Skip to main content

Advertisement

Log in

Partner’s Influences and Other Correlates of Prenatal Alcohol Use

  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

To investigate the influence of partners on alcohol consumption in pregnant women within the context of other factors. A Dutch nationwide online cross-sectional study among 158 pregnant women and their partners was conducted. To identify correlates of prenatal alcohol use, including perceived and reported partner norm (i.e. partner’s belief regarding acceptability of prenatal alcohol use), partner modeling (i.e. partner’s alcohol use during the woman’s pregnancy) and partner support (i.e. partner’s help in abstaining from alcohol during pregnancy), independent sample T-tests and Chi square tests were conducted. Correlation analyses tested the relationship between perceived and reported partner influence. Multivariate logistic hierarchical regression analyses tested the independent impact of partner’s perceived and reported influence next to other correlates from the I-Change Model. Pregnant women who consumed alcohol perceived a weaker partner norm (p < 0.001) and less partner modeling (p < 0.05), with the partner reporting a weaker norm (p < 0.001), more drinking days per week (p < 0.05) and weaker support (p < 0.05). Perceived and reported partner norm, modeling and support were positively related (respectively p < 0.01, p < 0.01 and p < 0.05). The multivariate analyses demonstrated that pregnant women with a higher education who perceived lower severity of harm due to prenatal alcohol use and a weaker partner norm were more likely to use alcohol (R2 = 0.42). This study demonstrated that perceived partner norm was the most critical of the constructs of perceived and reported partner influences in explaining prenatal alcohol use.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Centers for Disease Control and Prevention. (2002). Alcohol use among women of childbearing age–United States, 1991–1999. JAMA, 287(16), 2069–2071.

    Google Scholar 

  2. Streissguth, A. P., & O’Malley, K. (2000). Neuropsychiatric implications and long-term consequences of fetal alcohol spectrum disorders. Seminars in Clinical Neuropsychiatry, 5(3), 177–190.

    Article  CAS  PubMed  Google Scholar 

  3. O’Leary, C. M., Heuzenroeder, L., Elliott, E. J., & Bower, C. (2007). A review of policies on alcohol use during pregnancy in Australia and other English-speaking countries, 2006. Medical Journal of Australia, 186(9), 466–471.

    PubMed  Google Scholar 

  4. Health Council of the Netherlands. Risks of alcohol consumption related to conception, pregnancy and breastfeeding. The Hague: Health Council of the Netherlands 2005. Report No.: publication no. 2004/22 Contract No.: publication no. 2004/22.

  5. Skagerstrom, J., Chang, G., & Nilsen, P. (2011). Predictors of drinking during pregnancy: A systematic review. Journal of Women’s Health(Larchmt), 20(6), 901–913.

    Article  Google Scholar 

  6. Haynes, G., Dunnagan, T., & Christopher, S. (2003). Determinants of alcohol use in pregnant women at risk for alcohol consumption. Neurotoxicology and Teratology, 25(6), 659–666.

    Article  CAS  PubMed  Google Scholar 

  7. Nilsen, P., Holmqvist, M., Hultgren, E., Bendtsen, P., & Cedergren, M. (2008). Alcohol use before and during pregnancy and factors influencing change among Swedish women. Acta Obstetricia et Gynecologica Scandinavica, 87(7), 768–774.

    Article  PubMed  Google Scholar 

  8. Perham-Hester, K. A., & Gessner, B. D. (1997). Correlates of drinking during the third trimester of pregnancy in Alaska. Maternal and Child Health Journal, 1(3), 165–172.

    Article  CAS  PubMed  Google Scholar 

  9. Chang, G., McNamara, T. K., Wilkins-Haug, L., & Orav, E. J. (2007). Estimates of prenatal abstinence from alcohol: A matter of perspective. Addictive Behaviors, 32(8), 1593–1601.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Comasco, E., Hallberg, G., Helander, A., Oreland, L., & Sundelin-Wahlsten, V. (2012). Alcohol consumption among pregnant women in a Swedish sample and its effects on the newborn outcomes. Alcoholism, Clinical and Experimental Research, 36, 1779.

    Article  PubMed  Google Scholar 

  11. Testa, M., & Reifman, A. (1996). Individual differences in perceived riskiness of drinking in pregnancy: Antecedents and consequences. Journal of Studies on Alcohol, 57(4), 360–367.

    Article  CAS  PubMed  Google Scholar 

  12. Peadon, E., Payne, J., Henley, N., D’Antoine, H., Bartu, A., O’Leary, C., et al. (2011). Attitudes and behavior predict women’s intention to drink alcohol during pregnancy: The challenge for health professionals. BMC Public Health, 11(1), 584.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Ajzen I. From intentions to actions: A theory of planned behavior. In: Kuhl JB, J., editor. Action Control: From cognition to behavior. Berlin, Heidelberg, New York, Tokyo: Springer-Verlag; 1985. p. 11-39.

  14. De Vries, H., Backbier, E., Kok, G., & Dijkstra, M. (1995). The impact of social influences in the context of attitude, self-efficacy, intention, and previous behavior as predictors of smoking onset. Journal of Applied Social Psychology, 25(3), 237–257.

    Article  Google Scholar 

  15. van der Wulp, N. Y., Hoving, C., & de Vries, H. (2013). A qualitative investigation of alcohol use advice during pregnancy: Experiences of Dutch midwives, pregnant women and their partners. Midwifery, 29, e89–e98.

    Article  PubMed  Google Scholar 

  16. Chang, G., Orav, E. J., Jones, J. A., Buynitsky, T., Gonzalez, S., & Wilkins-Haug, L. (2011). Self-reported alcohol and drug use in pregnant young women: A pilot study of associated factors and identification. Family Planning Perspectives, 5(3), 221–226.

    Google Scholar 

  17. Bakhireva, L. N., Wilsnack, S. C., Kristjanson, A., Yevtushok, L., Onishenko, S., Wertelecki, W., et al. (2011). Paternal drinking, intimate relationship quality, and alcohol consumption in pregnant Ukrainian women. Journal of Studies on Alcohol and Drugs, 72(4), 536–544.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Waterson, E. J., Evans, C., & Murray-Lyon, I. M. (1990). Is pregnancy a time of changing drinking and smoking patterns for fathers as well as mothers? An initial investigation. British Journal of Addiction, 85(3), 389–396.

    Article  CAS  PubMed  Google Scholar 

  19. Chang, G., McNamara, T. K., Orav, E. J., Koby, D., Lavigne, A., Ludman, B., et al. (2005). Brief intervention for prenatal alcohol use: A randomized trial. Obstetrics and Gynecology, 105(5 Pt 1), 991–998.

    Article  PubMed Central  PubMed  Google Scholar 

  20. De Vries, H., Mudde, A., Leijs, I., Charlton, A., Vartiainen, E., Buijs, G., et al. (2003). The European smoking prevention framework approach (EFSA): An example of integral prevention. Health Education Research, 18(5), 611–626.

    Article  PubMed  Google Scholar 

  21. De Vries, H., Backbier, E., Dijkstra, M., Van Breukelen, G., Parcel, G., & Kok, G. (1994). A Dutch social influence smoking prevention approach for vocational school students. Health Education Research, 9(3), 365–374.

    Article  Google Scholar 

  22. Bandura, A., Cioffi, D., Taylor, C. B., & Brouillard, M. E. (1988). Perceived self-efficacy in coping with cognitive stressors and opioid activation. Journal of Personality and Social Psychology, 55(3), 479–488.

    Article  CAS  PubMed  Google Scholar 

  23. De Vries, H., Dijkstra, M., & Kuhlman, P. (1988). Self-efficacy: The third factor besides attitude and subjective norm as a predictor of behavioral intentions. Health Education Research, 3(3), 273–282.

    Article  Google Scholar 

  24. Wiegers, T. A., Van der Velden, L. F. J., & Hingstman, L. (2005). Need estimate of midwives. Utrecht: Nivel.

    Google Scholar 

  25. Dijkstra, A., de Vries, H., & Bakker, M. (1996). Pros and cons of quitting, self-efficacy, and the stages of change in smoking cessation. Journal of Consulting and Clinical Psychology, 64(4), 758–763.

    Article  CAS  PubMed  Google Scholar 

  26. Hoving, C., Mudde, A. N., & de Vries, H. (2007). Effect of recruitment method and setting on the composition of samples consisting of adult smokers. Patient Education and Counseling, 65(1), 79–86.

    Article  PubMed  Google Scholar 

  27. Dijkstra, A., De Vries, H., & Roijackers, J. (1998). Long-term effectiveness of computer-generated tailored feedback in smoking cessation. Health Education Research, 13(2), 207–214.

    Article  CAS  PubMed  Google Scholar 

  28. De Vries, H., Bakker, M., Mullen, P. D., & van Breukelen, G. (2006). The effects of smoking cessation counseling by midwives on Dutch pregnant women and their partners. Patient Education and Counseling, 63(1–2), 177–187.

    Article  PubMed  Google Scholar 

  29. Hoving, C., Mudde, A. N., Dijk, F., & de Vries, H. (2010). Effectiveness of a smoking cessation intervention in Dutch pharmacies and general practices. Health Education, 110(1), 17–29.

    Article  Google Scholar 

  30. Nathanson, V., Jayesinghe, N., & Roycroft, G. (2007). Is it all right for women to drink small amounts of alcohol in pregnancy? BMJ, 335(7625), 856–857.

    Article  Google Scholar 

  31. Field, A. (2005). Discovering statistics using SPSS. London: Sage Publications Ltd.

    Google Scholar 

  32. McNamara, T. K., Orav, E. J., Wilkins-Haug, L., & Chang, G. (2006). Social support and prenatal alcohol use. Journal of Women’s Health (Larchmt), 15(1), 70–76.

    Article  Google Scholar 

  33. Alvik, A., Heyerdahl, S., Haldorsen, T., & Lindemann, R. (2006). Alcohol use before and during pregnancy: A population-based study. Acta Obstetricia et Gynecologica Scandinavica, 85(11), 1292–1298.

    Article  PubMed  Google Scholar 

  34. Lumley, J., Chamberlain, C., Dowswell, T., Oliver, S., & Oakley, L. (2009). Interventions for promoting smoking cessation during pregnancy. Cochrane Database Systematic Review, 3, CD001055.

    Google Scholar 

  35. Torvik, F. A., Røysamb, E., Gustavson, K., Idstad, M., & Tambs, K. (2013). Discordant and concordant alcohol use in spouses as predictors of marital dissolution in the general population: Results from the hunt study. Alcoholism, Clinical and Experimental Research, 37(5), 877–884.

    Article  PubMed  Google Scholar 

  36. Devries, K. M., Child, J. C., Bacchus, L. J., Mak, J., Falder, G., Graham, K., et al. (2014). Intimate partner violence victimization and alcohol consumption in women: A systematic review and meta-analysis. Addiction, 109(3), 379–391.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nickie Y. van der Wulp.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

van der Wulp, N.Y., Hoving, C. & de Vries, H. Partner’s Influences and Other Correlates of Prenatal Alcohol Use. Matern Child Health J 19, 908–916 (2015). https://doi.org/10.1007/s10995-014-1592-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-014-1592-y

Keywords

Navigation