = 0.025). Their motives varied; the pregnancy itself, fewer social gatherings (potentially involving alcohol consumption) and a sense of responsibility for the pregnant partner were reported. Of the partners, 37 % reported support for decreased drinking from others (pregnant partner, parents, friend or workmates). Further, most partners appreciated the midwife’s counseling on alcohol.

Conclusion

A majority of partners decreased their alcohol consumption in transition to parenthood, which also appears to be a crucial time for changing alcohol-drinking patterns. The partners with higher AUDIT-C scores reported more support for decreased drinking. Most partners appreciated the midwife’s talk about alcohol and pregnancy and those who filled out AUDIT in early pregnancy reported that the counseling was more engaging. During pregnancy it is possible to detect partners with high alcohol consumption, and promote interventions for decreased drinking, also for the partners. Written information addressing alcohol use and directed to partners is needed.
Literature
1.
go back to reference Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, Memish ZA. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2197–2223. doi: 10.1016/S0140-6736(12)61689-4 Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, Memish ZA. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2197–2223. doi: 10.​1016/​S0140-6736(12)61689-4
4.
go back to reference Göransson M. Alcohol consumption during pregnancy: how do we separate myth from reality? (MD. Thesis). Stockholm: University Karolinska Institutet; 2004. Göransson M. Alcohol consumption during pregnancy: how do we separate myth from reality? (MD. Thesis). Stockholm: University Karolinska Institutet; 2004.
5.
go back to reference Plant M. Alcohol in pregnancy. MIDIRS Midwifery Digest. 2000;10(4):443–7. Plant M. Alcohol in pregnancy. MIDIRS Midwifery Digest. 2000;10(4):443–7.
7.
go back to reference Stene-Larsen K, Torgersen L, Strandberg-Larsen K, Normann PT, Vollrath ME. Impact of maternal negative affectivity on light alcohol use and binge drinking during pregnancy. Acta Obstet Gynecol Scand. 2013;92(12):1388–94. doi:10.1111/aogs.12259.CrossRefPubMed Stene-Larsen K, Torgersen L, Strandberg-Larsen K, Normann PT, Vollrath ME. Impact of maternal negative affectivity on light alcohol use and binge drinking during pregnancy. Acta Obstet Gynecol Scand. 2013;92(12):1388–94. doi:10.​1111/​aogs.​12259.CrossRefPubMed
11.
go back to reference Lee BY, Park SY, Ryu HM, Shin CY, Ko KN, Han JY, Cho YH. Changes in the methylation status of DAT, SERT, and MeCP2 gene promoters in the blood cell in families exposed to alcohol during the periconceptional period. Alcohol Clin Exp Res. 2015;39(2), 239–250. doi: 10.1111/acer.12635 Lee BY, Park SY, Ryu HM, Shin CY, Ko KN, Han JY, Cho YH. Changes in the methylation status of DAT, SERT, and MeCP2 gene promoters in the blood cell in families exposed to alcohol during the periconceptional period. Alcohol Clin Exp Res. 2015;39(2), 239–250. doi: 10.​1111/​acer.​12635
12.
go back to reference Liang F, Diao L, Liu J, Jiang N, Zhang J, Wang H, Ma D. Paternal ethanol exposure and behavioral abnormities in offspring: associated alterations in imprinted gene methylation. Neuropharmacology. 2014;81:126–133. doi: 10.1016/j.neuropharm.2014.01.025 Liang F, Diao L, Liu J, Jiang N, Zhang J, Wang H, Ma D. Paternal ethanol exposure and behavioral abnormities in offspring: associated alterations in imprinted gene methylation. Neuropharmacology. 2014;81:126–133. doi: 10.​1016/​j.​neuropharm.​2014.​01.​025
13.
go back to reference Ramlau-Hansen CH, Toft G, Jensen MS, Strandberg-Larsen K, Hansen ML, Olsen J. Maternal alcohol consumption during pregnancy and semen quality in the male offspring: two decades of follow-up. Hum Reprod. 2010;25(9):2340–5. doi:10.1093/humrep/deq140.CrossRefPubMed Ramlau-Hansen CH, Toft G, Jensen MS, Strandberg-Larsen K, Hansen ML, Olsen J. Maternal alcohol consumption during pregnancy and semen quality in the male offspring: two decades of follow-up. Hum Reprod. 2010;25(9):2340–5. doi:10.​1093/​humrep/​deq140.CrossRefPubMed
14.
go back to reference Hyssälä L, Rautava P, Sillanpää M. Health behaviour of fathers of young families expecting their first baby. Scand J Soc Med. 1992;20(3):165–72.PubMed Hyssälä L, Rautava P, Sillanpää M. Health behaviour of fathers of young families expecting their first baby. Scand J Soc Med. 1992;20(3):165–72.PubMed
15.
go back to reference Waterson EJ, Evans C, Murray-Lyon IM. Is pregnancy a time of changing drinking and smoking patterns for fathers as well as mothers? An initial investigation. Br J Addict. 1990;85(3):389–96.CrossRefPubMed Waterson EJ, Evans C, Murray-Lyon IM. Is pregnancy a time of changing drinking and smoking patterns for fathers as well as mothers? An initial investigation. Br J Addict. 1990;85(3):389–96.CrossRefPubMed
17.
go back to reference May PA, Baete A, Russo J, Elliott AJ, Blankenship J, Kalberg WO, Hoyme HE. Prevalence and characteristics of fetal alcohol spectrum disorders. Pediatrics. 2014;134(5):855–866. doi: 10.1542/peds.2013-331929. May PA, Baete A, Russo J, Elliott AJ, Blankenship J, Kalberg WO, Hoyme HE. Prevalence and characteristics of fetal alcohol spectrum disorders. Pediatrics. 2014;134(5):855–866. doi: 10.​1542/​peds.​2013-331929.
19.
go back to reference Deci EL, Ryan RM. Intrinsic motivation and self-determination in human behavior. New York: Plenum; 1985.CrossRef Deci EL, Ryan RM. Intrinsic motivation and self-determination in human behavior. New York: Plenum; 1985.CrossRef
20.
go back to reference Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist. 2000;55:68–78.CrossRefPubMed Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist. 2000;55:68–78.CrossRefPubMed
21.
23.
go back to reference Bandura A. Human agency in social cognitive theory. Am Psychol. 1989;44(9):1175–84. Bandura A. Human agency in social cognitive theory. Am Psychol. 1989;44(9):1175–84.
26.
go back to reference Abela MB. Factors associated with alcohol consumption: from a developmental perspective. 2000. Doctoral Dissertation). (61(3-B). Abela MB. Factors associated with alcohol consumption: from a developmental perspective. 2000. Doctoral Dissertation). (61(3-B).
27.
go back to reference Richman JA, Rospenda KM, Kelley MA. Gender roles and alcohol abuse across the transition to parenthood. J Stud Alcohol. 1995;56(5):553–7.CrossRefPubMed Richman JA, Rospenda KM, Kelley MA. Gender roles and alcohol abuse across the transition to parenthood. J Stud Alcohol. 1995;56(5):553–7.CrossRefPubMed
30.
go back to reference Widarsson M, Engstrom G, Tyden T, Lundberg P, Hammar LM. ‘Paddling upstream’: Fathers’ involvement during pregnancy as described by expectant fathers and mothers. J Clin Nurs. 2015. doi: 10.1111/jocn.12784 Widarsson M, Engstrom G, Tyden T, Lundberg P, Hammar LM. ‘Paddling upstream’: Fathers’ involvement during pregnancy as described by expectant fathers and mothers. J Clin Nurs. 2015. doi: 10.​1111/​jocn.​12784
31.
go back to reference Bakhireva LN, Wilsnack SC, Kristjanson A, Yevtushok L, Onishenko S, Wertelecki W, Chambers CD. Paternal drinking, intimate relationship quality, and alcohol consumption in pregnant Ukrainian women. J Stud Alcohol Drugs. 2011;72(4):536–44.CrossRefPubMedPubMedCentral Bakhireva LN, Wilsnack SC, Kristjanson A, Yevtushok L, Onishenko S, Wertelecki W, Chambers CD. Paternal drinking, intimate relationship quality, and alcohol consumption in pregnant Ukrainian women. J Stud Alcohol Drugs. 2011;72(4):536–44.CrossRefPubMedPubMedCentral
37.
go back to reference Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test Arch Intern Med. 1998;158(16):1789–95.PubMed Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test Arch Intern Med. 1998;158(16):1789–95.PubMed
38.
go back to reference Saunders JB, Aasland OC, Babor TF, De la Fuente JR, Grant M. Development of the alcohol use disorders identification test. (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction. 1993;88(6):791–804.CrossRefPubMed Saunders JB, Aasland OC, Babor TF, De la Fuente JR, Grant M. Development of the alcohol use disorders identification test. (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction. 1993;88(6):791–804.CrossRefPubMed
39.
go back to reference Levola J, Aalto M. Screening for at-risk drinking in a population reporting symptoms of depression: a validation of the AUDIT, AUDIT-C, and AUDIT-3. Alcohol Clin Exp Res. 2015;39(7):1186–92. doi:10.1111/acer.12763.CrossRefPubMed Levola J, Aalto M. Screening for at-risk drinking in a population reporting symptoms of depression: a validation of the AUDIT, AUDIT-C, and AUDIT-3. Alcohol Clin Exp Res. 2015;39(7):1186–92. doi:10.​1111/​acer.​12763.CrossRefPubMed
43.
go back to reference Högberg H, Spak F, Larsson M. Dialogue between midwives and parents-to-be about alcohol, from a life cycle perspective—an intervention study. Creative Education. 2015;6:489–500. doi:10.4236/ce.2015.65049. Högberg H, Spak F, Larsson M. Dialogue between midwives and parents-to-be about alcohol, from a life cycle perspective—an intervention study. Creative Education. 2015;6:489–500. doi:10.​4236/​ce.​2015.​65049.
44.
go back to reference Crawford-Williams F, Fielder A, Mikocka-Walus A, Esterman A. A critical review of public health interventions aimed at reducing alcohol consumption and/or increasing knowledge among pregnant women. Drug Alcohol Rev. 2015;34(2):154–61. doi:10.1111/dar.12152.CrossRefPubMed Crawford-Williams F, Fielder A, Mikocka-Walus A, Esterman A. A critical review of public health interventions aimed at reducing alcohol consumption and/or increasing knowledge among pregnant women. Drug Alcohol Rev. 2015;34(2):154–61. doi:10.​1111/​dar.​12152.CrossRefPubMed
45.
go back to reference Bully P, Sanchez A, Zabaleta-Del-Olmo E, Pombo H, Grandes G. Evidence from interventions based on theoretical models for lifestyle modification (physical activity, diet, alcohol and tobacco use) in primary care settings: a systematic review. Prev Med. 2015;76S:S76–93. doi:10.1016/j.ypmed.2014.12.020.CrossRef Bully P, Sanchez A, Zabaleta-Del-Olmo E, Pombo H, Grandes G. Evidence from interventions based on theoretical models for lifestyle modification (physical activity, diet, alcohol and tobacco use) in primary care settings: a systematic review. Prev Med. 2015;76S:S76–93. doi:10.​1016/​j.​ypmed.​2014.​12.​020.CrossRef
47.
go back to reference Crawford-Williams F, Steen M, Esterman A, Fielder A, Mikocka-Walus A. “My midwife said that having a glass of red wine was actually better for the baby”: a focus group study of women and their partner’s knowledge and experiences relating to alcohol consumption in pregnancy. BMC Pregnancy Childbirth. 2015;15:79. doi:10.1186/s12884-015-0506-3.CrossRefPubMedPubMedCentral Crawford-Williams F, Steen M, Esterman A, Fielder A, Mikocka-Walus A. “My midwife said that having a glass of red wine was actually better for the baby”: a focus group study of women and their partner’s knowledge and experiences relating to alcohol consumption in pregnancy. BMC Pregnancy Childbirth. 2015;15:79. doi:10.​1186/​s12884-015-0506-3.CrossRefPubMedPubMedCentral
Metadata
Title
Alcohol consumption among partners of pregnant women in Sweden: a cross sectional study
Authors
Hjördis Högberg
Janna Skagerström
Fredrik Spak
Per Nilsen
Margareta Larsson
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3338-9

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