A critical review of public health interventions aimed at reducing alcohol consumption and/or increasing knowledge among pregnant women

Article


Crawford-Williams, Fiona., Fielder, Andrea, Mikocka-Walus, Antonina and Esterman, Adrian. 2015. "A critical review of public health interventions aimed at reducing alcohol consumption and/or increasing knowledge among pregnant women." Drug and Alcohol Review. 34 (2), pp. 154-161. https://doi.org/10.1111/dar.12152
Article Title

A critical review of public health interventions aimed at reducing alcohol consumption and/or increasing knowledge among pregnant women

ERA Journal ID13493
Article CategoryArticle
AuthorsCrawford-Williams, Fiona. (Author), Fielder, Andrea (Author), Mikocka-Walus, Antonina (Author) and Esterman, Adrian (Author)
Journal TitleDrug and Alcohol Review
Journal Citation34 (2), pp. 154-161
Number of Pages8
Year2015
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN0959-5236
1465-3362
Digital Object Identifier (DOI)https://doi.org/10.1111/dar.12152
Web Address (URL)http://onlinelibrary.wiley.com/doi/10.1111/dar.12152/abstract;jsessionid=EBA5C12F4557BDF3ED34E7B16311FEE7.f04t02
Abstract

Issues: It is well established that alcohol can cross the placenta to the fetus and can affect both physical and psychological development of the infant; however, many women continue to drink during pregnancy. It is therefore important to determine whether interventions can be successful in reducing alcohol consumption among pregnant women. Past reviews have investigated the effectiveness of clinical interventions in reducing alcohol consumption in pregnancy; however, the aim of the current review
was to focus on the effectiveness of public health interventions.
Approach: A critical literature review was conducted by
searching several electronic databases using key words such as ‘pregnancy’,‘alcohol’,‘interventions’ and ‘public health’. Studies were included if they utilised a public health intervention and included alcohol consumption or levels of knowledge as an outcome measure.
Key Findings: Seven studies were included in the review. Interventions included multimedia and educational
interventions. Improvements in knowledge were reported in six studies, whereas one study found contradictory results. Four studies used alcohol consumption rates as an outcome measure, and although a reduction in consumption was reported, the results were non-significant.
Implications: The effectiveness of public health interventions that aim to increase awareness and
reduce alcohol consumption among pregnant women cannot be assessed because of the paucity of studies.
Conclusions: The results of this critical review emphasise a lack of evidence and highlight the need for further evaluation research on this topic.

Keywordsreview, public health, alcohol, pregnancy, interventions
ANZSRC Field of Research 2020321005. Public health nutrition
429999. Other health sciences not elsewhere classified
420603. Health promotion
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsUniversity of South Australia
University of York, United Kingdom
Institution of OriginUniversity of Southern Queensland
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