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The European Journal of Public Health Advance Access published online on December 9, 2006
The European Journal of Public Health, doi:10.1093/eurpub/ckl259
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© The Author 2006. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
Received May 18, 2006
Accepted October 26, 2006

Article

Weekday but not weekend alcohol consumption before pregnancy influences alcohol cessation during pregnancy

Silvia Palma 1, Rosa Pardo-Crespo 2, Marcial Mariscal 1, Rocío Perez-Iglesias 2, Javier Llorca 2, and Miguel Delgado-Rodríguez 3 *

1 Division of Preventive Medicine and Public Health, University of Jaén, Jaén, Spain
2 Division of Preventive Medicine and Public Health, University of Cantabria, Santander, Spain
3 Division of Preventive Medicine and Public Health, University of Jaén, Jaén, Spain; Division of Preventive Medicine and Public Health, University of Cantabria, Santander, Spain

* To whom correspondence should be addressed.
Miguel Delgado-Rodríguez, E-mail: mdelgado{at}ujaen.es


  Abstract

Background: Cantabria has the highest prevalence of alcohol consumption among women in Spain. Patterns of alcohol consumption before pregnancy were assessed as a determinant of alcohol cessation in pregnant women in Cantabria. Methods: Survey on a random sample of women delivering for the period 1998-2002 (n = 1510). Information was obtained from personal interview (data on alcohol consumption), clinical charts and prenatal care records. Relative risks (RR) and 95% confidence intervals (CI) were estimated. Multivariable analyses were carried out using logistic regression. Results: Nearly half (49.5%) of the women drank regularly before pregnancy and 22.7% during pregnancy. Sociodemographic variables favouring alcohol cessation were: high education level and smoking cessation, whereas high social class, advanced maternal age and employment outside of home decreased the rate of alcohol cessation. Cessation decreased with the amount of alcohol consumed on weekdays (P < 0.001), but not with intake during weekends only. In women with alcohol use only during weekends, only the consumption of spirits increased the rate of alcohol cessation (adjusted RR = 1.40, 95% CI: 1.13-1.60). Pre-pregnancy binge drinking (≥4 drinks on one occasion) decreased alcohol cessation in pregnancy (adjusted RR = 0.66, 95% CI: 0.40-0.97). Conclusions: Drinking patterns influenced the rate of alcohol cessation: the heavier the alcohol consumption on weekdays, the lower the rate of alcohol cessation.

Keywords: alcohol cessation; alcohol consumption; pregnancy.
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