Quality of Intimate Relationships, Paternal Drinking Habits, and Acculturation as Predictors of Maternal Drinking in Pregnancy Ludmila Bakhireva, MD, PhD,

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Presentation transcript:

Quality of Intimate Relationships, Paternal Drinking Habits, and Acculturation as Predictors of Maternal Drinking in Pregnancy Ludmila Bakhireva, MD, PhD, MPH College of Pharmacy and Department of Family and Community Medicine

Collaborative Initiative on FASD (NIH/NIAAA): Collaboration b/w 16 research & clinical institutions in 6 different countries. U01 project: Spectrum of and Nutritional Risk Factors for FASD in Russia and Ukraine (P.I. Christina Chambers) Objectives of the Current Analysis: 1.Determine the influence of the partner’s alcohol consumption behavior on maternal drinking in pregnancy. 2.Determine if problems in intimate relationships are associated with risky maternal drinking in pregnancy. Collaborators: CD Chambers, A. Kristjanson, S. Wilsnac

Influence of Partner's Drinking Habits on Maternal Alcohol Use in Pregnancy Partner’s drinking habits Maternal Drinking in Pregnancy p- value Abstainers (N=80) Some exposure in early pregnancy (n=43) Continuou s drinkers (N=43) %% Frequency of paternal drinking<.0001 < 3 times/week ≥ 3 times/week Binge drinking<.0001 No Yes (≥ 5 drinks/occasion) Heavy drinking*<.0001 No Yes Paternal TWEAK score:<.0001 < ≥ 2 (hazardous drinking) * Heavy drinking: frequent (≥ 3 times/week) or binge (≥ 5 drinks/occasion) drinker Summary: Pregnant women alcohol consumption behavior is closely related to their partner’s alcohol consumption habits. Sample: 166 pregnant women in Ukraine

Couple Relationship & Maternal Drinking Habits During Pregnancy Women were asked to report how happy they are with their relationship on the 1-5 scale with 1: extremely unhappy; 5: extremely happy. * Adjusted for: maternal age, gravidity, pregnancy planning, SES

Couple Relationship & Maternal Drinking Habits During Pregnancy Women were asked to report how easy it is for them to talk about their feelings or problems with the partner on the 1-5 scale with 1: very difficult; 5: very easy * Adjusted for: maternal age, gravidity, pregnancy planning, SES

Couple Relationship & Maternal Drinking Habits During Pregnancy Women were asked to report how often they quarrel with the partner with 5: “we almost always solve disagreements w/o quarreling”; 1: “we do not only quarrel, we also have physical fights”. * Adjusted for: maternal age, gravidity, pregnancy planning, SES

The SMART Study at UNM (Safety of Medications and Perception of Teratogenicity ) Southeast Heights Clinic 7525 Zuni SE South Broadway Clinic 1500 Walter SE West Mesa Clinic 6900 Gonzales SW Northwest Valley Clinic 1231 Candelaria NW UNM Hospital (Triage, Fetal Monitoring Center, General) Prospective clinic-based multi-center study Pregnant women recruited from UNM & satellite prenatal care clinics (N=200) Interviews in English & Spanish High proportion of Hispanic (78%), uninsured (42%), foreign-born (55%) pregnant women Alcohol consumption a month around LMP was ascertained (including “binge” episodes) Collaborators: L. Bakhireva (P.I.) W. Rayburn. MD S. Phelan, MD A. Rowland, Ph.D. B. Young, MPH P. Sarangarm P. Jaiswal Clinic providers

The SMART Study: Results Hispanic women: 17.4% - binge drinking (≥4drinks/occasion) a month around their LMP Risk of binge drinking in periconceptional period: Elevated among Latinas born in the US (OR=3.2; 95% CI: 1.2; 8.9) Elevated among Latinas who primarily speak English at home (OR=3.6; 95% CI: 1.3; 10.5) No independent association with education, insurance, smoking status, gravidity, parity, pregnancy planning Summary: Acculturation is a risk factor of risky drinking around conception & early pregnancy among Latinas in New Mexico