Experiences of alcohol use during pregnancy: A qualitative study of pregnant women at risk of acquiring HIV in Cape Town, South Africa

被引:0
作者
Miller, Amanda P. [1 ,12 ]
Court, Lara [2 ]
Schoetz, Sarah [3 ]
Knight, Lucia [2 ,4 ]
Moopelo, Kearabetswe [5 ]
Ntwasa, Chwayita [6 ]
Wara, Nafisa [7 ]
Essack, Zaynab [8 ]
Shoptaw, Steven [9 ,10 ]
Myer, Landon [6 ]
Davey, Dvora Joseph [3 ,6 ,11 ]
机构
[1] San Diego State Univ, Div Epidemiol & Biostat, San Diego, CA 92182 USA
[2] Univ Cape Town, Sch Publ Hlth, Div Social & Behav Sci, Cape Town, South Africa
[3] Univ Calif Los Angeles, Dept Epidemiol, Los Angeles, CA USA
[4] Univ Western Cape, Fac Community & Hlth Sci, Bellville, South Africa
[5] Univ Cape Town, Fac Humanities, Dept Social Anthropol, Cape Town, South Africa
[6] Univ Cape Town, Div Epidemiol & Biostat, Observatory, South Africa
[7] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA USA
[8] Human Sci Res Council, Ctr Community Based Res, Pretoria, South Africa
[9] Univ Calif Los Angeles, David Geffen Sch Med, Dept Family Med, Los Angeles, CA USA
[10] Univ Cape Town, Dept Psychiat, Cape Town, South Africa
[11] Univ Calif Los Angeles, David Geffen Sch Med, Div Infect Dis, Los Angeles, CA USA
[12] San Diego State Univ, Sch Publ Hlth, 5500 Campanile Dr, San Diego, CA 92182 USA
来源
SSM-QUALITATIVE RESEARCH IN HEALTH | 2024年 / 5卷
关键词
Alcohol use; Pregnancy; HIV; Intimate partner violence; South Africa; INTIMATE PARTNER VIOLENCE; SOCIAL SUPPORT; PREVALENCE; HEALTH; CONSUMPTION; STRESS; SEX; METAANALYSIS; ASSOCIATION; COMMUNITY;
D O I
10.1016/j.ssmqr.2024.100394
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In South Africa, alcohol use during pregnancy is prevalent and associated with increased HIV risk. Developing locally sensitive and contextually appropriate evidence-based interventions to address alcohol use among pregnant and breastfeeding women in South Africa requires comprehensive understanding of the context of perinatal alcohol use and how relationships and lived environments may serve as barriers or supports for alcohol reduction. We conducted twenty in-depth qualitative interviews with isiXhosa speaking women who reported alcohol use during their recent pregnancy and/or recent intimate partner violence in Cape Town, South Africa between September and November 2022. We describe patterns and drivers of ongoing alcohol use during pregnancy and map them onto levels of the socioecological model. Data were analyzed utilizing the interpretivist paradigm and interpretive thematic analysis. Eight women reported alcohol use during pregnancy, sixteen reported experiencing recent IPV, and four women reported both alcohol use during pregnancy and recent IPV. In interviews, commonly cited reasons for continued alcohol use in pregnancy included stress (e.g., due to financial concerns), peer pressure, the central role of alcohol use in socialization and the persistence of misconceptions regarding the safety of alcohol use in pregnancy. Still, despite women reporting social norms that supported continued alcohol use in pregnancy, many altered who they drank with due to fear of judgement from close friends and family, leaving them isolated from their social support system. Interventions aimed at increasing interpersonal support, such as the use of peer mentors, could prove beneficial. Although the clinic provides messaging around the harms of alcohol use in pregnancy, these messages conflict with messaging received from their peers, limiting their impact on behavior. Locally sensitive tailored, relevant programming that intervenes on barriers to reducing alcohol use in pregnancy at multiple levels of the socioeconomic model are vital to effectively addressing this public health issue.
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页数:9
相关论文
共 75 条
[1]   Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: a systematic review and meta-analysis' as given in the submission system [J].
Addila, Alemu Earsido ;
Bisetegn, Telake Azale ;
Gete, Yigzaw Kebede ;
Mengistu, Mezgebu Yitayal ;
Beyene, Getnet Mihretie .
SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY, 2020, 15 (01)
[2]   Perspectives of Policymakers and Service Providers on Why Fetal Alcohol Spectrum Disorders Remain Unabated in South Africa: a Qualitative Study [J].
Adebiyi, Babatope O. ;
Mukumbang, Ferdinand C. .
INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION, 2023, 21 (03) :1583-1604
[3]  
Agiresaasi A., 2021, Journal of Alcoholism, Drug Abuse and Substance Dependence, V7, P1, DOI [10.24966/adsd-9594/100026, DOI 10.24966/ADSD-9594/100026]
[4]   Intimate Partner Violence During Pregnancy: Maternal and Neonatal Outcomes [J].
Alhusen, Jeanne L. ;
Ray, Ellen ;
Sharps, Phyllis ;
Bullock, Linda .
JOURNAL OF WOMENS HEALTH, 2015, 24 (01) :100-106
[5]  
[Anonymous], 2016, Medline Lost opportunity IJSA 2016.pdf, DOI [10.1177/0956462416660483, DOI 10.1177/0956462416660483]
[6]   Moving alcohol prevention research forwardPart I: introducing a complex systems paradigm [J].
Apostolopoulos, Yorghos ;
Lemke, Michael K. ;
Barry, Adam E. ;
Lich, Kristen Hassmiller .
ADDICTION, 2018, 113 (02) :353-362
[7]   South African mothers' immediate and 5-year retrospective reports of drinking alcohol during pregnancy [J].
Arfer, Kodi B. ;
O'Connor, Mary J. ;
Tomlinson, Mark ;
Rotheram-Borus, Mary Jane .
PLOS ONE, 2020, 15 (04)
[8]  
Bailey BA, 2011, ALCOHOL RES HEALTH, V34, P86
[9]  
Braun V., 2006, Qual Res Psychol, V3, P77, DOI [10.1191/1478088706qp063oa, DOI 10.1191/1478088706QP063OA, 10.1191/ 1478088706qp063oa 49, DOI 10.1191/1478088706QP063OA49]
[10]   Determinants of suboptimal adherence and elevated HIV viral load in pregnant women already on antiretroviral therapy when entering antenatal care in Cape Town, South Africa [J].
Brittain, Kirsty ;
Remien, Robert H. ;
Mellins, Claude A. ;
Phillips, Tamsin K. ;
Zerbe, Allison ;
Abrams, Elaine J. ;
Myer, Landon .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2018, 30 (12) :1517-1523