Svetlana Popova1,2,3,4, Shannon Lange5,6, Charlotte Probst5,7, Kevin Shield5,8, Hannah Kraicer-Melamed5, Carina Ferreira-Borges9, Jürgen Rehm5,10,6,7. 1. Institute for Mental Health Policy Research, Pan American Health Organization and World Health Organization Collaborating Centre, Toronto, ON, Canada. lana.popova@camh.ca. 2. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. lana.popova@camh.ca. 3. Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada. lana.popova@camh.ca. 4. Institute of Medical Science, University of Toronto, Toronto, ON, Canada. lana.popova@camh.ca. 5. Institute for Mental Health Policy Research, Pan American Health Organization and World Health Organization Collaborating Centre, Toronto, ON, Canada. 6. Institute of Medical Science, University of Toronto, Toronto, ON, Canada. 7. Epidemiological Research Unit, Institute for Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany. 8. International Agency for Research on Cancer, Cancer Surveillance, Lyon, France. 9. Instituto de Higiene e Medicina Tropical & Global Health and Tropical Medicine, Universidade Nova de Lisboa, Lisbon, Portugal. 10. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Abstract
OBJECTIVE: To estimate the prevalence of alcohol consumption and binge drinking during pregnancy among the general population in the World Health Organization (WHO) African Region, by country. METHODS: First, a comprehensive systematic literature search was performed to identify all published and unpublished studies. Then, several meta-analyses, assuming a random-effects model, were conducted to estimate the prevalence of alcohol consumption and binge drinking during pregnancy among the general population for countries in the WHO African Region with two or more studies available. Lastly, for countries with less than two studies or no known data predictions were obtained using regression modelling. RESULTS: The estimated prevalence of alcohol consumption during pregnancy among the general population ranged from 2.2% (95% confidence interval [CI]: 1.6-2.8%; Equatorial Guinea) to 12.6% (95% CI: 9.9-15.4%; Cameroon) in Central Africa, 3.4% (95% CI: 2.6-4.3%; Seychelles) to 20.5% (95% CI: 16.4-24.7%; Uganda) in Eastern Africa, 5.7% (95% CI: 4.4-7.1%; Botswana) to 14.2% (95% CI: 11.1-17.3%; Namibia) in Southern Africa, 6.6% (95% CI: 5.0-8.3%; Mauritania) to 14.8% (95% CI: 11.6-17.9%; Sierra Leone) in Western Africa, and 4.3% (95% CI: 3.2-5.3%; Algeria) in Northern Africa. CONCLUSIONS: The high prevalence of alcohol consumption and binge drinking during pregnancy in some African countries calls for educational campaigns, screening and targeted interventions for women of childbearing age.
OBJECTIVE: To estimate the prevalence of alcohol consumption and binge drinking during pregnancy among the general population in the World Health Organization (WHO) African Region, by country. METHODS: First, a comprehensive systematic literature search was performed to identify all published and unpublished studies. Then, several meta-analyses, assuming a random-effects model, were conducted to estimate the prevalence of alcohol consumption and binge drinking during pregnancy among the general population for countries in the WHO African Region with two or more studies available. Lastly, for countries with less than two studies or no known data predictions were obtained using regression modelling. RESULTS: The estimated prevalence of alcohol consumption during pregnancy among the general population ranged from 2.2% (95% confidence interval [CI]: 1.6-2.8%; Equatorial Guinea) to 12.6% (95% CI: 9.9-15.4%; Cameroon) in Central Africa, 3.4% (95% CI: 2.6-4.3%; Seychelles) to 20.5% (95% CI: 16.4-24.7%; Uganda) in Eastern Africa, 5.7% (95% CI: 4.4-7.1%; Botswana) to 14.2% (95% CI: 11.1-17.3%; Namibia) in Southern Africa, 6.6% (95% CI: 5.0-8.3%; Mauritania) to 14.8% (95% CI: 11.6-17.9%; Sierra Leone) in Western Africa, and 4.3% (95% CI: 3.2-5.3%; Algeria) in Northern Africa. CONCLUSIONS: The high prevalence of alcohol consumption and binge drinking during pregnancy in some African countries calls for educational campaigns, screening and targeted interventions for women of childbearing age.
Authors: L M Legault; K Doiron; M Breton-Larrivée; A Langford-Avelar; A Lemieux; M Caron; L A Jerome-Majewska; D Sinnett; S McGraw Journal: Clin Epigenetics Date: 2021-08-23 Impact factor: 6.551