Evidence map›Paper›PMID 29463287›Full record

ArticleSubstance abuse treatment, prevention, and policy2018

Weaved into the cultural fabric: a qualitative exploration of alcohol consumption during pregnancy among tribal women in Odisha, India.

Sanghamitra Pati, Abhimanyu Singh Chauhan, Pranab Mahapatra, Devraj Hansdah, Krushna Chandra Sahoo, Sandipana Pati

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Article in Substance abuse treatment, prevention, and policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sanghamitra PatiDepartment of Health Research, Govt. of India, ICMR - Regional Medical Research Centre, Chandrasekharpur, Bhubaneswar, Odisha, 751023, India. drsanghamitra12@gmail.com.
Abhimanyu Singh ChauhanPublic Health Foundation of India, Plot 47, Sector 44, Gurugram, Haryana, 122002, India.
Pranab MahapatraDepartment of Psychiatry, Kalinga Institute of Medical Sciences, Campus 5, KIIT University, Bhubaneswar, Odisha, 751024, India.
Devraj HansdahDepartment of Health and Family Welfare, Government of Odisha, Bhubaneswar, Odisha, 751001, India.
Krushna Chandra SahooIndependent Research Consultant (Public Health), Bhubaneswar, Odisha, 751001, India.
Sandipana PatiDepartment of Health and Family Welfare, Government of Odisha, Bhubaneswar, Odisha, 751001, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence-based research has documented the association between alcohol intake during pregnancy and increased risk of miscarriage, stillbirth and congenital birth defects. Alcohol consumption is a complex behavior whose origins lay in cultural norms and the social structure. In tribal communities in India, alcohol misuse among women is a public health problem. This study is intended to explore perceptions and beliefs among tribal women and the community towards alcohol consumption during pregnancy.

methodsA qualitative study was conducted in a tribal-dominated district of Odisha, India. The WHO AUDIT tool was used to identify women who consumed alcohol during their pregnancies. In-depth interviews were conducted with 19 eligible women and 18 family members. Additionally, two focused group discussions were held with local community leaders and health workers. The data was transcribed, systematically coded and analyzed following the thematic framework approach.

resultsThe findings suggest that a complex interplay of drivers contributes to the unrestricted intake of alcohol by pregnant women. This could be attributed to: a lack of social monitoring, easy access to alcohol, low alcohol literacy and alcohol's normative status in daily customs and traditions. Another contributing factor is a community-wide perception that home-made alcohol poses no ill effects.

conclusionAlcohol consumption is deeply embedded in the daily rituals of indigenous tribal women. To address this issue, community counselling utilizing platforms of RMNCHA and VHND could be Ideal. A well-designed, culture-based intervention encompassing alcohol researchers, mental health specialists, public health workers and anthropologists is necessary.

Indexed as

Health Knowledge, Attitudes, PracticeAlcohol DrinkingAttitude of Health PersonnelFamilyFemaleFocus GroupsHumansIndiaMalePopulation GroupsPregnancyPregnant PeopleQualitative ResearchAlcohol misuseCultureIndiaOdishaPregnancyTraditionTribal women

Identifiers

PMID29463287
PMCPMC5819194

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LicenceCC BY
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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.