Exploring pregnancy-related changes in alcohol consumption between Black and White women

Daniel Morris, Leigh E. Tenkku, Joanne Salas, Pamela K. Xaverius, Mark B. Mengel

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: Although epidemiological data indicate that White women are more likely to drink and binge drink before pregnancy, fetal alcohol syndrome (FAS) is more common in the Black population than among Whites in the United States. Differences in drinking cessation between Black and White women who become pregnant may help explain the disparity in FAS rates. Methods: The study sample was comprised of 280,126 non-Hispanic Black and White women, ages 18 to 44, from the Behavioral Risk Factor Surveillance System (BRFSS) 2001 to 2005 data sets. Predictors of reduction in alcohol consumption (in drinks per month) and binge drinking (>4 drinks on one occasion) by pregnant and non-pregnant women were identified with logistic regression. The effect of interactions of pregnancy status with age, education, and Black or White race on drinks per month and binge occasions were explored using analysis of variance (ANOVA). Results: Pregnant White women averaged 79.5% fewer drinks per month than non-pregnant White women (F = 1250.1, p < 0.001), and 85.4% fewer binge drinking occasions (F = 376, p < 0.001). Pregnant Black women averaged 58.2% fewer drinks per month than non-pregnant Black women (F = 31.8, p < 0.001) and 64.0% fewer binge occasions (F = 13.8, p < 0.001). Compared to Black women, White women appear to make a 38% greater reduction in drinks per month, and a 33% greater reduction in binge occasions. Conclusions: Non-Hispanic White women appear more likely to reduce drinks per month and binge drinking occasions than non-Hispanic Black women during pregnancy. These findings may help explain disparities in FAS in the United States, though this cross-sectional sample does not permit claims of causation. To better describe the impact of differential drinking reduction on FAS rates, future studies of longitudinal data should be done.

Original languageEnglish (US)
Pages (from-to)505-512
Number of pages8
JournalAlcoholism: Clinical and Experimental Research
Volume32
Issue number3
DOIs
StatePublished - Mar 2008
Externally publishedYes

Fingerprint

Alcohol Drinking
Alcohols
Pregnancy
Fetal Alcohol Spectrum Disorders
Binge Drinking
Analysis of variance (ANOVA)
Drinking
Logistics
Pregnant Women
Education
hydroquinone
Behavioral Risk Factor Surveillance System
Causality
Longitudinal Studies
Analysis of Variance
Logistic Models

Keywords

  • Alcohol Use
  • Binge Drinking
  • Childbearing-age Women
  • Fetal Alcohol Syndrome
  • Pregnancy

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology

Cite this

Exploring pregnancy-related changes in alcohol consumption between Black and White women. / Morris, Daniel; Tenkku, Leigh E.; Salas, Joanne; Xaverius, Pamela K.; Mengel, Mark B.

In: Alcoholism: Clinical and Experimental Research, Vol. 32, No. 3, 03.2008, p. 505-512.

Research output: Contribution to journalArticle

Morris, Daniel ; Tenkku, Leigh E. ; Salas, Joanne ; Xaverius, Pamela K. ; Mengel, Mark B. / Exploring pregnancy-related changes in alcohol consumption between Black and White women. In: Alcoholism: Clinical and Experimental Research. 2008 ; Vol. 32, No. 3. pp. 505-512.
@article{e413c97385e446d6af2ad918f10c5a2d,
title = "Exploring pregnancy-related changes in alcohol consumption between Black and White women",
abstract = "Background: Although epidemiological data indicate that White women are more likely to drink and binge drink before pregnancy, fetal alcohol syndrome (FAS) is more common in the Black population than among Whites in the United States. Differences in drinking cessation between Black and White women who become pregnant may help explain the disparity in FAS rates. Methods: The study sample was comprised of 280,126 non-Hispanic Black and White women, ages 18 to 44, from the Behavioral Risk Factor Surveillance System (BRFSS) 2001 to 2005 data sets. Predictors of reduction in alcohol consumption (in drinks per month) and binge drinking (>4 drinks on one occasion) by pregnant and non-pregnant women were identified with logistic regression. The effect of interactions of pregnancy status with age, education, and Black or White race on drinks per month and binge occasions were explored using analysis of variance (ANOVA). Results: Pregnant White women averaged 79.5{\%} fewer drinks per month than non-pregnant White women (F = 1250.1, p < 0.001), and 85.4{\%} fewer binge drinking occasions (F = 376, p < 0.001). Pregnant Black women averaged 58.2{\%} fewer drinks per month than non-pregnant Black women (F = 31.8, p < 0.001) and 64.0{\%} fewer binge occasions (F = 13.8, p < 0.001). Compared to Black women, White women appear to make a 38{\%} greater reduction in drinks per month, and a 33{\%} greater reduction in binge occasions. Conclusions: Non-Hispanic White women appear more likely to reduce drinks per month and binge drinking occasions than non-Hispanic Black women during pregnancy. These findings may help explain disparities in FAS in the United States, though this cross-sectional sample does not permit claims of causation. To better describe the impact of differential drinking reduction on FAS rates, future studies of longitudinal data should be done.",
keywords = "Alcohol Use, Binge Drinking, Childbearing-age Women, Fetal Alcohol Syndrome, Pregnancy",
author = "Daniel Morris and Tenkku, {Leigh E.} and Joanne Salas and Xaverius, {Pamela K.} and Mengel, {Mark B.}",
year = "2008",
month = "3",
doi = "10.1111/j.1530-0277.2007.00594.x",
language = "English (US)",
volume = "32",
pages = "505--512",
journal = "Alcoholism: Clinical and Experimental Research",
issn = "0145-6008",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Exploring pregnancy-related changes in alcohol consumption between Black and White women

AU - Morris, Daniel

AU - Tenkku, Leigh E.

AU - Salas, Joanne

AU - Xaverius, Pamela K.

AU - Mengel, Mark B.

PY - 2008/3

Y1 - 2008/3

N2 - Background: Although epidemiological data indicate that White women are more likely to drink and binge drink before pregnancy, fetal alcohol syndrome (FAS) is more common in the Black population than among Whites in the United States. Differences in drinking cessation between Black and White women who become pregnant may help explain the disparity in FAS rates. Methods: The study sample was comprised of 280,126 non-Hispanic Black and White women, ages 18 to 44, from the Behavioral Risk Factor Surveillance System (BRFSS) 2001 to 2005 data sets. Predictors of reduction in alcohol consumption (in drinks per month) and binge drinking (>4 drinks on one occasion) by pregnant and non-pregnant women were identified with logistic regression. The effect of interactions of pregnancy status with age, education, and Black or White race on drinks per month and binge occasions were explored using analysis of variance (ANOVA). Results: Pregnant White women averaged 79.5% fewer drinks per month than non-pregnant White women (F = 1250.1, p < 0.001), and 85.4% fewer binge drinking occasions (F = 376, p < 0.001). Pregnant Black women averaged 58.2% fewer drinks per month than non-pregnant Black women (F = 31.8, p < 0.001) and 64.0% fewer binge occasions (F = 13.8, p < 0.001). Compared to Black women, White women appear to make a 38% greater reduction in drinks per month, and a 33% greater reduction in binge occasions. Conclusions: Non-Hispanic White women appear more likely to reduce drinks per month and binge drinking occasions than non-Hispanic Black women during pregnancy. These findings may help explain disparities in FAS in the United States, though this cross-sectional sample does not permit claims of causation. To better describe the impact of differential drinking reduction on FAS rates, future studies of longitudinal data should be done.

AB - Background: Although epidemiological data indicate that White women are more likely to drink and binge drink before pregnancy, fetal alcohol syndrome (FAS) is more common in the Black population than among Whites in the United States. Differences in drinking cessation between Black and White women who become pregnant may help explain the disparity in FAS rates. Methods: The study sample was comprised of 280,126 non-Hispanic Black and White women, ages 18 to 44, from the Behavioral Risk Factor Surveillance System (BRFSS) 2001 to 2005 data sets. Predictors of reduction in alcohol consumption (in drinks per month) and binge drinking (>4 drinks on one occasion) by pregnant and non-pregnant women were identified with logistic regression. The effect of interactions of pregnancy status with age, education, and Black or White race on drinks per month and binge occasions were explored using analysis of variance (ANOVA). Results: Pregnant White women averaged 79.5% fewer drinks per month than non-pregnant White women (F = 1250.1, p < 0.001), and 85.4% fewer binge drinking occasions (F = 376, p < 0.001). Pregnant Black women averaged 58.2% fewer drinks per month than non-pregnant Black women (F = 31.8, p < 0.001) and 64.0% fewer binge occasions (F = 13.8, p < 0.001). Compared to Black women, White women appear to make a 38% greater reduction in drinks per month, and a 33% greater reduction in binge occasions. Conclusions: Non-Hispanic White women appear more likely to reduce drinks per month and binge drinking occasions than non-Hispanic Black women during pregnancy. These findings may help explain disparities in FAS in the United States, though this cross-sectional sample does not permit claims of causation. To better describe the impact of differential drinking reduction on FAS rates, future studies of longitudinal data should be done.

KW - Alcohol Use

KW - Binge Drinking

KW - Childbearing-age Women

KW - Fetal Alcohol Syndrome

KW - Pregnancy

UR - http://www.scopus.com/inward/record.url?scp=39749167993&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=39749167993&partnerID=8YFLogxK

U2 - 10.1111/j.1530-0277.2007.00594.x

DO - 10.1111/j.1530-0277.2007.00594.x

M3 - Article

C2 - 18302726

AN - SCOPUS:39749167993

VL - 32

SP - 505

EP - 512

JO - Alcoholism: Clinical and Experimental Research

JF - Alcoholism: Clinical and Experimental Research

SN - 0145-6008

IS - 3

ER -