Skip to main content
Journal cover image

Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study.

Publication ,  Journal Article
Fletcher, OV; May, PA; Seedat, S; Sikkema, KJ; Watt, MH
Published in: Social science & medicine (1982)
October 2018

The Western Cape Province of South Africa has one of the highest rates of fetal alcohol spectrum disorder (FASD) globally. Effective prevention of FASD requires understanding women's attitudes about alcohol use during pregnancy and whether these attitudes translate into behavior.The goal of this mixed-methods study was to describe attitudes toward alcohol use during pregnancy and examine how these attitudes influence drinking behaviors during pregnancy.Over a five month period, 200 women were recruited from alcohol-serving venues in a township in Cape Town; a sub-set of 23 also completed in-depth interviews. Potential gaps between attitudes and behavior were described, and logistic regression models examined predictors of harmful attitudes toward alcohol use during pregnancy. Interviews were reviewed and coded for emergent themes.Most women (n = 176) reported at least one pregnancy. Among these, the majority (83%) had positive preventive attitudes, but more than half of these still reported alcohol use during a previous pregnancy. The strongest predictors of harmful attitudes were a history of physical or sexual abuse and drinking during a previous pregnancy. Qualitative analysis revealed several themes that contributed to alcohol use during pregnancy: 1) having an unplanned pregnancy; 2) drinking because of stress or to cope with abuse/trauma; 3) reliance on the venue for support; 4) socialization; and 5) feelings of invincibility.The findings highlight an attitude-behavior gap and suggest that positive preventive attitudes are insufficient to elicit FASD preventive behavior. Interventions are needed that go beyond education to build intrinsic motivation and structural support to refrain from alcohol use during pregnancy.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Social science & medicine (1982)

DOI

EISSN

1873-5347

ISSN

0277-9536

Publication Date

October 2018

Volume

215

Start / End Page

98 / 106

Related Subject Headings

  • South Africa
  • Risk Factors
  • Qualitative Research
  • Public Health
  • Pregnancy
  • Middle Aged
  • Interviews as Topic
  • Humans
  • Fetal Alcohol Spectrum Disorders
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Fletcher, O. V., May, P. A., Seedat, S., Sikkema, K. J., & Watt, M. H. (2018). Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study. Social Science & Medicine (1982), 215, 98–106. https://doi.org/10.1016/j.socscimed.2018.09.008
Fletcher, Olivia V., Philip A. May, Soraya Seedat, Kathleen J. Sikkema, and Melissa H. Watt. “Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study.Social Science & Medicine (1982) 215 (October 2018): 98–106. https://doi.org/10.1016/j.socscimed.2018.09.008.
Fletcher OV, May PA, Seedat S, Sikkema KJ, Watt MH. Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study. Social science & medicine (1982). 2018 Oct;215:98–106.
Fletcher, Olivia V., et al. “Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study.Social Science & Medicine (1982), vol. 215, Oct. 2018, pp. 98–106. Epmc, doi:10.1016/j.socscimed.2018.09.008.
Fletcher OV, May PA, Seedat S, Sikkema KJ, Watt MH. Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study. Social science & medicine (1982). 2018 Oct;215:98–106.
Journal cover image

Published In

Social science & medicine (1982)

DOI

EISSN

1873-5347

ISSN

0277-9536

Publication Date

October 2018

Volume

215

Start / End Page

98 / 106

Related Subject Headings

  • South Africa
  • Risk Factors
  • Qualitative Research
  • Public Health
  • Pregnancy
  • Middle Aged
  • Interviews as Topic
  • Humans
  • Fetal Alcohol Spectrum Disorders
  • Female