The 130th Annual Meeting of APHA

3284.0: Monday, November 11, 2002 - Board 6

Abstract #47787

In-depth analysis of knowledge and attitudes of women who drink during pregnancy: Implications for intervention

Jane A. Witbrodt, MPH, Alcohol Research Group, 2000 Hearst Ave. Ste. 300, Berkeley, CA 94709, (510) 642-5208,

We recruited and followed a sample of urban African American and Native American women throughout pregnancy, to study the relationship between drinking during pregnancy and exposure to health warning messages about drinking during pregnancy. Many women were heavy drinkers in the year before pregnancy: A third of the African American drinkers drank daily and 43% of the Native American drinkers binged (5+) weekly. They also drank stronger beverages such as malt liquor and fortified wine (which accounted for 30% of pre-pregnancy consumption among African American drinkers and 15% among Native American drinkers), and consumed them in larger-than-standard drink sizes (median malt liquor drink among daily drinkers was almost three times as large as the standard, fortified wine four times the standard). Although most women quit drinking entirely or reduced their drinking to less than a drink a month, 4 women were still drinking at risk levels during their third trimester. This paper profiles these women in-depth, in terms of knowledge of the risk, exposure to and belief in health warning messages, and the extent of intervention from providers and others. Beverage preference and drink size are considered. Parity, prior pregnancy drinker, and other known predictors of risk are examined. In light of their knowledge and attitudes about drinking during pregnancy, as well as their level of consumption during pregnancy, we present practical recommendations regarding how to best intervene to reduce fetal caused by heavy alcohol consumption.

Learning Objectives: Attendees will