Paternal drinking, intimate relationship quality, and alcohol consumption in pregnant Ukrainian women

• Published in: Journal of studies on alcohol and drugs Vol. 72; no. 4; p. 536
• Main Authors: Bakhireva, Ludmila N, Wilsnack, Sharon C, Kristjanson, Arlinda, Yevtushok, Lyubov, Onishenko, Svetlana, Wertelecki, Wladimir, Chambers, Christina D
• Format: Journal Article
• Language: English
• Published: United States 01.07.2011
• Subjects: Adolescent; Adult; Alcohol Drinking - epidemiology; Alcohol Drinking - prevention & control; Alcohol Drinking - psychology; Alcohol-Related Disorders - epidemiology; Alcohol-Related Disorders - pathology; Alcohol-Related Disorders - prevention & control; Alcohol-Related Disorders - psychology; Alcoholic Intoxication - pathology; Alcoholic Intoxication - prevention & control; Alcoholic Intoxication - psychology; Alcoholism - epidemiology; Alcoholism - pathology; Alcoholism - psychology; Central Nervous System Depressants - adverse effects; Cohort Studies; Cross-Sectional Studies; Ethanol - adverse effects; Family; Fathers - psychology; Fathers - statistics & numerical data; Female; Fetal Alcohol Spectrum Disorders - pathology; Fetal Alcohol Spectrum Disorders - prevention & control; Fetal Alcohol Spectrum Disorders - psychology; Humans; Interpersonal Relations; Interview, Psychological; Male; Pregnancy; Pregnant Women - psychology; Prospective Studies; Ukraine; Young Adult; Ukraine
• DOI: 10.15288/jsad.2011.72.536

Maternal alcohol consumption during pregnancy and fetal alcohol spectrum disorders (FASDs) represent a significant public health problem. The influence of the male partner's alcohol consumption patterns and the quality of the partner's intimate relationship might be important factors to consider in the design of successful FASD prevention programs. As part of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders, 166 pregnant women in two regions in Ukraine participated in an in-person interview at an average gestational age of 18-19 weeks. Subjects were classified cross-sectionally as abstainers/light drinkers (n = 80), defined as low or no consumption of alcohol in the periconceptional period and none in the most recent 2 weeks of pregnancy; discontinuers (n = 43), defined as moderate to heavy alcohol use in the periconceptional period but none during the most recent 2 weeks of pregnancy; or continuing drinkers (n = 43), defined as continued moderate to heavy alcohol use within the most recent 2 weeks of pregnancy. Women also reported on their partner's drinking behavior and on the quality of their intimate relationship. Heavy paternal drinking was significantly associated with both continuing maternal drinking in the most recent 2 weeks (adjusted odds ratio [OR] = 34.1; 95% CI [5.9, 195.8]) and being a risky drinker only around conception (adjusted OR = 27.0; 95% CI [5.0, 147.7]). In addition, women who consumed alcohol during pregnancy had lower mean scores for satisfaction with partners' relationship and ability to discuss problems (p < .05) compared with light drinkers/abstainers. This study suggests that development of partner-based interventions, as opposed to those solely focused on maternal drinking, might be warranted as a strategy to prevent FASD.