Alcohol use during pregnancy in Rakai, Uganda.

<h4>Introduction</h4>Antenatal alcohol use is linked to adverse maternal and neonatal outcomes. Uganda has one of the highest rates of alcohol use in sub-Saharan Africa, but the prevalence of antenatal alcohol use has not been reported in the Rakai region.<h4>Methods</h4>We u...

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Autores principales:	Adriane Wynn, Dorean Nabukalu, Tom Lutalo, Maria Wawer, Larry W Chang, Susan M Kiene, David M Serwadda, Nelson Sewankambo, Fred Nalugoda, Godfrey Kigozi, Jennifer A Wagman
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0f10b505b6f345e28e7bb4d90f57db23
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spelling	oai:doaj.org-article:0f10b505b6f345e28e7bb4d90f57db232021-12-02T20:19:29ZAlcohol use during pregnancy in Rakai, Uganda.1932-620310.1371/journal.pone.0256434https://doaj.org/article/0f10b505b6f345e28e7bb4d90f57db232021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256434https://doaj.org/toc/1932-6203<h4>Introduction</h4>Antenatal alcohol use is linked to adverse maternal and neonatal outcomes. Uganda has one of the highest rates of alcohol use in sub-Saharan Africa, but the prevalence of antenatal alcohol use has not been reported in the Rakai region.<h4>Methods</h4>We used cross-sectional data from pregnant women in the Rakai Community Cohort Study between March 2017 and September 2018. Using bivariate and multivariable analyses, we assessed associations between self-reported antenatal alcohol use and sociodemographic characteristics, intimate partner violence (IPV), and HIV status.<h4>Results</h4>Among 960 pregnant women, the median age was 26 years, 35% experienced IPV in the past 12 months, 13% were living with HIV, and 33% reported alcohol use during their current pregnancy. After adjusting for marital status, education, smoking, and HIV status; Catholic religion (AOR: 3.54; 95% CI: 1.89-6.64; compared to other), bar/restaurant work (AOR: 2.40; 95% CI: 1.17-4.92; compared to agriculture), >one sex partner in past year (AOR: 1.92; 95% CI: 1.17-3.16), a partner that drank before sex in past year (AOR: 2.01; 95% CI: 1.48-2.74), and past year IPV (AOR: 1.55; 95% CI: 1.14-2.11) were associated with antenatal alcohol use.<h4>Conclusion</h4>We found that alcohol use during pregnancy was common and associated with religion, occupation, higher numbers of past year sex partners, having a partner who drank before sex in the past 12 months, and IPV experience. More research is needed to understand the quantity, frequency, and timing of antenatal alcohol use; and potential impacts on neonates; and to identify services that are acceptable and effective among pregnant women.Adriane WynnDorean NabukaluTom LutaloMaria WawerLarry W ChangSusan M KieneDavid M SerwaddaNelson SewankamboFred NalugodaGodfrey KigoziJennifer A WagmanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0256434 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Adriane Wynn Dorean Nabukalu Tom Lutalo Maria Wawer Larry W Chang Susan M Kiene David M Serwadda Nelson Sewankambo Fred Nalugoda Godfrey Kigozi Jennifer A Wagman Alcohol use during pregnancy in Rakai, Uganda.
description	<h4>Introduction</h4>Antenatal alcohol use is linked to adverse maternal and neonatal outcomes. Uganda has one of the highest rates of alcohol use in sub-Saharan Africa, but the prevalence of antenatal alcohol use has not been reported in the Rakai region.<h4>Methods</h4>We used cross-sectional data from pregnant women in the Rakai Community Cohort Study between March 2017 and September 2018. Using bivariate and multivariable analyses, we assessed associations between self-reported antenatal alcohol use and sociodemographic characteristics, intimate partner violence (IPV), and HIV status.<h4>Results</h4>Among 960 pregnant women, the median age was 26 years, 35% experienced IPV in the past 12 months, 13% were living with HIV, and 33% reported alcohol use during their current pregnancy. After adjusting for marital status, education, smoking, and HIV status; Catholic religion (AOR: 3.54; 95% CI: 1.89-6.64; compared to other), bar/restaurant work (AOR: 2.40; 95% CI: 1.17-4.92; compared to agriculture), >one sex partner in past year (AOR: 1.92; 95% CI: 1.17-3.16), a partner that drank before sex in past year (AOR: 2.01; 95% CI: 1.48-2.74), and past year IPV (AOR: 1.55; 95% CI: 1.14-2.11) were associated with antenatal alcohol use.<h4>Conclusion</h4>We found that alcohol use during pregnancy was common and associated with religion, occupation, higher numbers of past year sex partners, having a partner who drank before sex in the past 12 months, and IPV experience. More research is needed to understand the quantity, frequency, and timing of antenatal alcohol use; and potential impacts on neonates; and to identify services that are acceptable and effective among pregnant women.
format	article
author	Adriane Wynn Dorean Nabukalu Tom Lutalo Maria Wawer Larry W Chang Susan M Kiene David M Serwadda Nelson Sewankambo Fred Nalugoda Godfrey Kigozi Jennifer A Wagman
author_facet	Adriane Wynn Dorean Nabukalu Tom Lutalo Maria Wawer Larry W Chang Susan M Kiene David M Serwadda Nelson Sewankambo Fred Nalugoda Godfrey Kigozi Jennifer A Wagman
author_sort	Adriane Wynn
title	Alcohol use during pregnancy in Rakai, Uganda.
title_short	Alcohol use during pregnancy in Rakai, Uganda.
title_full	Alcohol use during pregnancy in Rakai, Uganda.
title_fullStr	Alcohol use during pregnancy in Rakai, Uganda.
title_full_unstemmed	Alcohol use during pregnancy in Rakai, Uganda.
title_sort	alcohol use during pregnancy in rakai, uganda.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/0f10b505b6f345e28e7bb4d90f57db23
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Alcohol use during pregnancy in Rakai, Uganda.

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