Risk factors for substance use in pregnant women in South Africa

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dc.contributor.authorVythilingum, Bavanisha
dc.contributor.authorRoos, Annerine
dc.contributor.authorFaure, Sheila C
dc.contributor.authorGeerts, Lut
dc.contributor.authorStein, Dan J
dc.date.accessioned2021-10-08T07:18:00Z
dc.date.available2021-10-08T07:18:00Z
dc.date.issued2012
dc.description.abstractObjectives. To study the prevalence of alcohol and substance use in a South African antenatal population and its correlates with socio-demographic factors, depression and perceived stress. Methods. A prospective self-report study on all women presenting for their first antenatal visit who consented to the study at a midwife obstetric unit (MOU) in the East Metropole district, Cape Town, using the Alcohol Use Disorders Identification Test (AUDIT), Drug Use Disorders Identification Test (DUDIT), Edinburgh Depression Scale (EDS) and Perceived Stress Scale (PSS). Statistical analyses using the chi-square test, separate one-way analyses of variance (ANOVA) and logistic regression analyses were performed as appropriate. Outcome measures were depression, alcohol use and substance use. Results. The questionnaire was completed by 323 women. During pregnancy 36.8% of women smoked, 20.2% used alcohol and 4% used substances. Using EDS cut-off scores of 12 and 15, respectively, 48.9% and 33.6% of the sample had scores consistent with major depression. An EDS cut-off score of 12 was significantly associated with both alcohol use (25.9% v. 15.2%, p=0.019) and risky drinking (76.9% v. 36.8%, p=0.04), while an EDS cut-off score of 15 was significantly associated with substance use (8.2% v. 1.4%, p=0.004) as well as alcohol dependence (23.1% v. 3.1%). Conclusions. We found high rates of both alcohol abuse and antenatal depression, and a significant association between depression, substance use and alcohol abuse; EDS scores greater than 12 could be used to identify women at risk of alcohol dependence and/or substance abuse.
dc.identifier.apacitationVythilingum, B., Roos, A., Faure, S. C., Geerts, L., & Stein, D. J. (2012). Risk factors for substance use in pregnant women in South Africa. <i>South African Medical Journal</i>, 102(11), 851 - 177. http://hdl.handle.net/11427/34883en_ZA
dc.identifier.chicagocitationVythilingum, Bavanisha, Annerine Roos, Sheila C Faure, Lut Geerts, and Dan J Stein "Risk factors for substance use in pregnant women in South Africa." <i>South African Medical Journal</i> 102, 11. (2012): 851 - 177. http://hdl.handle.net/11427/34883en_ZA
dc.identifier.citationVythilingum, B., Roos, A., Faure, S.C., Geerts, L. & Stein, D.J. 2012. Risk factors for substance use in pregnant women in South Africa. <i>South African Medical Journal.</i> 102(11):851 - 177. http://hdl.handle.net/11427/34883en_ZA
dc.identifier.issn0038-2469
dc.identifier.ris TY - Journal Article AU - Vythilingum, Bavanisha AU - Roos, Annerine AU - Faure, Sheila C AU - Geerts, Lut AU - Stein, Dan J AB - Objectives. To study the prevalence of alcohol and substance use in a South African antenatal population and its correlates with socio-demographic factors, depression and perceived stress. Methods. A prospective self-report study on all women presenting for their first antenatal visit who consented to the study at a midwife obstetric unit (MOU) in the East Metropole district, Cape Town, using the Alcohol Use Disorders Identification Test (AUDIT), Drug Use Disorders Identification Test (DUDIT), Edinburgh Depression Scale (EDS) and Perceived Stress Scale (PSS). Statistical analyses using the chi-square test, separate one-way analyses of variance (ANOVA) and logistic regression analyses were performed as appropriate. Outcome measures were depression, alcohol use and substance use. Results. The questionnaire was completed by 323 women. During pregnancy 36.8% of women smoked, 20.2% used alcohol and 4% used substances. Using EDS cut-off scores of 12 and 15, respectively, 48.9% and 33.6% of the sample had scores consistent with major depression. An EDS cut-off score of 12 was significantly associated with both alcohol use (25.9% v. 15.2%, p=0.019) and risky drinking (76.9% v. 36.8%, p=0.04), while an EDS cut-off score of 15 was significantly associated with substance use (8.2% v. 1.4%, p=0.004) as well as alcohol dependence (23.1% v. 3.1%). Conclusions. We found high rates of both alcohol abuse and antenatal depression, and a significant association between depression, substance use and alcohol abuse; EDS scores greater than 12 could be used to identify women at risk of alcohol dependence and/or substance abuse. DA - 2012 DB - OpenUCT DP - University of Cape Town IS - 11 J1 - South African Medical Journal LK - https://open.uct.ac.za PY - 2012 SM - 0038-2469 T1 - Risk factors for substance use in pregnant women in South Africa TI - Risk factors for substance use in pregnant women in South Africa UR - http://hdl.handle.net/11427/34883 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34883
dc.identifier.vancouvercitationVythilingum B, Roos A, Faure SC, Geerts L, Stein DJ. Risk factors for substance use in pregnant women in South Africa. South African Medical Journal. 2012;102(11):851 - 177. http://hdl.handle.net/11427/34883.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Medical Journal
dc.source.journalissue11
dc.source.journalvolume102
dc.source.pagination851 - 177
dc.source.urihttps://dx.doi.org/10.7196/SAMJ.5019
dc.subject.otherEpidemiology
dc.subject.otherpregnancy
dc.subject.othersubstance use
dc.subject.otheralcohol
dc.subject.otherdepression
dc.titleRisk factors for substance use in pregnant women in South Africa
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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