Journal article
Prevalence and Patterns of Prenatal Alcohol Exposure in Australian Cohort and Cross-Sectional Studies: A Systematic Review of Data Collection Approaches
International Journal of Environmental Research and Public Health, Vol.19, pp.1-20
2022
PMCID: PMC9603223
PMID: 36293721
Abstract
This study sought to determine data collection approaches in Australian cohort studies and explore the potential impact on reported prenatal alcohol exposure (PAE) prevalence and patterns. Inclusion criteria were that studies related to a general Australian antenatal population where PAE was assessed and reported. Studies were excluded if they were not peer reviewed, examined the prevalence of PAE in pregnancies complicated by alcohol use disorders, or were published in a language other than English. A systematic search of five electronic databases (PubMed, Embase, CINAHL, Web of Science, and Scopus) was conducted. Risk of bias was assessed using the Effective Public Health Practice Project quality assessment tool. Results were synthesised using MetaXL. Data from 16 separate birth cohorts (n = 78 articles) were included. Included cohorts were either general cohorts that included alcohol as a variable or alcohol focused cohorts that were designed with a primary focus on PAE. PAE prevalence was estimated as 48% (95% CI: 38 to 57%). When subgroup analysis was performed, estimates of PAE prevalence when self administered surveys and interviews were used for data collection were 53% (95% CI: 41% to 64%) and 43% (95% CI: 28% to 59%), respectively. Use of trained assessors was an influencing factor of the prevalence estimates when data were collected via interview. Alcohol focused studies reported higher prevalence of PAE, regardless of method of survey administration. Where interviewer training is not possible, self administered questionnaires will likely provide the most reliable PAE estimates.
Details
- Title
- Prevalence and Patterns of Prenatal Alcohol Exposure in Australian Cohort and Cross-Sectional Studies: A Systematic Review of Data Collection Approaches
- Authors
- Sophia L. Young (Author) - The University of QueenslandSarah E. Steane (Author) - The University of QueenslandNykola L. Kent (Author) - The University of QueenslandNatasha Reid (Corresponding Author) - The University of QueenslandLinda A. Gallo (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - LegacyKaren M. Moritz (Author) - The University of Queensland
- Publication details
- International Journal of Environmental Research and Public Health, Vol.19, pp.1-20
- Publisher
- MDPI AG
- Date published
- 2022
- DOI
- 10.3390/ijerph192013144
- ISSN
- 1660-4601
- PMID
- 36293721; PMC9603223
- Copyright note
- © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
- Organisation Unit
- School of Health - Biomedicine; University of the Sunshine Coast, Queensland; School of Health and Behavioural Sciences - Legacy
- Language
- English
- Record Identifier
- 99682998402621
- Output Type
- Journal article
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