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Article Dans Une Revue Journal of Preventive Medicine Année : 2022

Alcohol risk during pregnancy in French Guiana: Distinguishing low and high risks and their covariates for prevention

Résumé

Introduction: The consumption of alcohol during pregnancy (which is teratogenic for the fetus), and associated risk factors for prematurity, represent public health problems in French Guiana. Although there are no statistics on the consumption of alcohol by pregnant women for this French overseas territory, it is nevertheless worrying in the light of a predictive indicator-that of pre-pregnancy alcohol consumption levels measured by a T-Ace score. Methods: A questionnaire survey was conducted in maternity wards in Guiana in 2017-2018 on the socio-demographic characteristics of women, their substance use (alcohol, tobacco, and cannabis) during and before pregnancy, and their monitoring and experience of pregnancy. This questionnaire also included T-Ace questions to determine at-risk pregnancies. Results: Among the 789 women, 15% were at risk for alcohol consumption with a T-Ace score of 2 or more, while 7.5% were at high risk with a score of 3 or above. Two profiles of women who drank alcohol during pregnancy emerged: women with at-risk alcohol consumption which included the more educated, and that of women with a major risk including Brazilian and Surinamese women, who live in isolated zones or abroad, but also French women born in mainland France. This type of alcohol consumption during pregnancy was one of the factors explaining prematurity, which was estimated at 9% in this study of singletons births. The risk of prematurity was more than double for women with a T-Ace score above 3, the least educated, those aged 40 and over, and those living in remote areas. Conclusion: In French Guiana, health professionals were the major source of information for women who consumed alcohol, and who did not speak French or could not read it. Increased investment in training health professionals in the mother tongues of these women so that they can explain the risks of alcohol consumption – especially beer – seems essential to improve the health of mothers and their new-borns.
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Dates et versions

hal-03954220 , version 1 (24-01-2023)

Identifiants

  • HAL Id : hal-03954220 , version 1

Citer

Laurence Simmat-Durand. Alcohol risk during pregnancy in French Guiana: Distinguishing low and high risks and their covariates for prevention. Journal of Preventive Medicine, 2022, 4 (1), pp.1027. ⟨hal-03954220⟩
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