November 2014 - Specialist In FASD Visits Keewatin Public School Read more »
Despite the U.S. Surgeon?s warning on the effects of alcohol on the fetus, a substantial number of women continue to drink during pregnancy. Alcohol use in women is grossly underestimated, making it difficult to determine the prevalence of alcohol-exposed pregnancies. Further, there appear to be significant racial differences in diagnoses of Fetal Alcohol Syndrome in comparison to women?s reports of drinking.
To assess prevalence of alcohol-exposed pregnancy (AEP) risk in women of childbearing age residing in urban areas.
A random-digit-dial-survey of 1,882 women age 19-44 years was conducted in 2005 in two metropolitan areas in the Midwest. Multivariate logistic regression controlling for demographics and pregnancy status was conducted with moderate AEP risk versus heavy/binge drinking with AEP as the outcome.
In two Midwest urban areas, we found 22.7% of women age 19-44 years to be at risk for an alcohol-exposed pregnancy. Prevalence of risk among White women was 29%, and for Black women 16.5%. Among pregnant women, a greater percentage of Black women reported heavy and binge drinking, though differences between races were not significant. Controlling for metropolitan area, age, education, race, employment, income, and pregnancy status, age and race were found to be significantly correlated with AEP risk, with White women aged 20-29 at highest risk.
White women are at higher risk for an alcohol-exposed pregnancy when compared to Black women, although this risk profile based on race may change for pregnant women. Awareness of the AEP risk is important in education of women and health care professionals in prevention initiatives designed to recognize and address the risk of an AEP.
Key words: Alcohol exposed pregnancy, random digit dial, prevalence, racial disparities.
* - "MOTHERISK - Treating the mother - Protecting the unborn" is an official mark of The Hospital for Sick Children. All rights reserved.
The information on this website is not intended as a substitute for the advice and care of your doctor or other health-care provider. Always consult your doctor if you have any questions about exposures during pregnancy and before you take any medications.
Copyright © 1999-2013 The Hospital for Sick Children (SickKids). All rights reserved.
The Hospital for Sick Children (SickKids) is a health-care, teaching and research centre dedicated exclusively to children; affiliated with the University of Toronto. For general inquires please call: 416-813-1500.