Factors Associated with Alcohol Consumption: A Survey of Women Childbearing at a National Referral Hospital in Accra, Ghana

Georgetta Adeyiga, Emilia A. Udofia, Alfred E. Yawson

Abstract

A hospital based cross-sectional study was conducted to identify the factors associated with alcohol consumption in Ghanaian women of childbearing age.  The sample consisted of 394 women of reproductive age, of which 234 were pregnant. Systematic random sampling was used to select respondents from the clinics of the Department of Obstetrics and Gynecology outpatient at the Korle Bu Teaching Hospital in Accra, Ghana. Data were collected using structured questionnaires and analyzed using SPSS for Windows version 17.0. In the three months preceding the survey, 37.6% imbibed alcoholic drinks, while 24.4% had ever imbibed an alcoholic herbal brew. Non-Islamic religion, not being in marital union, consuming an alcoholic herbal brew and considering alcohol was beneficial to health were strong predictors of alcohol consumption. We conclude that the prevalence of alcohol consumption is high among this cohort of Ghanaian women.  Women should be screened for alcohol consumption and informed about the dangers of heavy alcohol consumption during pregnancy. Afr J Reprod Health 2014; 18[2]: 152-165).

 

Keywords: alcohol, herbal brew, women, pregnancy  

 

Résumé

Une étude transversale en milieu hospitalier a été menée afin d'identifier les facteurs associés à la consommation d'alcool chez les femmes ghanéennes en âge de procréer. L'échantillon était composé de 394 femmes en âge de procrée, dont 234 étaient enceintes.

L’échantillonnage aléatoire systématique a été utilisé pour sélectionner les interviewées auprès des cliniques du Département d'Obstétrique et de Gynécologie ambulatoire hospitalier Universitaire  de Korle Bu, à Accra, au Ghana. Les données ont été

recueillies au moyen de questionnaires structurés et analysés à l’aide du logiciel SPSS pour Windows la version 17.0. Au cours des trois mois précédant l'enquête, 37,6 % ont imbibé des boissons alcoolisées, tandis que 24,4 % avaient déjà bu un breuvage à base de plantes alcooliques. La religion non islamique, n’étant pas dans l'union conjugale, la consommation d'un breuvage à base de plantes alcooliques et la considération de l'alcool comme étant bon pour la santé ont été de bons indices de la consommation d'alcool. Nous concluons que la prévalence de la consommation d'alcool est élevée dans cette cohorte de femmes ghanéennes. Les femmes devraient être examinés pour la consommation d'alcool et informés sur les dangers de la consommation d'alcool pendant la grossesse. Afr J Reprod Health 2014; 18[2]: 152-165).

 


Mots-clés: alcool, bière à base de plantes, femmes, grossesse

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References

Peadon E, Payne J, Henley N, D’Antoine H, Bartu H, O’Leary C, Bower C, Elliot EJ. Attitudes and behaviour predict women’s intention to drink alcohol during pregnancy: the challenge for health professionals. BMC Public Health 2011; 11:584.

McDermott R, Campbell S, Ming L, McCulloch B. The health and nutrition of young indigenous women in north Queensland – intergenerational implications of poor food quality, obesity, diabetes, tobacco smoking and alcohol use. Public Health Nutrition 2009; 12 (11): 2143-2149.

Martinez P, Rᴓislien J, Naidoo N, Clausen T. Alcohol abstinence and drinking among African women: data from the World Health Surveys. BMC Public Health 2011; 11: 160.

Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF Macro. Ghana Demographic and Health Survey 2008. Accra, Ghana: GSS, GHS, and ICF Macro 2009; pp.

Adusi-Poku Y, Edusei AK, Bonney AA, Tagbor H, Nakua E, Otupiri E. Pregnant Women and Alcohol Use in

Bosomtwe District of the Asanti Region-Ghana. African Journal of Reproductive Health 2012; 16 (1):55-60.

Mesquita MDA. The effect of alcohol in newborns. einstein 2010; 8(3 Pt. 1): 368 -375.

Ethen MK, Ramadhani TA, Scheuerle AE, Canfield MA, Wyszynski DF, Druschel CM, Romitti PA, National Birth Defects Study. Alcohol Consumption by Women Before and During Pregnancy. Matern Child Health J 2009; 13:274 – 285.

Ornoy A, Ergaz Z. Alcohol abuse in pregnant women: effects on the fetus and newborn, mode of action and maternal treatment. Int J Environ Res Public Health 2010; 7(2): 364 – 379.

Fillmore MT, Jude R. Defining “binge” drinking as five drinks per occasion or drinking to a .08% BAC: which is more sensitive to risk? Am J Addict. 2011; 20 (5): 468 – 475.

Peltzer K, Davids A, Njuho P. Alcohol Use and Problem drinking in South Africa: findings from a national population-based survey. Afr J Psychiatry 2011; 14: 30 -37.

Mullally A, Cleary BJ, Barry J, Fahey TP, Murphy DJ. Prevalence, predictors and perinatal outcomes of periconceptional alcohol exposure – retrospective cohort study in an urban obstetric population in Ireland. BMC Pregnancy and Childbirth 2011; 11:27.

World Health Organization (WHO). Global status report on alcohol and health. Geneva, Switzerland: WHO, 2011 pp. 4-31.

Korle Bu Teaching Hospital (KBTH). KBTH Annual Report 2010. Accra, Ghana.

Lwanga S, Lemeshow S. Sample size determination in health studies: a practical manual. Geneva, World Health Organization 1991: 23-41.

Hart CL, Smith GD, Upton MN, Watt GCM. Alcohol Consumption Behaviours and Social Mobility in Men and Women of the Midspan Family Study. Alcohol and Alcoholism 2009; 44 (3): 332 – 336.

Leonardson GR, Loudenburg R, Struck J. Factors predictive of alcohol use during pregnancy in three rural states. Behavioural and Brain Functions 2007; 3:8.

O’Connor MJ, Tomlinson M, LeRoux IM, Stewart J, Greco E, Rotheram-Borus MJ. Predictors of Alcohol Use Prior to Pregnancy Recognition among Township Women in Cape Town, South Africa. Soc Sci Med. 2011; 72(1): 83 – 90.

World Health Organization (WHO). Women and health: today’s evidence tomorrow’s agenda. Geneva, Switzerland: WHO, 2009: 40 – 51.

Washbrook E. Risk factors and epidemiology of breast cancer. Women’s Health Medicine 2006; 3:1

BeLue R, Okoror TA, Iwelunmor J, Taylor KD, Degboe AN, Agyemang C, Ogedegbe G. An overview of cardiovascular risk factor burden in sub-Saharan African countries: a socio-cultural perspective. Globalization and Health 2009; 5:10.

Amidu N, Owiredu WKBA, Addai-Mensah O, Quaye L, Alhassan A, Tagoe EA. Incidence of sexual dysfunction: a prospective survey in Ghanaian females. Reproductive Biology and Endocrinology 2010; 8:106.

Lefѐvre T, Gouagna L-C, Dabire KR, Elguero E, Fonteille D, Renaud F, Constantini C, Thomas F. Beer Consumption increases Human Attractiveness to Malaria Mosquitoes. PLoS One 2010; 5(3):e9546.

Ghana National Draft Report on World Health Organization’s Study on Ageing and Adult Health (SAGE) in Ghana, 2011.

Room R, Babor T, Rehm J. Alcohol and public health. The Lancet 2005; 365: 519 – 530.

Berg JP, Lynch ME, Coles CD. Increased mortality among women who drank alcohol during pregnancy. Alcohol 2008; 42: 603 -610.

Roerecke M, Rehm J. Ischaemic heart disease mortality and morbidity rates in former drinkers: a metaanalysis. American Journal of Epidemiology 14 December, 2010 [online] doi: 10.1093/aek/kwq364.

Centre for Disease Control and Prevention (CDC), Tsai J, Floyd RL. Alcohol Consumption among Women Who Are Pregnant or Who Might Become Pregnant – United States, 2002. MMWR. Morbidity and Mortality Weekly Report 2004; 53(50): 1178 – 1181.

Coyne K, De Costa C, Heazlewood R, Newman H. Pregnancy characteristics of women giving birth to children with fetal alcohol syndrome in Far North Queensland. Aust N Z J Obstet Gynecol 2008; 48: 240 – 247.

Mosha TCE, Philemon N. Factors Influencing Pregnancy Outcomes in Morogoro Municipality, Tanzania. Tanzania Journal of Health Research 2010; 12(4): 249 – 260.

Lain SJ, Ford JB, Hadfield RM, Roberts CL. A prevalence survey of everyday activities in pregnancy. BMC Pregnancy and Childbirth 2010; 10:41.

Walker MJ, Al-Sahab B, Islam F, Tamim H. The epidemiology of alcohol utilization during pregnancy: an analysis of the Canadian Maternity Experiences Survey (MES). BMC Pregnancy and Childbirth 2011; 11:52.

Oreagba IA, Oshikoya KA, Amachree M. Herbal medicine use among urban residents in Lagos,

Nigeria. BMC Complementary and Alternative Medicine 2011; 11:117.

Fakeye TO, Adisa R, Musa IE. Attitude and use of herbal medicines among pregnant women in Nigeria. BMC Complement Altern Med. 2009; 31; 9:53.

Dugoua J-J. Herbal medicines and Pregnancy. J Popul Ther Clin Pharmacol 2010; 17(3): e370-e378. 35. Farnes C, Beckstrand RL, Callister LC. Help-seeking behaviours in childbearing women in Ghana, West Africa. International Nursing Review 2011; 58:491 – 497.

Bello FA, Morhason-Bello IO, Adekunle AO. Patterns and predictors of self-medication among antenatal clients in Ibadan, Nigeria. Niger Med J 2011; 52(3): 153 – 157.

European Medicines Agency Committee on Herbal Medicinal Products (HMPC). Reflection Paper on Ethanol Content in Herbal Medicinal Products used in Children. EMA/HMPC/85114/2008 London, 14 January, 2010. Available at: www.emaeuropa.eu/docs/ en_GB/document_library/Scientific_guideline/2010/02/WC500070331.pdf Retrieved June 2, 2011.

Mukherjee R, Eastman N, Turk J, Hollins S. Fetal alcohol syndrome: law and ethics. The Lancet 2007; 369:1149 -1150.

Berg JP, Lynch ME, Coles CD. Increased mortality among women who drank alcohol during pregnancy. Alcohol 2008; 42: 603 – 610.

Elsinga J, de Jong-Potier, van der Pal-de Bruin KM, Cessie SL, Assendelft WJJ, Buitendijk SE. The Effect of Preconception Counselling on Lifestyle and Other Behaviour Before and During Pregnancy. Women’s Health Issues 2008; 18S: S117 – S125.

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