ArticleMaternal and child health journal2016
Alcohol Use During Pregnancy in a South African Community: Reconciling Knowledge, Norms, and Personal Experience.
Article in Maternal and child health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- Why do women consume alcohol during pregnancy or while breastfeeding?Drug and alcohol review · 2022Pooled it
- Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa.Addiction science & clinical practice · 2025Trial
- Maternal depression, alcohol use, and transient effects of perinatal paraprofessional home visiting in South Africa: Eight-year follow-up of a cluster randomized controlled trial.Social science & medicine (1982) · 2023Trial
- Effectiveness of a practice change intervention in reducing alcohol consumption in pregnant women attending public maternity services.Substance abuse treatment, prevention, and policy · 2022Trial
- Knowledge Gaps Regarding Alcohol Consumption During Pregnancy and Its Effect on the Fetus: A Systematic Review Focused on Women.Journal of clinical medicine · 2025Review
- Experiences of alcohol use during pregnancy: A qualitative study of pregnant women at risk of acquiring HIV in Cape Town, South Africa.SSM. Qualitative research in health · 2024Article
- Perceptions of perinatal alcohol use and treatment needs in Cape Town, South Africa: a qualitative study.Frontiers in psychiatry · 2024Article
- Development and psychometric evaluation of a questionnaire to measure university students' knowledge on the effects of alcohol use during pregnancy.Frontiers in public health · 2024Article
- Screening for Alcohol Use in Pregnancy: a Review of Current Practices and Perspectives.International journal of mental health and addiction · 2023Article
- Community-based counselling programme for pregnant women with alcohol problems in Cape Town, South Africa: a qualitative study of the views of pregnant women and healthcare professionals.Frontiers in psychiatry · 2023Article
- Perinatal alcohol use among young women living with HIV in South Africa: Context, experiences, and implications for interventions.Global public health · 2023Article
- Bayesian modelling of population trends in alcohol consumption provides empirically based country estimates for South Africa.Population health metrics · 2021Article
- A scoping review of the determinants of foetal alcohol spectrum disorder in South Africa: an intersectional perspective.Health policy and planning · 2021Article
- South African mothers' immediate and 5-year retrospective reports of drinking alcohol during pregnancy.PloS one · 2020Article
- Alcohol use, pregnancy and associated risk factors: a pilot cross-sectional study of pregnant women attending prenatal care in an urban city.BMC pregnancy and childbirth · 2019Article
- Mentoring the next generation of behavioral health scientists to promote health equity.The American journal of orthopsychiatry · 2019Article
- HIV-Risk Behaviors and Social Support Among Men and Women Attending Alcohol-Serving Venues in South Africa: Implications for HIV Prevention.AIDS and behavior · 2017Article
- Risk for Alcohol-Exposed Pregnancies Among Women at Drinking Venues in Cape Town, South Africa.Journal of studies on alcohol and drugs · 2017Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
objectivesDue to high rates of fetal alcohol spectrum disorder (FASD) in South Africa, reducing alcohol use during pregnancy is a pressing public health priority. The aim of this study was to qualitatively explore knowledge and attitudes about maternal alcohol consumption among women who reported alcohol use during pregnancy.
methodsThe study was conducted in Cape Town, South Africa. Participants were pregnant or within 1 year postpartum and self-reported alcohol use during pregnancy. In-depth interviews explored personal experiences with drinking during pregnancy, community norms and attitudes towards maternal drinking, and knowledge about FASD. Transcripts were analyzed using a content analytic approach, including narrative memos and data display matrices.
resultsInterviews revealed competing attitudes. Women received anti-drinking messages from several sources, but these sources were not highly valued and the messages often contradicted social norms. Women were largely unfamiliar with FASD, and their knowledge of impacts of fetal alcohol exposure was often inaccurate. Participants' personal experiences influenced their attitudes about the effects of alcohol during pregnancy, which led to internalization of misinformation. The data revealed a moral conflict that confronted women in this setting, leaving women feeling judged, ambivalent, or defensive about their behaviors, and ultimately creating uncertainty about their alcohol use behaviors.
conclusionsData revealed the need to deliver accurate information about the harms of fetal alcohol exposure through sources perceived as trusted and reliable. Individual-level interventions to help women reconcile competing attitudes and identify motivations for reducing alcohol use during pregnancy would be beneficial.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.