Evaluation of a retrospective diary for peri-conceptual and mid-pregnancy drinking in Scotland: a cross-sectional study

Andrew Symon (Lead / Corresponding author), Jean Rankin, Geraldine Butcher, Lesley Smith, Lynda Cochrane

Research output: Contribution to journalArticle

1 Citation (Scopus)
114 Downloads (Pure)

Abstract

INTRODUCTION: Heavy episodic ('binge') drinking among women in Scotland is commonplace; pre-pregnancy drinking is associated with continued antenatal drinking. Evidence for effectiveness of standardised antenatal alcohol assessment is lacking. Alcohol-exposed pregnancies may be missed. We assessed peri-conceptual and mid-pregnancy consumption using a week-long retrospective diary and standard alcohol questionnaires, and evaluated the agreement between these instruments.

MATERIAL AND METHODS: Cross-sectional study in two Scottish health board areas involving 510 women attending mid-pregnancy ultrasound scan clinics. Face-to-face administration of alcohol Retrospective Diary and AUDIT or AUDIT-C assessed weekly and daily alcohol consumption levels and patterns. Depression-Anxiety-Stress Scale (DASS-21) assessed maternal wellbeing. A sub-sample (n=30) provided hair for alcohol metabolite analysis. Pearson's correlation coefficient investigated associations between questionnaires and alcohol metabolite data.

RESULTS: The response rate was 73.8%. The Retrospective Diary correlated moderately with AUDIT-C and AUDIT but elicited reports of significantly higher peri-conceptual consumption, (median unit consumption on 'drinking days' 6.8; range 0.4-63.8). Additional 'special occasions' consumption ranged from one to 125 units per week. Correlations between DASS-21 and Retrospective Diary were weak. Biomarker analysis identified three instances of hazardous peri-conceptual drinking.

CONCLUSIONS: Women reported higher consumption levels when completing the Retrospective Diary, especially regarding peri-conceptual 'binge' drinking. Routine clinical practice methods may not capture potentially harmful or irregular drinking patterns. Given the association between pre-pregnancy and antenatal drinking, and alcohol's known teratogenic effects, particularly in the first trimester, the Retrospective Diary may be a useful low-tech tool to gather information on alcohol intake patterns and levels.

Original languageEnglish
Pages (from-to)53-60
Number of pages8
JournalActa Obstetricia et Gynecologica Scandinavica
Volume96
Issue number1
Early online date28 Oct 2016
DOIs
Publication statusPublished - Jan 2017

Fingerprint

Scotland
Drinking
Cross-Sectional Studies
Alcohols
Pregnancy
Binge Drinking
Alcohol Drinking
First Pregnancy Trimester
Hair
Anxiety
Biomarkers
Mothers
Depression
Health

Keywords

  • Pregnancy
  • Prenatal care
  • Alcohol drinking
  • Prenatal alcohol exposure
  • Alcohol screening
  • Biomarker
  • Cross-sectional study

Cite this

@article{f29f96f6508f402f8f664849afecf307,
title = "Evaluation of a retrospective diary for peri-conceptual and mid-pregnancy drinking in Scotland: a cross-sectional study",
abstract = "INTRODUCTION: Heavy episodic ('binge') drinking among women in Scotland is commonplace; pre-pregnancy drinking is associated with continued antenatal drinking. Evidence for effectiveness of standardised antenatal alcohol assessment is lacking. Alcohol-exposed pregnancies may be missed. We assessed peri-conceptual and mid-pregnancy consumption using a week-long retrospective diary and standard alcohol questionnaires, and evaluated the agreement between these instruments.MATERIAL AND METHODS: Cross-sectional study in two Scottish health board areas involving 510 women attending mid-pregnancy ultrasound scan clinics. Face-to-face administration of alcohol Retrospective Diary and AUDIT or AUDIT-C assessed weekly and daily alcohol consumption levels and patterns. Depression-Anxiety-Stress Scale (DASS-21) assessed maternal wellbeing. A sub-sample (n=30) provided hair for alcohol metabolite analysis. Pearson's correlation coefficient investigated associations between questionnaires and alcohol metabolite data.RESULTS: The response rate was 73.8{\%}. The Retrospective Diary correlated moderately with AUDIT-C and AUDIT but elicited reports of significantly higher peri-conceptual consumption, (median unit consumption on 'drinking days' 6.8; range 0.4-63.8). Additional 'special occasions' consumption ranged from one to 125 units per week. Correlations between DASS-21 and Retrospective Diary were weak. Biomarker analysis identified three instances of hazardous peri-conceptual drinking.CONCLUSIONS: Women reported higher consumption levels when completing the Retrospective Diary, especially regarding peri-conceptual 'binge' drinking. Routine clinical practice methods may not capture potentially harmful or irregular drinking patterns. Given the association between pre-pregnancy and antenatal drinking, and alcohol's known teratogenic effects, particularly in the first trimester, the Retrospective Diary may be a useful low-tech tool to gather information on alcohol intake patterns and levels.",
keywords = "Pregnancy, Prenatal care, Alcohol drinking , Prenatal alcohol exposure , Alcohol screening, Biomarker , Cross-sectional study",
author = "Andrew Symon and Jean Rankin and Geraldine Butcher and Lesley Smith and Lynda Cochrane",
note = "This study was supported by a Scottish Government grant.",
year = "2017",
month = "1",
doi = "10.1111/aogs.13050",
language = "English",
volume = "96",
pages = "53--60",
journal = "Acta Obstetricia et Gynecologica Scandinavica",
issn = "0001-6349",
publisher = "Wiley",
number = "1",

}

Evaluation of a retrospective diary for peri-conceptual and mid-pregnancy drinking in Scotland : a cross-sectional study. / Symon, Andrew (Lead / Corresponding author); Rankin, Jean; Butcher, Geraldine; Smith, Lesley; Cochrane, Lynda.

In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 96, No. 1, 01.2017, p. 53-60.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Evaluation of a retrospective diary for peri-conceptual and mid-pregnancy drinking in Scotland

T2 - a cross-sectional study

AU - Symon, Andrew

AU - Rankin, Jean

AU - Butcher, Geraldine

AU - Smith, Lesley

AU - Cochrane, Lynda

N1 - This study was supported by a Scottish Government grant.

PY - 2017/1

Y1 - 2017/1

N2 - INTRODUCTION: Heavy episodic ('binge') drinking among women in Scotland is commonplace; pre-pregnancy drinking is associated with continued antenatal drinking. Evidence for effectiveness of standardised antenatal alcohol assessment is lacking. Alcohol-exposed pregnancies may be missed. We assessed peri-conceptual and mid-pregnancy consumption using a week-long retrospective diary and standard alcohol questionnaires, and evaluated the agreement between these instruments.MATERIAL AND METHODS: Cross-sectional study in two Scottish health board areas involving 510 women attending mid-pregnancy ultrasound scan clinics. Face-to-face administration of alcohol Retrospective Diary and AUDIT or AUDIT-C assessed weekly and daily alcohol consumption levels and patterns. Depression-Anxiety-Stress Scale (DASS-21) assessed maternal wellbeing. A sub-sample (n=30) provided hair for alcohol metabolite analysis. Pearson's correlation coefficient investigated associations between questionnaires and alcohol metabolite data.RESULTS: The response rate was 73.8%. The Retrospective Diary correlated moderately with AUDIT-C and AUDIT but elicited reports of significantly higher peri-conceptual consumption, (median unit consumption on 'drinking days' 6.8; range 0.4-63.8). Additional 'special occasions' consumption ranged from one to 125 units per week. Correlations between DASS-21 and Retrospective Diary were weak. Biomarker analysis identified three instances of hazardous peri-conceptual drinking.CONCLUSIONS: Women reported higher consumption levels when completing the Retrospective Diary, especially regarding peri-conceptual 'binge' drinking. Routine clinical practice methods may not capture potentially harmful or irregular drinking patterns. Given the association between pre-pregnancy and antenatal drinking, and alcohol's known teratogenic effects, particularly in the first trimester, the Retrospective Diary may be a useful low-tech tool to gather information on alcohol intake patterns and levels.

AB - INTRODUCTION: Heavy episodic ('binge') drinking among women in Scotland is commonplace; pre-pregnancy drinking is associated with continued antenatal drinking. Evidence for effectiveness of standardised antenatal alcohol assessment is lacking. Alcohol-exposed pregnancies may be missed. We assessed peri-conceptual and mid-pregnancy consumption using a week-long retrospective diary and standard alcohol questionnaires, and evaluated the agreement between these instruments.MATERIAL AND METHODS: Cross-sectional study in two Scottish health board areas involving 510 women attending mid-pregnancy ultrasound scan clinics. Face-to-face administration of alcohol Retrospective Diary and AUDIT or AUDIT-C assessed weekly and daily alcohol consumption levels and patterns. Depression-Anxiety-Stress Scale (DASS-21) assessed maternal wellbeing. A sub-sample (n=30) provided hair for alcohol metabolite analysis. Pearson's correlation coefficient investigated associations between questionnaires and alcohol metabolite data.RESULTS: The response rate was 73.8%. The Retrospective Diary correlated moderately with AUDIT-C and AUDIT but elicited reports of significantly higher peri-conceptual consumption, (median unit consumption on 'drinking days' 6.8; range 0.4-63.8). Additional 'special occasions' consumption ranged from one to 125 units per week. Correlations between DASS-21 and Retrospective Diary were weak. Biomarker analysis identified three instances of hazardous peri-conceptual drinking.CONCLUSIONS: Women reported higher consumption levels when completing the Retrospective Diary, especially regarding peri-conceptual 'binge' drinking. Routine clinical practice methods may not capture potentially harmful or irregular drinking patterns. Given the association between pre-pregnancy and antenatal drinking, and alcohol's known teratogenic effects, particularly in the first trimester, the Retrospective Diary may be a useful low-tech tool to gather information on alcohol intake patterns and levels.

KW - Pregnancy

KW - Prenatal care

KW - Alcohol drinking

KW - Prenatal alcohol exposure

KW - Alcohol screening

KW - Biomarker

KW - Cross-sectional study

UR - http://onlinelibrary.wiley.com/doi/10.1111/aogs.13050/full

U2 - 10.1111/aogs.13050

DO - 10.1111/aogs.13050

M3 - Article

C2 - 27792241

VL - 96

SP - 53

EP - 60

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

SN - 0001-6349

IS - 1

ER -