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Theses Canada
Item – Theses Canada
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Item – Theses Canada
OCLC number
1449998459
Link(s) to full text
LAC copy
Author
Rattray, Claudia J. C.
Title
The Prevalence and Association of Biopsychosocial Factors With Maternal Alcohol Use During Pregnancy in Canada: A Systematic Review & Meta-Analysis.
Degree
Psy.D. -- Adler University, 2024
Publisher
[Vancouver, British Columbia] : Adler University, 2024
Description
1 online resource
Abstract
Fetal alcohol spectrum disorder (FASD) is the leading reventable cause of developmental disability globally, with about 10% of pregnancies worldwide exposed to alcohol. Research on FASD prevalence varies widely between countries, highlighting the need for country-specific data to inform effective alcohol legislation. In Canada, prevalence estimates are outdated, necessitating an update. Understanding the factors associated with alcohol consumption during pregnancy is crucial for designing prevention initiatives. The current systematic review and meta-analysis was conducted to examine the prevalence and association of biopsychosocial factors with maternal alcohol use during pregnancy in Canada. The reporting of the methodology and results followed the guidelines set forth in the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. The eligibility criteria included observational studies measuring the prevalence of maternal alcohol use during pregnancy and at least one biopsychosocial variable of interest (age, education level, household income, mental health symptoms, and alcohol consumption prior to pregnancy) amongst samples of pregnant Canadian women. Only studies published in English or French and that assessed for alcohol use during pregnancy or immediately after delivery were included. Studies that did not include alcohol abstainers in their samples and those that only measured binge drinking were excluded. Four electronic databases (Academic Search Complete, Health Source, MedLine and PubMed) were searched for eligible studies on September 15, 2023. Risk of bias was assessed using the quality assessment checklist for prevalence studies developed by Hoy et al. (2012). A total of 20 studies (N = 350,557) met inclusion criteria and were reviewed. Event rate was used as the effect size for this analysis and was calculated using Comprehensive Meta-Analysis (CMA) software. The pooled prevalence of maternal alcohol use during pregnancy in Canada was 12.50% (95% CI = 7.00 to 21.20%). Significant moderating variables identified through meta-regression analyses included province, age, household income, and quality assessment score. Implications of the current meta-analysis and suggestions for future research are explored.
Subject
Academic theses
Drinking of alcoholic beverages
Pregnancy--Canada
Fetal alcohol spectrum disorders--Canada
Date modified:
2022-09-01