Abstract
While much attention has been paid to women’s drinking during pregnancy, few studies address a woman’s drinking once she has given birth, which presents potential dangers to herself and her child. This time of transition can be extremely stressful, potentially leading to problem drinking. On the other hand, this new role and change in lifestyle may be protective against alcohol use and abuse. We used the California Women’s Health Survey (CWHS), a randomized sample of adult women in California, to compare new mothers’ drinking behaviors to other women. In order to obtain a large enough sample to observe trends in subpopulations, we combined CWHS data from years 1997–2008 (n = 28,537 women aged 18–48). We used logistic regression to determine the individual-level characteristics that best predicted the outcomes postpartum and to compare new mothers (those with a child in the household <1 year and pregnant in the last 5 years) to other women for any alcohol use, heavy episodic drinking and number of days of alcohol use. New mothers were significantly less likely to engage in all behavior outcomes after adjustment for race/ethnicity, income, employment, education, age, and marital status, though new mothers who are not married and those in higher income brackets were identified as groups at higher risk of drinking. Although new motherhood could prove to be a risk factor for some women, we found that being a new mother is protective against all measures of drinking.
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Jester, J. M., Jacobson, S. W., Sokol, R. J., Tuttle, B. S., & Jacobson, J. L. (2000). The influence of maternal drinking and drug use on the quality of the home environment of school-aged children. Alcoholism: Clinical and Experimental Research, 24(8), 1187–1197.
Miller, B. A., Smyth, N. J., & Mudar, P. J. (1999). Mothers’ alcohol and other drug problems and their punitiveness toward their children. Journal of Studies on Alcohol, 60(5), 632–642.
Olsen, L. J., Allen, D., & Azzi-Lessing, L. (1996). Assessing risk in families affected by substance abuse. Child Abuse and Neglect, 20(9), 833–842.
Lupton, D. (2000). ‘A love/hate relationship’: The ideals and experiences of first-time mothers. Journal of Sociology, 36(1), 50–63.
Weaver, J. J., & Ussher, J. M. (1997). How motherhood changes life a discourse analytic study with mothers of young children. Journal of Reproductive and Infant Psychology, 15(1), 51–68.
McVeigh, C. (1997). Motherhood experiences from the perspective of first-time mothers. Clinical Nursing Research, 6(4), 335–348.
Dew, J., & Wilcox, W. B. (2011). If Momma ain’t happy: Explaining declines in marital satisfaction among new mothers. Journal of Marriage and Family, 73(1), 1–12.
Cole, G., Tucker, L., & Friedman, G. M. (1990). Relationships among measures of alcohol drinking behavior, life-events and perceived stress. Psychological Reports, 67, 587–591.
Dawson, D. A., Grant, B. F., & Ruan, W. J. (2005). The association between stress and drinking: Modifying effects of gender and vulnerability. Alcohol, 40(5), 453–460.
Day, K., Gough, B., & McFadden, M. (2004). Warning! Alcohol can seriously damage your feminine health. Feminist Media Studies, 4(2), 165–183.
Cho, Y., & Crittenden, K. (2006). The Impact of adult roles on drinking among women in the United States. Substance Use and Misuse, 41, 17–34.
Chilcoat, H. D., & Breslau, N. (1996). Alcohol disorders in young adulthood: Effects of transitions into adult roles. Journal of Health and Social Behavior, 37(4), 339–349.
Kreager, D. A., Matsueda, R. L., & Erosheva, E. A. (2010). Motherhood and criminal desistance in disadvantaged neighborhoods. Criminology, 48(1), 221–258.
Jagodzinski, T., & Fleming, M. (2007). Correlates of postpartum alcohol use. Wisconsin Medical Journal, 106(6), 319–325.
McLeod, D. (2002). Factors influencing alcohol consumption during pregnancy and after giving birth. The New Zealand Medical Journal, 115, 1157.
Muhuri, P., & Gfroerer, J. (2009). Substance use among women: Associations with pregnancy, parenting, and race/ethnicity. Maternal and Child Health Journal, 13(3), 376–385.
Substance Abuse and Mental Health Services Administration, Office of Applied Studies. (May 21, 2009). The NSDUH report: Substance use among women during pregnancy and following childbirth. Rockville, MD.
Giglia, R., & Binns, C. (2006). Alcohol and lactation: A systematic review. Nutrition & Dietetics, 63(2), 103–116.
Parikh-Patel, A., Davis, B., & Bellow, A. (2009). California Women’s Health Survey SAS dataset documentation and technical report: 1997–2008. Sacramento, CA: Survey Research Group, California Department of Health Services.
Induni, M., & Hoegh, H. (2006). California Women’s Health Survey methods. In Z. Weinbaum & T. Thorfinnson (Eds.), Women’s health: Findings from the California Women’s Health Survey, 1997–2003. Sacramento, CA: Office of Women’s Health, California Department of Health Services.
Jagodzinski, T., & Fleming, M. (2007). Postpartum and alcohol-related factors associated with the relapse of risky drinking. Journal of Studies on Alcohol and Drugs, 68, 879–885.
Wilsnack, R. W., Vogeltanz, N. D., Wilsnack, S. C., Harris, T. R., Ahlstrom, S., Bondy, S., et al. (2000). Gender differences in alcohol consumption and adverse drinking consequences: Cross-cultural. Addiction, 95(2), 251–265.
Plant, M. L. (2008). The role of alcohol in women’s lives: A review of issues and responses. Journal of Substance Use, 13(3), 155–191.
Szmigin, I., Griffin, C., Mistral, W., Bengry-Howell, A., Weale, L., & Hackley, C. (2008). Re-framing ‘binge drinking’ as calculated hedonism: Empirical evidence from the UK. International Journal of Drug Policy, 19(5), 359–366.
Lyons, A., & Willott, S. (2008). Alcohol consumption, gender identities and women’s changing social positions. Sex Roles, 59(9), 694–712.
Killingsworth, B. (2006). ‘Drinking stories’ from a playgroup: Alcohol in the lives of middle-class mothers in Australia. Ethnography, 7(3), 357–384.
Hunt, G., Joe-Laidler, K., & MacKenzie, K. (2005). Moving into motherhood: Gang girls and controlled risk. Youth Society, 36(3), 333–373.
Tsai, J., Floyd, R., Green, P., & Boyle, C. (2007). Patterns and average volume of alcohol use among women of childbearing age. Maternal and Child Health Journal, 11(5), 437–445.
Breslow, R. A., Falk, D. E., Fein, S. B., & Grummer-Strawn, L. M. (2007). Alcohol consumption among breastfeeding women. Breastfeeding Medicine, 2(3), 152–157.
Little, R. E., Lambert, M. D., & Worthington-Roberts, B. (1990). Drinking and smoking at 3 months postpartum by lactation history. Paediatric and Perinatal Epidemiology, 4(3), 290–302.
Acknowledgments
Data for these analyses were provided by The California Women’s Health Survey (CWHS) Group. The CWHS is coordinated by the California Department of Public Health in collaboration with the California Department of Mental Health, the California Department of Alcohol and Drug Programs, CMRI, the California Department of Social Services, the California Office of Women’s Health and the Survey Research Group of the Public Health Institute. Questionnaire development and funding for the survey were provided by collaborating programs. Analyses, findings and conclusions described in this report are not necessarily endorsed by the CWHS Group. The manuscript was prepared with the support of the “Prevention Science Research Training Program Grant” T32 AA014125, 2004–2009, Genevieve Ames, PI, from NIAAA. The authors would also like to thank Michael Duke for his valuable comments on this paper.
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Laborde, N.D., Mair, C. Alcohol Use Patterns Among Postpartum Women. Matern Child Health J 16, 1810–1819 (2012). https://doi.org/10.1007/s10995-011-0925-3
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DOI: https://doi.org/10.1007/s10995-011-0925-3