Risk for Alcohol-Exposed Pregnancies Among Women at Drinking Venues in Cape Town, South Africa.


Journal Article

OBJECTIVE:South Africa's Western Cape Province has one of the highest rates of fetal alcohol spectrum disorder globally. Alcohol-serving venues are likely important sites to identify women at high risk of having a child with fetal alcohol spectrum disorder. The goal of this study was to examine the risk for alcohol-exposed pregnancies among women who drink in alcohol-serving venues. METHOD:Cross-sectional surveys were conducted with 200 women of reproductive age at seven drinking venues in a single Cape Town community. Surveys assessed sexual behavior, contraceptive use, and drinking behavior (both current and during previous pregnancies). Women were defined as being at risk for alcohol-exposed pregnancy if they were currently drinking, sexually active in the previous 60 days, and not consistently using modern contraceptives. RESULTS:Almost all participants (95.5%) met criteria for hazardous drinking. In total, 20.3% of the 152 sexually active women were identified as at risk for alcohol-exposed pregnancy, and 2 women were currently pregnant and drinking. A majority of sexually active participants (79.6%) reported consistent use of a modern contraceptive. Most contraceptives (66.1%) were short-acting methods such as injectables. Of the 176 participants who reported previous pregnancies, 64.8% said they drank alcohol during a previous pregnancy and 51.1% met criteria for hazardous drinking during that pregnancy. CONCLUSIONS:Given the high rates of alcohol consumption during pregnancy, alcohol-serving venues should be targeted for fetal alcohol spectrum disorder prevention interventions. Efforts should be made to increase uptake of long-acting contraceptives among women who do not wish to get pregnant and to promote alcohol cessation among women with pregnancy intentions.

Full Text

Duke Authors

Cited Authors

  • Watt, MH; Knettel, BA; Choi, KW; Knippler, ET; May, PA; Seedat, S

Published Date

  • September 2017

Published In

Volume / Issue

  • 78 / 5

Start / End Page

  • 795 - 800

PubMed ID

  • 28930068

Pubmed Central ID

  • 28930068

Electronic International Standard Serial Number (EISSN)

  • 1938-4114

International Standard Serial Number (ISSN)

  • 1937-1888

Digital Object Identifier (DOI)

  • 10.15288/jsad.2017.78.795


  • eng