The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
Prevalence and predictors of alcohol use during pregnancy: findings from international multicentre cohort studies
Abstract
Objectives: To compare the prevalence and predictors of alcohol use in multiple cohorts. Design: Cross-cohort comparison of retrospective and prospective studies. Setting: Population-based studies in Ireland, the UK, Australia and New Zealand. Participants: 17 244 women of predominantly Caucasian origin from two Irish retrospective studies (Growing up in Ireland (GUI) and Pregnancy Risk Assessment Monitoring System Ireland (PRAMS Ireland)), and one multicentre prospective international cohort, Screening for Pregnancy Endpoints (SCOPE) study. Primary and secondary outcome measures: Prevalence of alcohol use pre-pregnancy and during pregnancy across cohorts. Sociodemographic factors associated with alcohol consumption in each cohort. Results: Alcohol consumption during pregnancy in Ireland ranged from 20% in GUI to 80% in SCOPE, and from 40% to 80% in Australia, New Zealand and the UK. Levels of exposure also varied substantially among drinkers in each cohort ranging from 70% consuming more than 1–2 units/week in the first trimester in SCOPE Ireland, to 46% and 15% in the retrospective studies. Smoking during pregnancy was the most consistent predictor of gestational alcohol use in all three cohorts, and smokers were 17% more likely to drink during pregnancy in SCOPE, relative risk (RR)=1.17 (95% CI 1.12 to 1.22), 50% more likely to drink during pregnancy in GUI, RR=1.50 (95% CI 1.36 to 1.65), and 42% more likely to drink in PRAMS, RR=1.42 (95% CI 1.18 to 1.70). Conclusions: Our data suggest that alcohol use during pregnancy is prevalent and socially pervasive in the UK, Ireland, New Zealand and Australia. New policy and interventions are required to reduce alcohol prevalence both prior to and during pregnancy. Further research on biological markers and conventions for measuring alcohol use in pregnancy is required to improve the validity and reliability of prevalence estimates.
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“rates of co-use of cannabis, alcohol, and other substances among people who use nicotine during pregnancy is higher than among those who do not use nicotine.88,89”
From Birth outcomes following intrauterine exposure to electronic nicotine delivery systems: a systematic review and meta-analysis (2026) · cites this paper as [89]
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Systematic review of effects of low–moderate prenatal alcohol exposure on pregnancy outcome
Henderson, J., Gray, R., & Brocklehurst, P. (2007) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2006.01163.x · Cited by 461
McCowan, L. M. E., Dekker, G. A., Chan, E., Stewart, A., Chappell, L. C., Hunter, M., Moss-Morris, R., North, R. A., & On behalf of the SCOPE consortium (2009) · BMJ · doi:10.1136/bmj.b1081 · Cited by 284 · cited 9×
“Ethical approval for SCOPE was obtained from local ethics committees (New Zealand AKX/02/00/364, Australia REC 1712/5/2008, London and Manchester 06/MRE01/98 and Cork ECM5 (10)05/02/08).”
MethodInfluentialSelf-citationO’Keeffe, L. M., Greene, R. A., & Kearney, P. M. (2014) · Systematic Reviews · doi:10.1186/2046-4053-3-1 · Cited by 192
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Research works printed but not linked: 22
- 10.1111/1471-0528.12246 · DOI
- 10.1136/archdischild-2012-302436 · DOI
- O'Keeffe, 2013, Surveillance during pregnancy: methods and response rates to a hospital based cross sectional study of the Pregnancy Risk Assessment Monitoring System in Ireland, BMC Pregnancy Childbirth, 13, 180, 10.1186/1471-2393-13-180 · DOI
- North, 2011, Clinical risk prediction for pre-eclampsia in nulliparous women: development of model in international prospective cohort, BMJ, 342, 1875, 10.1136/bmj.d1875 · DOI
- O'Keeffe, 2015, Pregnancy risk assessment monitoring system in Ireland: methods and response rates, Matern Child Health J, 19, 480, 10.1007/s10995-014-1527-7 · DOI
- 10.1097/AOG.0b013e3182a6b226 · DOI
- 10.1542/peds.109.5.815 · DOI
- 10.1186/1471-2393-11-27 · DOI
- 10.1093/ije/dyq047 · DOI
- 10.1093/ije/dyr189 · DOI
- 10.1136/jech-2013-202934 · DOI
- Stommel M , Wills C . Clinical research: concepts and principles for advanced practice nurses. Philadelphia: Lippincott Williams & Wilkins, 2004.
- 10.1111/j.1530-0277.2006.00303.x · DOI
- Counsell, 1994, Alcohol consumption by New Zealand women during pregnancy, N Z Med J, 107, 278
- Hutchinson, 2013, Alcohol use in pregnancy: prevalence and predictors in the longitudinal study of Australian Children, Drug Alcohol Rev, 32, 475, 10.1111/dar.12027 · DOI
- 10.1136/ebnurs-2012-100516 · DOI
- 10.1542/peds.2013-3733 · DOI
- 10.1080/09297049.2011.628309 · DOI · Paper page
- Skagertróm, 2011, Predictors of drinking during pregnancy: a systematic review, J Womens Health, 20, 901, 10.1089/jwh.2010.2216 · DOI
- Hutchinson, 2011, Alcohol use during pregnancy: prevalence and predictors in a longitudinal study of Australian children, Drug Alcohol Rev, 32, 475, 10.1111/dar.12027 · DOI
- Powers, 2013, A prospective study of prevalence and predictors of concurrent alcohol and tobacco use during pregnancy, Matern Child Health J, 17, 76, 10.1007/s10995-012-0949-3 · DOI
- Walker, 2011, The epidemiology of alcohol utilisation during pregnancy: an analysis of the Canadian Maternity Experiences Survey (MES), BMC Pregnancy Childbirth, 11, 52, 10.1186/1471-2393-11-52 · DOI
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Self-citationMontag, A. C., Calac, D. J., & Chambers, C. D. (2019) · International Journal of Indigenous Health · doi:10.32799/ijih.v14i1.31944 · Cited by 6
Johnstone, S., Schenkel, A., Canazzi, S., Eiden, R. D., & Hawk, Jr. (2026) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntag118 · Cited by 2
Metadata
- Authors
- O'Keeffe, L. M., Kearney, P. M., McCarthy, F. P., Khashan, A. S., Greene, R. A., North, R. A., Poston, L., McCowan, L. M. E., Baker, P. N., Dekker, G. A., Walker, J. J., Taylor, R., & Kenny, L. C.
- Affiliations
- National Perinatal Epidemiology Centre, Cork University Maternity Hospital, Wilton, Cork, Ireland
- Department of Epidemiology and Public Health, University College Cork, Cork, Ireland
- The Irish Centre for Foetal and Neonatal Translational Research (INFANT), University College Cork, Cork, Ireland
- Division of Women's Health, Women's Health Academic Centre, King's College London, and King's Health Partners, London, UK
- Department of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, South Auckland Clinical School, University of Auckland, Auckland, New Zealand
- National Centre for Growth & Development and Maternal and Fetal Health, Liggins Institute, University of Auckland, Auckland District Health Board and Counties Manukau District Health Board, Auckland, New Zealand
- Women's and Children's Division Lyell McEwin Hospital, University of Adelaide, Adelaide, South Australia
- St James University Hospital, Leeds, UK
- Department of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2015-05
- Volume
- 5
- Issue
- 7
- Pages
- e006323
- ISSN
- 2044-6055
- PMC
- PMC4499685
- Cited by
- 106
- References
- 3
- Language
- en
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- O'Keeffe, L. M., Kearney, P. M., McCarthy, F. P., Khashan, A. S., Greene, R. A., North, R. A., Poston, L., McCowan, L. M. E., Baker, P. N., Dekker, G. A., Walker, J. J., Taylor, R., & Kenny, L. C. (2015). Prevalence and predictors of alcohol use during pregnancy: findings from international multicentre cohort studies. BMJ Open. https://doi.org/10.1136/bmjopen-2014-006323
