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

Publication ,  Journal Article
Watt, MH; Knettel, BA; Choi, KW; Knippler, ET; May, PA; Seedat, S
Published in: Journal of studies on alcohol and drugs
September 2017

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.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.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.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.

Duke Scholars

Published In

Journal of studies on alcohol and drugs

DOI

EISSN

1938-4114

ISSN

1937-1888

Publication Date

September 2017

Volume

78

Issue

5

Start / End Page

795 / 800

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Substance Abuse
  • South Africa
  • Sexual Behavior
  • Risk Factors
  • Pregnancy
  • Humans
  • Fetal Alcohol Spectrum Disorders
  • Female
 

Citation

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ICMJE
MLA
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Watt, M. H., Knettel, B. A., Choi, K. W., Knippler, E. T., May, P. A., & Seedat, S. (2017). Risk for Alcohol-Exposed Pregnancies Among Women at Drinking Venues in Cape Town, South Africa. Journal of Studies on Alcohol and Drugs, 78(5), 795–800. https://doi.org/10.15288/jsad.2017.78.795
Watt, Melissa H., Brandon A. Knettel, Karmel W. Choi, Elizabeth T. Knippler, Philip A. May, and Soraya Seedat. “Risk for Alcohol-Exposed Pregnancies Among Women at Drinking Venues in Cape Town, South Africa.Journal of Studies on Alcohol and Drugs 78, no. 5 (September 2017): 795–800. https://doi.org/10.15288/jsad.2017.78.795.
Watt MH, Knettel BA, Choi KW, Knippler ET, May PA, Seedat S. Risk for Alcohol-Exposed Pregnancies Among Women at Drinking Venues in Cape Town, South Africa. Journal of studies on alcohol and drugs. 2017 Sep;78(5):795–800.
Watt, Melissa H., et al. “Risk for Alcohol-Exposed Pregnancies Among Women at Drinking Venues in Cape Town, South Africa.Journal of Studies on Alcohol and Drugs, vol. 78, no. 5, Sept. 2017, pp. 795–800. Epmc, doi:10.15288/jsad.2017.78.795.
Watt MH, Knettel BA, Choi KW, Knippler ET, May PA, Seedat S. Risk for Alcohol-Exposed Pregnancies Among Women at Drinking Venues in Cape Town, South Africa. Journal of studies on alcohol and drugs. 2017 Sep;78(5):795–800.

Published In

Journal of studies on alcohol and drugs

DOI

EISSN

1938-4114

ISSN

1937-1888

Publication Date

September 2017

Volume

78

Issue

5

Start / End Page

795 / 800

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Substance Abuse
  • South Africa
  • Sexual Behavior
  • Risk Factors
  • Pregnancy
  • Humans
  • Fetal Alcohol Spectrum Disorders
  • Female