Factors associated with recent and discontinued alcohol use by pregnant adolescents

Constance M. Wiemann, Abbey Berenson

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Purpose: To determine easily identifiable risk factors that differentiate pregnant adolescents who report recent (past 30 days) alcohol use and those who discontinue use by their first prenatal visit from those who deny consuming alcohol altogether. Methods: A structured interview was completed by 378 adolescents 517 years of age as part of standard care at our institution's adolescent obstetric clinic between July 7, 1992, and December 28, 1994. Using Chi-square or Student's t-tests, unique risk factors associated with recent or discontinued alcohol use in pregnancy were separately identified by comparing demographic, reproductive, behavioral, and environmental factors among recent users (n = 43), discontinued users (n = 48), and adolescents who denied ever using alcohol (n = 108). Significant indicators were then entered into stepwise logistic regression analyses to determine the most efficient models for predicting alcohol use. Results: Partner alcohol use and use of alcohol during sexual activities were important risk factors for alcohol use by pregnant adolescents. Recent alcohol users were also more likely to be Mexican-American, to have quit school, and to report recent tobacco use, while adolescents who stopped using alcohol during pregnancy were significantly more likely to have witnessed or been a victim of or known a victim of violence. Conclusions: Screening at the first prenatal visit for these unique and easily assessed factors will help clinicians identify adolescents at greatest risk for alcohol use during pregnancy.

Original languageEnglish (US)
Pages (from-to)417-423
Number of pages7
JournalJournal of Adolescent Health
Volume22
Issue number5
DOIs
StatePublished - May 1998

Fingerprint

Alcohols
Pregnancy
Underage Drinking
Tobacco Use
Standard of Care
Violence
Sexual Behavior
Obstetrics
Logistic Models
Regression Analysis
Demography
Interviews
Students

Keywords

  • Adolescent pregnancy
  • Alcohol screening
  • Alcohol use

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Factors associated with recent and discontinued alcohol use by pregnant adolescents. / Wiemann, Constance M.; Berenson, Abbey.

In: Journal of Adolescent Health, Vol. 22, No. 5, 05.1998, p. 417-423.

Research output: Contribution to journalArticle

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