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http://dx.doi.org/10.4040/jkan.2019.49.6.690

Comparison of Awareness about Alcohol Use during Pregnancy among Female College Students by Drinking Levels: Using the Theory of Planned Behavior  

Kang, Saem Yi (College of Nursing, Seoul National University)
Kim, Hae Won (College of Nursing.The Research Institute of Nursing Science, Seoul National University)
Publication Information
Journal of Korean Academy of Nursing / v.49, no.6, 2019 , pp. 690-700 More about this Journal
Abstract
Purpose: The purpose of this study was to examine the awareness of alcohol use during pregnancy and factors influencing the intention to abstain from alcohol during pregnancy by drinking levels. Methods: Utilizing a comparative descriptive design, a total of 359 female college students were recruited. Measurements were Theory of Planned Behavior (TPB) variables related awareness of alcohol use during pregnancy, Korean Version of the Alcohol Use Disorders Identification Test, knowledge about alcohol use during pregnancy, and socio-demographic factors. Main variables were compared by drinking levels. The factors influencing the intention to abstain from alcohol during pregnancy were identified using hierarchical regression analysis. Results: Non-problematic alcohol behavior group (n=185) had higher the intention to abstain from alcohol during pregnancy than problematic alcohol behavior group (n=174) (t=3.13, p=.002). The significant TPB variables influencing the intention to abstain from alcohol during pregnancy were that attitudes (β =-.44, p<.001), subjective norms (β =.14, p=.026), and perceived behavior control (β =.19, p=.002) in non-problematic alcohol behavior group, whereas the corresponding variables in the problematic alcohol behavior group were attitudes (β =-.51, p<.001) and subjective norms (β =.21, p=.006). Conclusion: It is necessary to increase the intention to abstain from alcohol during pregnancy for the female college students having problematic alcohol behavior. The following strategies are recommended for them; decreasing acceptable attitudes toward alcohol use during pregnancy and reinforcing the influence of social pressure toward to abstain from alcohol during pregnancy.
Keywords
Alcohol Drinking; Pregnancy; Alcohol-Related Disorders; Awareness;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Flak AL, Su S, Bertrand J, Denny CH, Kesmodel US, Cogswell ME. The association of mild, moderate, and binge prenatal alcohol exposure and child neuropsychological outcomes: A meta‐analysis. Alcoholism: Clinical and Experimental Research. 2014;38(1):214-226. https://doi.org/10.1111/acer.12214   DOI
2 Patra J, Bakker R, Irving H, Jaddoe VWV, Malini S, Rehm J. Dose-response relationship between alcohol consumption before and during pregnancy and the risks of low birthweight, preterm birth and small for gestational age (SGA)-a systematic review and meta‐analyses. BJOG: An International Journal of Obstetrics and Gynaecology. 2011;118(12):1411-1421. https://doi.org/10.1111/j.1471-0528.2011.03050.x   DOI
3 National Institute of Health (NIH). Women's health: 2016 Stats & facts in Korea [Internet]. Cheongju: NIH; c2016 [cited 2019 Apr 8]. Available from: https://www.cdc.go.kr/board.es?mid=a20503050000&bid=0021&act=view&list_no=127640.
4 Ministry of Health and Welfare (MOHW). Press: Drinking college students, 'amount' than frequency, 'woman' problem than men! [Internet]. Sejong: MOHW; c2018 [cited 2019 Apr 8]. Available from: https://www.mohw.go.kr/react/al/sal0301vw. jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=343954&page=1.
5 Cooke R, Dahdah M, Norman P, French DP. How well does the theory of planned behaviour predict alcohol consumption? A systematic review and meta-analysis. Health Psychology Review. 2016;10(2):148-167. https://doi.org/10.1080/17437199.2014.947547   DOI
6 Duncan EM, Forbes-mckay KE, Henderson SE. Alcohol use during pregnancy: An application of the theory of planned behavior. Journal of Applied Social Psychology. 2012;42(8):1887-1903. https://doi.org/10.1111/j.1559-1816.2012.00923.x   DOI
7 Lee M, Paik JW, Lee SH, Lee D, Park SI. Guidelines on alcohol use during pregnancy. Public Health Weekly Report. 2016;9(37):733-739.
8 Charness ME, Riley EP, Sowell ER. Drinking during pregnancy and the developing brain: Is any amount safe? Trends in Cognitive Sciences. 2016;20(2):80-82. https://doi.org/10.1016/j.tics.2015.09.011   DOI
9 Centers for Disease Control and Prevention (CDC). Alcohol use in pregnancy [Internet]. Atlanta (GA): CDC; c2018 [cited 2019 Jul 18]. Available from: https://www.cdc.gov/ncbddd/ fasd/alcohol-use.html.
10 Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991;50(2):179-211. https://doi.org/10.1016/0749-5978(91)90020-T   DOI
11 Morojele NK, London L, Olorunju SA, Matjila MJ, Davids AS, Rendall-Mkosi KM. Predictors of risk of alcohol-exposed pregnancies among women in an urban and a rural area of South Africa. Social Science & Medicine. 2010;70(4):534-542. https://doi.org/10.1016/j.socscimed.2009.10.040   DOI
12 Yang SH, Yoon JW. Effects of depression, anxiety, and alcohol abstinence self-efficacy on drinking problem among college students: Health and welfare department students. The Journal of the Korea Contents Association. 2015;15(12):304-313. https://doi.org/10.5392/JKCA.2015.15.12.304   DOI
13 Nealis LJ, Collins JL, Lee-Baggley DL, Sherry SB, Stewart SH. One of these things is not like the others: Testing trajectories in drinking frequency, drinking quantity, and alcohol-related problems in undergraduate women. Addictive Behaviors. 2017;66:66-69. https://doi.org/10.1016/j.addbeh.2016.11.010   DOI
14 Skagerstrom J, Alehagen S, Haggstrom-Nordin E, Arestedt K, Nilsen P. Prevalence of alcohol use before and during pregnancy and predictors of drinking during pregnancy: A cross sectional study in Sweden. BMC Public Health. 2013;13:780. https://doi.org/10.1186/1471-2458-13-780   DOI
15 Ethen MK, Ramadhani TA, Scheuerle AE, Canfield MA, Wyszynski DF, Druschel CM, et al. Alcohol consumption by women before and during pregnancy. Maternal and Child Health Journal. 2009;13(2):274-285. https://doi.org/10.1007/s10995-008-0328-2   DOI
16 Do EY, Hong YR. Factors affecting pregnant women's drinking. Health and Social Welfare Review. 2011;31(3):284-307.   DOI
17 Lee SH, Shin SJ, Won SD, Kim EJ, Oh DY. Alcohol use during pregnancy and related risk factors in Korea. Psychiatry Investigation. 2010;7(2):86-92. https://doi.org/10.4306/pi.2010.7.2.86   DOI
18 Cook JW, Fucito LM, Piasecki TM, Piper ME, Schlam TR, Berg KM, et al. Relations of alcohol consumption with smoking cessation milestones and tobacco dependence. Journal of Consulting and Clinical Psychology. 2012;80(6):1075-1085. https://doi.org/10.1037/a0029931   DOI
19 Kang MK, Kim IK. Drinking motivation, daily stress, and problem drinking behavior of female university students. Journal of the Korea Academia-Industrial cooperation Society. 2014;15(8):5053-5061. https://doi.org/10.5762/KAIS.2014.15.8.5053   DOI
20 Davoren MP, Shiely F, Byrne M, Perry IJ. Hazardous alcohol consumption among university students in Ireland: A cross-sectional study. BMJ Open. 2015;5(1):e006045. https://doi.org/10.1136/bmjopen-2014-006045   DOI
21 Woolard R, Liu J, Parsa M, Merriman G, Tarwater P, Alba I, et al. Smoking is associated with increased risk of binge drinking in a young adult hispanic population at the US-Mexico border. Substance Abuse. 2015;36(3):318-324. https://doi.org/10.1080/08897077.2014.987945   DOI
22 Hanson JD, Winberg A, Elliott A. Development of a media campaign on fetal alcohol spectrum disorders for Northern Plains American Indian communities. Health Promotion Practice. 2012;13(6):842-847. https://doi.org/10.1177%2F1524839911404232   DOI
23 Darvishi N, Farhadi M, Haghtalab T, Poorolajal J. Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: A meta-analysis. PLoS ONE. 2015;10(5):e0126870. https://doi.org/10.1371/journal.pone.0126870   DOI
24 Kim SD. A survey on the drinking culture of some university students in Kyeongbuk province. Korean Public Health Research. 2010:36(1):17-30.   DOI
25 Leonardson GR, Loudenburg R. Risk factors for alcohol use during pregnancy in a multistate area. Neurotoxicology and Teratology. 2003;25(6):651-658. https://doi.org/10.1016/j.ntt.2003.07.002   DOI
26 Meschke LL, Hellerstedt W, Holl JA, Messelt S. Correlates of prenatal alcohol use. Maternal and Child Health Journal. 2008;12(4):442-451. https://doi.org/10.1007/s10995-007-0261-9   DOI
27 Kim IO, Jeong GC, Yang EK. Effects of knowledge and recognition of alcohol use during pregnancy on actual alcohol use during pregnancy. Korean Journal of Women Health Nursing. 2012;18(4):279-289. https://doi.org/10.4069/kjwhn.2012.18.4.279   DOI
28 Moure-Rodriguez L, Pineiro M, Corral Varela M, Rodriguez- Holguin S, Cadaveira F, Caamano-Isorna F. Identifying predictors and prevalence of alcohol consumption among university students: Nine years of follow-up. PLoS ONE. 2016;11(11):e0165514. https://doi.org/10.1371/journal.pone.0165514   DOI
29 Chersich MF, Urban M, Olivier L, Davies LA, Chetty C, Viljoen D. Universal prevention is associated with lower prevalence of fetal alcohol spectrum disorders in Northern Cape, South Africa: A multicentre before-after study. Alcohol and Alcoholism. 2012;47(1):67-74. https://doi.org/10.1093/alcalc/agr145   DOI
30 Moos MK, Dunlop AL, Jack BW, Nelson L, Coonrod DV, Long R, et al. Healthier women, healthier reproductive outcomes: recommendations for the routine care of all women of reproductive age. American Journal of Obstetrics and Gynecology. 2008;199(6):S280-S289. https://doi.org/10.1016/j.ajog.2008.08.060   DOI
31 World Health Organization (WHO). Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity [Internet]. Geneva: WHO; c2012 [cited 2019 Jul 18]. Available from: https://apps.who.int/iris/bitstream/handle/10665/78067/9789241505000_eng.pdf.
32 Lassi ZS, Dean SV, Mallick D, Bhutta ZA. Preconception care: Delivery strategies and packages for care. Reproductive Health. 2014;11(Suppl 3):S7. https://doi.org/10.1186/1742-4755-11-S3-S7   DOI
33 National Institute on Alcohol Abuse and Alcoholism (NIAAA). Women and alcohol [Internet]. Bethesda (MD): NIAAA; c2019 [cited 2019 Apr 8]. Available from: https://www.niaaa.nih. gov/publications/brochures-and-fact-sheets/women-and-alcohol.
34 Nulman I, Shulman T, Liu F. Fetal alcohol spectrum disorder. In: Slikker Jr W, Paule MG, Wang C, editors. Handbook of Developmental Neurotoxicology. 2nd ed. London: Academic Press; 2018. p. 427-437.
35 Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. The alcohol use disorders identification test: Guidelines for use in primary care [Internet]. Geneva: World Health Organization (WHO); c2001 [cited 2019 Apr 8]. Available from: https:// apps.who.int/iris/bitstream/handle/10665/67205/WHO_MSD_ MSB_01.6a.pdf?sequence=1.
36 McMillan B, Conner M. Using the theory of planned behaviour to understand alcohol and tobacco use in students. Psychology, Health & Medicine. 2003;8(3):317-328. https://doi.org/10.1080/1354850031000135759   DOI
37 Park JY, Kim SA, Lee S. Factors affecting problem drinking in Korean college women. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2017;26(3):291-300. https://doi.org/10.12934/jkpmhn.2017.26.3.291   DOI
38 Lee BO, Lee CH, Lee PG, Choi MJ, Namkoong K. Development of Korean version of alcohol use disorders identification test (AUDIT-K): Its reliability and validity. Journal of Korean Academy of Addiction Psychiatry. 2000;4(2):83-92.
39 Yeom GJ, Choi SY, Kim IO. The influencing factors on alcohol use during pregnancy. Journal of the Korean Society of Maternal and Child Health. 2011;15(1):71-81. https://doi.org/10.21896/jksmch.2011.15.1.71   DOI
40 Kim O, Park K. Prenatal alcohol consumption and knowledge about alcohol consumption and fetal alcohol syndrome in Korean women. Nursing & Health Sciences. 2011;13(3):303-308. https://doi.org/10.1111/j.1442-2018.2011.00618.x   DOI
41 Min EJ, Kim SG, Kim HK, Lee DH, Kim HJ, Lee SK, et al. Factors influencing drinking behavior during pregnancy in Korean women. Journal of Korean Neuropsychiatric Association. 2011;50(2):125-130.
42 Jonsson E, Salmon A, Warren KR. The international charter on prevention of fetal alcohol spectrum disorder. The Lancet: Global Health. 2014;2(3):E135-E137. https://doi.org/10.1016/S2214-109X(13)70173-6   DOI
43 Kristjanson AF, Wilsnack SC, Zvartau E, Tsoy M, Novikov B. Alcohol use in pregnant and nonpregnant Russian women. Alcoholism: Clinical & Experimental Research. 2007;31(2):299-307. https://doi.org/10.1111/j.1530-0277.2006.00315.x   DOI
44 Peadon E, Payne J, Henley N, D'Antoine H, Bartu A, O'Leary C, et al. Attitudes and behaviour predict women's intention to drink alcohol during pregnancy: The challenge for health professionals. BMC Public Health. 2011;11:584. https://doi.org/10.1186/1471-2458-11-584   DOI
45 Balachova T, Bonner B, Bard D, Chaffin M, Isurina G, Owora A, et al. Women's receptivity to fetal alcohol spectrum disorders prevention approaches: A case study of two regions in Russia. The International Journal of Alcohol and Drug Research. 2014;3(1):5-15. https://doi.org/10.7895/ijadr.v3i1.158   DOI