Top

Gepubliceerd in:

01-10-2009

Toward prevention of alcohol exposed pregnancies: characteristics that relate to ineffective contraception and risky drinking

Auteurs: Stefania Fabbri, Leah V. Farrell, J. Kim Penberthy, Sherry Dyche Ceperich, Karen S. Ingersoll

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2009

Abstract

Alcohol-exposed pregnancy is a leading cause of preventable birth defects in the United States. This paper describes the motivational patterns that relate to risky drinking and ineffective contraception, two behaviors that can result in alcohol-exposed pregnancy. As part of an intervention study aimed at reducing alcohol-exposed pregnancy 124 women were recruited and reported demographic characteristics, readiness to change, stages of change, drinking, contraception, and sexual behavior history. Our results showed the following. Drinking: A significant positive correlation was found between the number of drinks consumed in 90 days and the Importance to reduce drinking (r = .23, p = .008). A significant negative correlation between number of drinks and confidence to reduce drinking (r = −.39, p = .000) was found as well. Significant differences were found in the total number of drinks consumed in 90 days between the five stages of change (F = (4,118), 3.12, p = .01). Women in Preparation reported drinking a significantly higher number of drinks than women in other stages of change. Contraception: There were significant negative correlations between ineffective contraception and Importance (r = −.38, p = .00), confidence (r = −.20, p = .02) and Readiness (r = −.43, p = .00) to use contraception effectively. Significant differences in contraception ineffectiveness were found for women in different stages of change (F = (4,115) 8.58, p = .000). Women in Precontemplation reported significantly higher levels of contraception ineffectiveness compared to women in other stages of change. Results show a clear relationship between higher alcohol consumption and higher levels of motivation to reduce drinking. In contrast, higher levels of ineffective contraception were related to lower levels of motivation to use contraception effectively. This suggests risky drinking may be better targeted with brief skills building interventions and ineffective contraception may require interventions that enhance problem awareness and motivation.

vorige artikel Motivation for blood donation among African Americans: developing measures for stage of change, decisional balance, and self-efficacy constructs

volgende artikel The structure of dyadic support among couples with and without long-term disability

Adamson, S. J., Sellman, J. D., & Frampton, C. M. (2008). Patient predictors of alcohol treatment outcome: A systematic review. in press: Journal of Substance Abuse Treatment.

Apostolopoulos, Y., Sonmez, S., & Yu, C. H. (2002). HIV-risk behaviors of American spring break vacationers: A case of situational disinhibition? International Journal of STD and AIDS, 13(11), 733–743. doi:10.1258/095646202320753673.PubMedCrossRef

Basen-Engquist, K., & Parcel, G. S. (1992). Attitudes, norms, and self-efficacy: A model of adolescents’ HIV-related sexual risk behavior. Health Education Quarterly, 19(2), 263–277.PubMed

Biener, L., & Abrams, D. B. (1991). The contemplation ladder: Validation of a measure of readiness to consider smoking cessation. Health Psychology, 10(5), 360–365. doi:10.1037/0278-6133.10.5.360.PubMedCrossRef

Blumenthal, R. N., Gogineni, A., Longshore, D., & Stein, M. (2001). Factors associated with readiness to change drug use among needle exchange users. Drug and Alcohol Dependence, 62, 225–230. doi:10.1016/S0376-8716(00)00174-5.CrossRef

Boldero, J., Moore, S., & Rosenthal, D. (1992). Intention, context, and safe sex: Australian adolescents’ response to AIDS. Journal of Applied Social Psychology, 22, 1374–1396. doi:10.1111/j.1559-1816.1992.tb00955.x.CrossRef

Brown, S. S., & Eisenberg, L. (1995). From the institute of medicine. Journal of the American Medical Association, 274(17), 1332. doi:10.1001/jama.274.17.1332.PubMedCrossRef

Caldwell, P. (2002). Drinking levels, related problems, and readiness to change in a college sample. Alcoholism Treatment Quarterly, 20(2), 1–15. doi:10.1300/J020v20n02_01.CrossRef

Carey, K. B., Carey, M. P., Maisto, S. A., & Purnine, D. M. (2002). The feasibility of enhancing psychiatric outpatients’ readiness to change their substance use. Psychiatric Services (Washington, D.C.), 53, 602–608. doi:10.1176/appi.ps.53.5.602.

Chambers, K. B., & Rew, L. (2003). Safer sexual decision making in adolescent women: Perspectives from the conflict theory of decision-making. Issues in Comprehensive Pediatric Nursing, 26(3), 129–143. doi:10.1080/01460860390223853.PubMedCrossRef

Civic, D. (2000). College students’ reasons for nonuse of condoms within dating relationships. Journal of Sex and Marital Therapy, 26(1), 95–105. doi:10.1080/009262300278678.PubMedCrossRef

de Visser, R. O., & Smith, A. M. A. (2001). Inconsistent users of condoms: A challenge to traditional models of health behavior. Psychology Health and Medicine, 6, 41–46. doi:10.1080/13548500020021900.CrossRef

Ebrahim, S. H., Diekman, S. T., Floyd, R. L., & Decoufle, P. (1999). Comparison of binge drinking among pregnant and non-pregnant women, United States, 1991–1995. American Journal of Obstetrics and Gynecology, 180((1 Pt 1)), 7. doi:10.1016/S0002-9378(99)70139-0.

Ebrahim, S. H., Luman, E. T., Floyd, R. L., Murphy, C. C., Bennett, E. M., & Boyle, C. A. (1998). Alcohol consumption by pregnant women in the United States during 1988–1995. Obstetrics and Gynecology, 92(2), 187–192. doi:10.1016/S0029-7844(98)00205-1.PubMedCrossRef

Floyd, R. L., Decoufle, P., & Hungerford, D. W. (1999a). Alcohol use prior to pregnancy recognition. American Journal of Preventive Medicine, 17(2), 101–107. doi:10.1016/S0749-3797(99)00059-8.PubMedCrossRef

Floyd, R. L., Ebrahim, S. H., Boyle, C. A., & Gould, D. W. (1999b). Observations from the CDC. Preventing alcohol-exposed pregnancies among women of childbearing age: The necessity of a pre conceptional approach. Journal of Women’s Health & Gender-Based Medicine, 8(6), 733–736. doi:10.1089/152460999319048.CrossRef

Floyd, R. L., Sobell, M., Velasquez, M. M., Ingersoll, K., Nettleman, M., Sobell, L., et al. (2007). Preventing alcohol-exposed pregnancies: A randomized controlled trial. American Journal of Preventive Medicine, 32(1), 1–10. doi:10.1016/j.amepre.2006.08.028.PubMedCrossRef

Heinrich, L. B. (1993). Contraceptive self-efficacy in college women. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 14(4), 269–276.

Henshaw, S. K. (1998). Unintended pregnancy in the United States. Family Planning Perspectives, 30(1), 24–29. 46.PubMedCrossRef

Ingersoll, K. S., Ceperich, S. D., Nettleman, M. D., & Johnson, B. A. (2008). Risk drinking and contraception effectiveness among college women. Psychology & Health, 23(8), 965–981. doi:10.1080/08870440701596569.CrossRef

Ingersoll, K. S., Ceperich, S. D., Nettleman, M. D., Karanda, K., Brocksen, S., & Johnson, B. A. (2005). Reducing alcohol-exposed pregnancy risk in college women: Initial outcomes of a clinical trial of a motivational intervention. Journal of Substance Abuse Treatment, 29(3), 173–180. doi:10.1016/j.jsat.2005.06.003.PubMedCrossRef

Jacobson, J. L., & Jacobson, S. W. (1994). Prenatal alcohol exposure and neurobehavioral development: Where is the threshold? Alcohol Health and Research World, 18, 30–36.

Jones, K. L., & Smith, D. W. (1973). Recognition of the fetal alcohol syndrome in early infancy. Lancet, 2(7836), 999–1001. doi:10.1016/S0140-6736(73)91092-1.CrossRef

LaBrie, J. W., Earleywine, M., Schiffman, J. E., Pedersen, E. R., & Marriot, C. (2005a). Effects of alcohol, expectancies and partner type of condom use in college males: Event-level analyses. Journal of Sex Research, 42(3), 259–266.CrossRefPubMed

LaBrie, J. W., Quinlan, T., Schiffman, J. E., & Earleywine, M. E. (2005b). Performance of alcohol and safer sex change rulers compared with readiness to change questionnaires. Psychology of Addictive Behaviors, 19(1), 112–115. doi:10.1037/0893-164X.19.1.112.PubMedCrossRef

Lundsberg, L. S., Bracken, M. B., & Saftlas, A. F. (1997). Low-to-moderate gestational alcohol use and intrauterine growth retardation, low birth weight, and preterm delivery. Annals of Epidemiology, 7(7), 498–508. doi:10.1016/S1047-2797(97)00081-1.PubMedCrossRef

Manwell, L. B., Fleming, M. F., Mundt, M. P., Stauffacher, E. A., & Barry, K. L. (2000). Treatment of problem alcohol use in women of childbearing age: Results of a brief intervention trial. Alcoholism, Clinical and Experimental Research, 24(10), 1517–1524. doi:10.1111/j.1530-0277.2000.tb04570.x.PubMedCrossRef

Mattson, S. N., Riley, E. P., Gramling, L., Delis, D. C., & Jones, K. L. (1997). Heavy prenatal alcohol exposure with or without physical features of fetal alcohol syndrome leads to IQ deficits. The Journal of Pediatrics, 131(5), 718–721. doi:10.1016/S0022-3476(97)70099-4.PubMedCrossRef

May, P. A., & Gossage, J. P. (2001). Estimating the prevalence of fetal alcohol syndrome. A summary. Alcohol Research & Health, 25(3), 159–167.

Midakin, L. (1982). The validity of self reported alcohol consumption and alcohol problems: A literature review. British Journal of Addiction, 77, 357–382. doi:10.1111/j.1360-0443.1982.tb02469.x.CrossRef

National Institute on Alcohol Abuse and Alcoholism. (2005). A pocket guide for alcohol screening and brief intervention. http://www.afcrossroads.com/websites/corc_docs/SG_Toolkit/Bucket3/2005_NIAAA_pocket_guide.pdf.

Nayak, M. B., & Kaskutas, L. A. (2004). Risky drinking and alcohol use patterns in a national sample of women of childbearing age. Addiction (Abingdon, England), 99(11), 1393–1402. doi:10.1111/j.1360-0443.2004.00840.x.

Poikolainen, K., Podkletnova, I., & Alho, H. (2002). Accuracy of quantity-frequency and graduated frequency questionnaires in measuring alcohol intake: Comparison with daily diary and commonly used laboratory markers. Alcohol and Alcoholism (Oxford, Oxfordshire), 37(6), 573–576. doi:10.1093/alcalc/37.6.573.CrossRef

Prince, A., & Bernard, A. L. (1998). Sexual behaviors and safer sex practices of college students on a commuter campus. Journal of American College Health, 47(1), 11–21.PubMed

Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy Therapy Research Practice Training, 19, 276–288.CrossRef

Project CHOICES Research Group. (2002). Alcohol-exposed pregnancy. Characteristics associated with risk. American Journal of Preventive Medicine, 23(3), 166–173. doi:10.1016/S0749-3797(02)00495-6.CrossRef

Rollnick, S. (1998). Readiness, importance and confidence. Critical conditions of change in treatment. In W. R. Miller & N. Heather (Eds.), Treating addictive behaviors (2nd ed., pp. 49–60). New York: Plenum Press.

Shaw, G. M., & Lammer, E. J. (1999). Maternal peri conceptional alcohol consumption and risk for orofacial clefts. The Journal of Pediatrics, 134(3), 298–303. doi:10.1016/S0022-3476(99)70453-1.PubMedCrossRef

Shealy, A. E., Murphy, J. G., Borsari, B., & Correia, C. J. (2007). Predictors of motivation to change alcohol use among referred college students. Addictive Behaviors, 32(10), 2358–2364. doi:10.1016/j.addbeh.2007.02.003.PubMedCrossRef

Sobell, L. C., & Sobell, M. B. (1992). Timeline follow back: A technique for assessing seft-reported alcohol consumption. In R. Z. Litten & J. P. Allen (Eds.), Measuring alcohol consumption: Psychosocial and biological methods (pp. 41–72). Totowa, NJ: Humana Press.

Sobell, L. C., & Sobell, M. B. (2003). Alcohol consumption measures (2nd ed.). Rockville MD: National Institute on Alcohol Abuse and Alcoholism.

Sokol, R. J., Delaney-Black, V., & Nordstrom, B. (2003). Fetal alcohol spectrum disorder. Journal of the American Medical Association, 290(22), 2996–2999. doi:10.1001/jama.290.22.2996.PubMedCrossRef

Sood, B., Delaney-Black, V., Covington, C., Nordstrom-Klee, B., Ager, J., Templin, T., et al. (2001). Prenatal alcohol exposure and childhood behavior at age 6 to 7 years: I. dose-response effect. Pediatrics, 108(2), E34. doi:10.1542/peds.108.2.e34.PubMedCrossRef

Stratton, K., Howe, C., & Battaglia, F. (1996). Fetal alcohol syndrome: Diagnosis, epidemiology, prevention and treatment. Washington, DC: National Academy Press.

Trussell, J., & Vaughan, B. (1999). Contraceptive failure, method-related discontinuation and resumption of use: Results from the 1995 national survey of family growth. Family Planning Perspectives, 31(2), 64–72, 93. doi:10.2307/2991641.

Tsai, J., Floyd, R. L., & Bertrand, J. (2007a). Tracking binge drinking among US childbearing-age women. Preventive Medicine, 44(4), 298–302. doi:10.1016/j.ypmed.2006.10.002.PubMedCrossRef

Tsai, J., Floyd, R. L., Green, P. P., & Boyle, C. A. (2007b). Patterns and average volume of alcohol use among women of childbearing age. Maternal and Child Health Journal, 11(5), 437–445. doi:10.1007/s10995-007-0185-4.PubMedCrossRef

US Department of Health, Human Services. (2000). Healthy people 2010. Washington, DC: US Government Printing Office.

Titel: Toward prevention of alcohol exposed pregnancies: characteristics that relate to ineffective contraception and risky drinking
Auteurs: Stefania Fabbri
Leah V. Farrell
J. Kim Penberthy
Sherry Dyche Ceperich
Karen S. Ingersoll
Publicatiedatum: 01-10-2009
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 5/2009
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-009-9215-6

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 5/2009

Skin cancer-related prevention and screening behaviors: a review of the literature

Functional impairment and health care utilization among HIV-infected men who have sex with men: the relationship with depression and post-traumatic stress

The structure of dyadic support among couples with and without long-term disability

Using community-based participatory research to identify potential interventions to overcome barriers to adolescents’ healthy eating and physical activity

The relationship between neuropsychological functioning and HAART adherence in HIV-positive adults: a systematic review

The association among depressive symptoms, smoking status and antidepressant use in cardiac outpatients