Alcohol use during pregnancy in Rakai, Uganda

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dc.contributor.authorWynn, Adriane
dc.contributor.authorNabukalu, Dorean
dc.contributor.authorLutalo, Tom
dc.contributor.authorWawer, Maria
dc.contributor.authorChang, Larry W
dc.contributor.authorKiene, Susan M
dc.contributor.authorSerwadda, David M
dc.contributor.authorSewankambo, Nelson
dc.contributor.authorNalugoda, Fred
dc.contributor.authorKigozi, Godfrey
dc.contributor.authorWagman, Jennifer A
dc.date.accessioned2023-01-06T07:57:39Z
dc.date.available2023-01-06T07:57:39Z
dc.date.issued2021-08-26
dc.description.abstractIntroductionAntenatal alcohol use is linked to adverse maternal and neonatal outcomes. Uganda has one of the highest rates of alcohol use in sub-Saharan Africa, but the prevalence of antenatal alcohol use has not been reported in the Rakai region.MethodsWe used cross-sectional data from pregnant women in the Rakai Community Cohort Study between March 2017 and September 2018. Using bivariate and multivariable analyses, we assessed associations between self-reported antenatal alcohol use and sociodemographic characteristics, intimate partner violence (IPV), and HIV status.ResultsAmong 960 pregnant women, the median age was 26 years, 35% experienced IPV in the past 12 months, 13% were living with HIV, and 33% reported alcohol use during their current pregnancy. After adjusting for marital status, education, smoking, and HIV status; Catholic religion (AOR: 3.54; 95% CI: 1.89-6.64; compared to other), bar/restaurant work (AOR: 2.40; 95% CI: 1.17-4.92; compared to agriculture), >one sex partner in past year (AOR: 1.92; 95% CI: 1.17-3.16), a partner that drank before sex in past year (AOR: 2.01; 95% CI: 1.48-2.74), and past year IPV (AOR: 1.55; 95% CI: 1.14-2.11) were associated with antenatal alcohol use.ConclusionWe found that alcohol use during pregnancy was common and associated with religion, occupation, higher numbers of past year sex partners, having a partner who drank before sex in the past 12 months, and IPV experience. More research is needed to understand the quantity, frequency, and timing of antenatal alcohol use; and potential impacts on neonates; and to identify services that are acceptable and effective among pregnant women.en_US
dc.description.sponsorshipAW, K01 AA027733, NIAAA AW, T32 DA023356, NIDA The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.en_US
dc.identifier.citationWynn, Adriane, Dorean Nabukalu, Tom Lutalo, et al. 'Alcohol use during Pregnancy in Rakai, Uganda', PloS One, vol. 16/no. 8, (2021), pp. e0256434-e0256434.en_US
dc.identifier.issn1932-6203 (Online)
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/6825
dc.language.isoenen_US
dc.publisherPublic Library of Science (PLoS)en_US
dc.subjectalcohol use, pregnancy ,religion, occupation, sex partnersen_US
dc.titleAlcohol use during pregnancy in Rakai, Ugandaen_US
dc.typeArticleen_US
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