259730 Binge drinking by women in the preconception period, California, 2010

Wednesday, October 31, 2012 : 9:10 AM - 9:30 AM

Maria A.L. Jocson, MD, MPH , Maternal, Child and Adolescent Health Division, California Department of Public Health, Sacramento, CA
Jennifer L. Troyan, MPH , Maternal, Child and Adolescent Health Division, California Department of Public Health, Sacramento, CA
Kathryn R. Martin, MPH, PhD , Maternal, Child and Adolescent Health Division, California Department of Public Health, Sacramento, CA
Archana R. Minnal, MPH , Maternal, Child and Adolescent Health Division, California Department of Public Health, Sacramento, CA
Michael P. Curtis, PhD , Maternal, Child and Adolescent Health Division, California Department of Public Health, Sacramento, CA
  
  
Background: Preconception binge drinking has been associated with adverse birth outcomes including Fetal Alcohol Spectrum Disorders. This is especially concerning because nearly half of all pregnancies are unintended, and many women continue to drink before they know they are pregnant. Binge drinking in the preconception period has not been well described previously among California women.

Methods: Self-reported binge drinking (defined as ≥4 drinks on one occasion) during the three months before pregnancy (preconception period) and demographic data were derived from the 2010 Maternal and Infant Health Assessment, an annual population-based survey of women with a recent live birth in California (n=6,817). The prevalence of preconception binge drinking and crude and adjusted odds ratios (AOR) were calculated.

Results: In 2010, 15.0% (95% CI=13.5-16.5) of women with a recent live birth reported preconception binge drinking. Predictors of preconception binge drinking included nulliparity (AOR=1.72, 95% CI=1.30-2.28), single/never married (AOR=2.11, 95% CI=1.41-3.15), and cigarette smoking (AOR=3.38, 95% CI=2.47-4.61). Other predictors included having income >200% of Federal Poverty Guidelines, at least some college education, and age 20-29 years. Compared to non-Hispanic Whites, non-Hispanic Blacks, foreign-born Hispanics and foreign-born Asian/Pacific Islanders were significantly less likely to binge drink before pregnancy, after adjusting for other socio-demographic factors. Conclusion: Clinicians and public health professionals should provide preconception health counseling on the harmful effects of any alcohol consumption to women of reproductive age. Knowledge of the characteristics of women who are most likely to engage in risky behaviors enables targeting of specific prevention messages to these identified populations.

Learning Areas:
Epidemiology
Planning of health education strategies, interventions, and programs
Program planning
Public health or related education
Public health or related research

Learning Objectives:
1. Describe the prevalence of preconception binge drinking among women with a recent live birth in California 2. Describe the socio-demographic factors that are predictors of preconception binge drinking among women with a recent live birth in California

Keywords: Binge Drinking, Pregnancy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator in a preconception health study focusing on preexisting morbidities among California women of reproductive age and their pregnancy outcomes. I am a published author of articles and abstracts on preconception health and infant health, and the lead for infant health and perinatal substance use prevention at the Maternal, Child and Adolescent Health Division.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5074.0: Maternal and Child Health: Epidemiology and Data