Prevalence and factors related to alcohol consumption in pregnant adolescents. A systematic review
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Abstract
Introduction: alcohol consumption during pregnancy causes physical, cognitive and behavioral problems in the mother and the unborn baby. The literature recommends abstinence from this substance during pregnancy. However, the presence of factors in adolescents could be related to the initiation or continuation of alcohol consumption while pregnant.
Objective: twas to identify the prevalence and factors that are related to alcohol consumption in pregnant adolescents (AE).
Method: a systematic review of articles in English and Spanish published between 2009 and 2019 in the adolescent population was carried out. The databases were PubMed, Web of Science: Social Sciences Citation Index, Science Citation Index, and Scopus. The search terms included the words “pregnancy,” “pregnant,” “adolescent,” “adolescence,” and “alcohol.” Data extraction was performed independently by one author using the study quality indicators.
Results: CADE prevalence’s in AE were determined. Also, personal, psychological and spiritual factors related to CADE. Alcohol consumption prior to pregnancy and exposure to the presence of previous pregnancies were the most mentioned as personal factors. Likewise, relationships of psychological factors such as depression and anxiety were identified. In addition, social factors were identified such as having a single parent, having friends who smoke or drink, as well as not having a partner. Finally, some spiritual factors were found, among which the importance given to religion stands out.
Conclusions: alcohol consumption during pregnancy is multifactorial, however, there are personal, psychological, social and spiritual factors that increase the risk of consuming alcohol up to four times more.
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References
Bottorff, J. L., Poole, N., Kelly, M. T., Greaves, L., Marcellus, L., & Jung, M. (2014). Tobacco and alcohol use in the context of adolescent pregnancy and postpartum: A scoping review of the literature. Health and Social Care in the Community, 22(6), 561-574. doi: 10.1111/hsc.12091
Lange, S., Probst, C., Heer, N., Roerecke, M., Rehm, J., Monteiro, M. G., Shield, K., de Oliveira, C., & Popova, S. (2017). Actual and predicted prevalence of alcohol consumption during pregnancy in Latin America and the Caribbean: systematic literature review and meta-analysis TT - Prevalência real e prevista do consumo de álcool na gravidez na América Latina e Caribe: revis. Rev Panam Salud Publica, 41(1), e89-e89. http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892017000100301
Onwuka, C. I., Ugwu, E. O., Dim, C. C., Menuba, I. E., Iloghalu, E. I., & Onwuka, C. I. (2016). Prevalence and predictors of alcohol consumption during pregnancy in South-Eastern Nigeria. Journal of Clinical and Diagnostic Research, 10(9), QC10–QC13. doi: 10.7860/JCDR/2016/21036.8449
Organización Mundial de la Salud (2019). Recomendaciones de la OMS sobre la prevención y la gestión del consumo del tabaco. 8. http://www.who.int/tobacco/
Popova, S., Lange, S., Probst, C., Parunashvili, N., & Rehm, J. (2017). Prevalence of alcohol consumption during pregnancy and Fetal Alcohol Spectrum Disorders among the general and Aboriginal populations in Canada and the United States. European Journal of Medical Genetics, 60(1), 32-48. doi: 10.16.1016/j.ejmg.2016.09.010
Ruisch, I. H., Dietrich, A., Glennon, J. C., Buitelaar, J. K., & Hoekstra, P. J. (2017). Maternal substance use during pregnancy and offspring conduct problems: A meta-analysis. Neuroscience and Biobehavioral Reviews, 84(1), 325-336. doi: 10.1016/j.neubiorev.2017.08.014
Salas-Wright, C. P., Vaughn, M. G., & Ugalde, J. (2016). A typology of substance use among pregnant teens in the United States. Matern Child Health J, 20(3), 646-654. doi: 10.1007/s10995-015-1864-1
Salas-Wright, C. P., Vaughn, M. G., Ugalde, J., & Todic, J. (2015). Substance use and teen pregnancy in the United States: Evidence from the NSDUH 2002-2012. Addictive Behaviors, 45, 218-225. doi: 10.1016/j.addbeh.2015.01.039
Skagerström, J., Alehagen, S., Häggström-Nordin, E., Årestedt, K., & Nilsen, P. (2013). Prevalence of alcohol use before and during pregnancy and predictors of drinking during pregnancy: A cross sectional study in Sweden. BMC Public Health, 13(1). doi: 10.1186/1471-2458-13-780
Skagerström, J., Chang, G., & Nilsen, P. (2011). Predictors of Drinking During Pregnancy A sistematic Review. Journal of Women´s Health, 20(6), 901-913. doi: 10.1089/jwh.2010.2216
Vazquez-Nava, F., Vazquez-Rodríguez, C., Vazquez-Rodriguez, E., Castillo-Ruiz, O., & Iribar, M. (2016). Tobacco and alcohol use in adolescents with unplanned pregnancies: relation with family structure, tobacco and alcohol use at home and by friends. African Health Science, 16(1), 27-35. doi: 10.4314/ahs.v16i1.4
Veloso, L., & Monteiro, C. (2013). Prevalencia y factores asociados al uso de alcohol en adolescentes embarazadas. Revista Latino-americana de Enfermagem, 21(1), 1–9