IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v70y2010i4p534-542.html
   My bibliography  Save this article

Predictors of risk of alcohol-exposed pregnancies among women in an urban and a rural area of South Africa

Author

Listed:
  • Morojele, Neo K.
  • London, Leslie
  • Olorunju, Steve A.
  • Matjila, Maila J.
  • Davids, Adlai S.
  • Rendall-Mkosi, Kirstie M.

Abstract

The study sought to determine the prevalence and predictors of being at risk of an alcohol-exposed pregnancy (AEP) among women of child-bearing age in an urban and rural location in South Africa. We conducted a cross-sectional household survey of 1018 women aged 18-44 years in one urban (n = 606) and one rural (n = 412) site. The women were interviewed using a structured questionnaire. We defined the primary dependent variable, being at risk of having an AEP, as current alcohol use, not being pregnant, being fertile, and no effective use of contraceptives. The independent variables included demographic, substance use, health perceptions, psycho-social, and partner characteristics. The rural women (21.84%) were more likely than their urban counterparts (11.22%) to be at risk of an AEP. In multiple logistic regression analyses, significant predictors of being in the "at risk" group for the urban women were (a) being 'white' as opposed to 'black/African', and being 'coloured' as opposed to 'black/African'; and (b) current smoking. For the rural women, significant risk factors were (a) current smoking and (b) early onset of alcohol use. The significant protective factors were (a) education; (b) knowledge about Fetal Alcohol Syndrome; (c) parity. Use of stricter alcohol use criteria (i.e., three or more drinks and five or more drinks per sitting) in the definition of risk of an AEP yielded slightly different patterns of significant predictors. The results revealed high levels of risk of an alcohol-exposed pregnancy, especially amongst the rural women, and a need for location-specific prevention programmes. The high burden of AEP in South Africa calls for the establishment of national AEP prevention strategies and programmes as a matter of urgency.

Suggested Citation

  • Morojele, Neo K. & London, Leslie & Olorunju, Steve A. & Matjila, Maila J. & Davids, Adlai S. & Rendall-Mkosi, Kirstie M., 2010. "Predictors of risk of alcohol-exposed pregnancies among women in an urban and a rural area of South Africa," Social Science & Medicine, Elsevier, vol. 70(4), pages 534-542, February.
    • Handle: RePEc:eee:socmed:v:70:y:2010:i:4:p:534-542
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(09)00730-8
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Stephenson, R. & Baschieri, A. & Clements, S. & Hennink, M. & Madise, N., 2007. "Contextual influences on modern contraceptive use in sub-Saharan Africa," American Journal of Public Health, American Public Health Association, vol. 97(7), pages 1233-1240.
    2. May, P.A. & Brooke, L. & Gossage, J.P. & Croxford, J. & Adnams, C. & Jones, K.L. & Robinson, L. & Viljoen, D., 2000. "Epidemiology of fetal alcohol syndrome in a South African community in the Western Cape Province," American Journal of Public Health, American Public Health Association, vol. 90(12), pages 1905-1912.
    3. King, Gary, 1997. "The "race" concept in smoking: A review of the research on African Americans," Social Science & Medicine, Elsevier, vol. 45(7), pages 1075-1087, October.
    4. Martin, Katie S & Rogers, Beatrice L & Cook, John T & Joseph, Hugh M, 2004. "Social capital is associated with decreased risk of hunger," Social Science & Medicine, Elsevier, vol. 58(12), pages 2645-2654, June.
    5. May, P.A. & Gossage, J.P. & Brooke, L.E. & Snell, C.L. & Marais, A.-S. & Hendricks, L.S. & Croxford, J.A. & Viljoen, D.L., 2005. "Maternal risk factors for fetal alcohol syndrome in the Western Cape Province of South Africa: A population-based study," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1190-1199.
    6. London, Leslie, 1999. "The `dop' system, alcohol abuse and social control amongst farm workers in South Africa: a public health challenge," Social Science & Medicine, Elsevier, vol. 48(10), pages 1407-1414, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. O'Connor, Mary J. & Tomlinson, Mark & LeRoux, Ingrid M. & Stewart, Jacqueline & Greco, Erin & Rotheram-Borus, Mary Jane, 2011. "Predictors of alcohol use prior to pregnancy recognition among township women in Cape Town, South Africa," Social Science & Medicine, Elsevier, vol. 72(1), pages 83-90, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. J. Phillip Gossage & Cudore L. Snell & Charles D. H. Parry & Anna-Susan Marais & Ronel Barnard & Marlene De Vries & Jason Blankenship & Soraya Seedat & Julie M. Hasken & Philip A. May, 2014. "Alcohol Use, Working Conditions, Job Benefits, and the Legacy of the “Dop” System among Farm Workers in the Western Cape Province, South Africa: Hope Despite High Levels of Risky Drinking," IJERPH, MDPI, vol. 11(7), pages 1-19, July.
    2. Philip A. May & Marlene M. De Vries & Anna-Susan Marais & Wendy O. Kalberg & David Buckley & Colleen M. Adnams & Julie M. Hasken & Barbara Tabachnick & Luther K. Robinson & Melanie A. Manning & Heidre, 2017. "Replication of High Fetal Alcohol Spectrum Disorders Prevalence Rates, Child Characteristics, and Maternal Risk Factors in a Second Sample of Rural Communities in South Africa," IJERPH, MDPI, vol. 14(5), pages 1-22, May.
    3. Melissa Lubbe & Corné Van Walbeek & Nicole Vellios, 2017. "The Prevalence of Fetal Alcohol Syndrome and Its Impact on a Child’s Classroom Performance: A Case Study of a Rural South African School," IJERPH, MDPI, vol. 14(8), pages 1-10, August.
    4. Philip A. May & Anna-Susan Marais & Marlene De Vries & Julie M. Hasken & Julie M. Stegall & Dixie M. Hedrick & Cudore L. Snell & Soraya Seedat & Charles D.H. Parry, 2019. "“The Dop System of Alcohol Distribution is Dead, but It’s Legacy Lives On….”," IJERPH, MDPI, vol. 16(19), pages 1-17, October.
    5. Watt, Melissa H. & Eaton, Lisa A. & Choi, Karmel W. & Velloza, Jennifer & Kalichman, Seth C. & Skinner, Donald & Sikkema, Kathleen J., 2014. "“It's better for me to drink, at least the stress is going away”: Perspectives on alcohol use during pregnancy among South African women attending drinking establishments," Social Science & Medicine, Elsevier, vol. 116(C), pages 119-125.
    6. Maurice Mutisya & Moses W. Ngware & Caroline W. Kabiru & Ngianga-bakwin Kandala, 2016. "The effect of education on household food security in two informal urban settlements in Kenya: a longitudinal analysis," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 8(4), pages 743-756, August.
    7. David W. Olivier, 2018. "A Cropping System for Resource-Constrained Urban Agriculture: Lessons from Cape Town," Sustainability, MDPI, vol. 10(12), pages 1-12, December.
    8. Katie Kerstetter & Drew Bonner & Kristopher Cleland & Mia Jesús-Martin & Rachelle Quintanilla & Amy L. Best & Dominique Hazzard & Jordan Carter, 2023. "Social solidarity, social infrastructure, and community food access," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 40(3), pages 1303-1315, September.
    9. Sara A. L. Smaal & Joost Dessein & Barend J. Wind & Elke Rogge, 2021. "Social justice-oriented narratives in European urban food strategies: Bringing forward redistribution, recognition and representation," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 38(3), pages 709-727, September.
    10. My Nguyen & Kien Le, 2023. "The impacts of women's land ownership: Evidence from Vietnam," Review of Development Economics, Wiley Blackwell, vol. 27(1), pages 158-177, February.
    11. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    12. Denney, Justin T. & Brewer, Mackenzie & Kimbro, Rachel Tolbert, 2020. "Food insecurity in households with young children: A test of contextual congruence," Social Science & Medicine, Elsevier, vol. 263(C).
    13. Ford, Chandra L. & Airhihenbuwa, Collins O., 2010. "The public health critical race methodology: Praxis for antiracism research," Social Science & Medicine, Elsevier, vol. 71(8), pages 1390-1398, October.
    14. Masiano, Steven P. & Green, Tiffany L. & Dahman, Bassam & Kimmel, April D., 2019. "The effects of community-based distribution of family planning services on contraceptive use: The case of a national scale-up in Malawi," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    15. Watt, Melissa H. & Aunon, Frances M. & Skinner, Donald & Sikkema, Kathleen J. & Kalichman, Seth C. & Pieterse, Desiree, 2012. "“Because he has bought for her, he wants to sleep with her”: Alcohol as a currency for sexual exchange in South African drinking venues," Social Science & Medicine, Elsevier, vol. 74(7), pages 1005-1012.
    16. Katelyn Sileo & Rhoda Wanyenze & Haruna Lule & Susan Kiene, 2015. "Determinants of family planning service uptake and use of contraceptives among postpartum women in rural Uganda," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(8), pages 987-997, December.
    17. Yunhee Chang & Swarn Chatterjee & Jinhee Kim, 2014. "Household Finance and Food Insecurity," Journal of Family and Economic Issues, Springer, vol. 35(4), pages 499-515, December.
    18. White, Heather L. & Mulambia, Chishimba & Sinkala, Moses & Mwanahamuntu, Mulindi H. & Parham, Groesbeck P. & Moneyham, Linda & Grimley, Diane M. & Chamot, Eric, 2012. "‘Worse than HIV’ or ‘not as serious as other diseases’? Conceptualization of cervical cancer among newly screened women in Zambia," Social Science & Medicine, Elsevier, vol. 74(10), pages 1486-1493.
    19. Esther O Lamidi, 2015. "State Variations in Women’s Socioeconomic Status and Use of Modern Contraceptives in Nigeria," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-15, August.
    20. Fletcher, Olivia V. & May, Philip A. & Seedat, Soraya & Sikkema, Kathleen J. & Watt, Melissa H., 2018. "Attitudes toward alcohol use during pregnancy among women recruited from alcohol-serving venues in Cape Town, South Africa: A mixed-methods study," Social Science & Medicine, Elsevier, vol. 215(C), pages 98-106.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:70:y:2010:i:4:p:534-542. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.