Evidence map›Paper›PMID 39675918›Full record

ArticleAlcohol, clinical & experimental research2025

Understanding the effects of alcohol policies on treatment admissions and birth outcomes among young pregnant people.

Nancy F Berglas, Sue Thomas, Ryan Treffers, Pamela J Trangenstein, Meenakshi S Subbaraman, Sarah C M Roberts

Abstract read
In one paragraph

Article in Alcohol, clinical & experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nancy F BerglasAdvancing New Standards in Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland, California, USA.ORCID https://orcid.org/0000-0001-5310-4848
Sue ThomasPacific Institute for Research and Evaluation, Santa Cruz, California, USA.
Ryan TreffersPacific Institute for Research and Evaluation, Santa Cruz, California, USA.
Pamela J TrangensteinAlcohol Research Group, Public Health Institute, Emeryville, California, USA.
Meenakshi S SubbaramanBehavioral Health and Recovery Studies, Public Health Institute, Oakland, California, USA.ORCID https://orcid.org/0000-0002-1336-7552
Sarah C M RobertsAdvancing New Standards in Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland, California, USA.

Funding

Alcohol and pregnancy: do state-level punitive and supportive policies matter?R01AA023267 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ROBERTS, SARAH C.M. · 2015 to 2025
$3.5M
NIAAA NIH HHS 2R01AA023267NIAAA NIH HHS R01 AA023267
6 · The paper itself

Abstract

backgroundThis study examines whether state-level alcohol policy types in the United States relate to substance use disorder treatment admissions and birth outcomes among young pregnant and birthing people.

methodsWe used data from the Treatment Episode Data Set: Admissions (TEDS-A) and Vital Statistics birth data for 1992-2019. We examined 16 state-level policies, grouped into three types: youth-specific, general population, and pregnancy-specific alcohol policies. Using Poisson and logistic regression, we assessed policy effects for those under 21 (aged 15-20) and considered whether effects differed for those just over 21 (aged 21-24).

resultsYouth-specific policies were not associated with treatment admissions or preterm birth. There were statistically significant associations between family exceptions to minimum legal drinking age (MLDA) policies and low birthweight, but findings were in opposite directions across possession-focused and consumption-focused (MLDA) policies and did not differentially apply to people 15-20 versus 21-24. Most pregnancy-specific policies were not associated with treatment admissions, and none were significantly associated with birth outcomes. A few general population policies were associated with improved birth outcomes and/or increased treatment admissions. Specifically, both government spirits monopolies and prohibitions of spirits and heavy beer sales in gas stations were associated with decreased low birthweight among people 15-20 and among people 21-24. Effects of Blood Alcohol Concentration (BAC) limits varied by age, with slight reductions in adverse birth outcomes among people 15-20, as BAC limits get stronger, but slight increases for those 21-24. Although treatment admissions rates across ages were similar when BAC limits were in place, treatment admissions were greater for pregnant people 21-24 than for 15-20 when there were no BAC limits.

conclusionsGeneral population policies also appear effective for reducing the adverse effects of drinking during pregnancy for young people, including those under 21. Policies that target people based on age or pregnancy status appear less effective.

Indexed as

adolescentalcoholalcohol policypregnancyyoung adult

Identifiers

PMID39675918
PMCPMC11829823

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