The aim of the study was to test the impact of psychosocial resources on pregnant women, regarding continued alcohol consumption. The study is based on a one-year cohort of nulliparas followed during pregnancy. From a total of 994 invited women 872 (87.7%) agreed to participate in the study. All women who reported any alcohol consumption within the twelve months prior to the administration of the questionnaire were included in this study population (n = 692, 79.4%). 32.8% of the alcohol consumers continued to drink during pregnancy even though the alcohol intake was moderate. In spite of the official Swedish alcohol recommendation for total abstinence during pregnancy, more socially active, and more highly educated women continued drinking alcohol, with wine being the beverage of choice, maybe more as social behavior rather than to cope with stress caused by insufficient psychosocial resources. Younger women or those with fewer years of education tended to stop drinking to a higher degree, but those who continued to drink tended to drink beer or to binge.
Abel E , Sokol R.Incidence of fetal alcohol syndrome and economic impact of FAS-related anomalies . Drug and Alcohol Dependence1987; 19: 51–70.
2.
Olsen J.Recommendations . Int J Epidemiol1992; 21: Suppl 1: 82–3.
3.
Wright J , Barrison IG , Lewis IG et al. Alcohol consumption, pregnancy, and low birth weight . Lancet1983; 26: 663–5.
4.
Little R , Wendt JK.The effects of maternal drinking in the reproductive period: An epidemiologic review . Journal of Substance Abuse1991; 3: 187–204.
5.
Virji S.The relationship between alcohol consumption during pregnancy and infant birthweight. An Epidemiologic study . Acta Obstet Gynecol Scand1991; 70: 303–8.
6.
SOU . 1994:28 Women and alcohol. (Kvinnor och alkohol)Göteborg: Graphic Systems AB; 1994.
7.
Conger J.Alcoholism: Theory, problem and challenge. II Reinforcement theory and the dynamics of alcoholism . Q J Stud Alcohol1956; 17: 296–305.
8.
Hanson B.Social network, social support and heavy drinking in elderly men — a population study of men born in 1914, Malmo, Sweden . Addiction1994; 89: 725–32.
9.
Pohorecky L.Stress and alcohol interaction: An update of human research . Alcohol Clin Exp Res1991; 15: 438–59.
10.
Dejin-Karlsson E , Hanson BS , Östergren P-O , Ranstam J , Isacsson S-O , Sjöberg N-O.Psychosocial resources and persistent smoking in early pregnancy — a population study of women in their first pregnancy in Sweden . J Epidemiol Community Health1996; 50: 33–9.
11.
Mercer R.A theoretical framework for studying factors that impact on the maternal role . Nursing Research1981; 30: 73–7.
12.
Norbeck J , Tilden VP.Life stress, social support, and emotional disequilibrium in complications of pregnancy: a prospective, multivariate study . Journal of Health and Social Behaviour1983; 24: 30–46.
13.
Selye H.The general adaptation syndrome and the disease of adaptation . J Clin Endocrinol1946; 6: 112–230.
14.
Holmes T , Rahe RH.The social readjustment rating scale . J Psychosom Res1967; 11: 213–8.
15.
Syme L.Control and health: a personal perspective. In: Steptoe A , Appels A , eds. Stress, Personal Control and Health. Chichester: John Wiley & Sons; 1989, p. 3–18.
16.
Cohen S , Wills TA.Stress, social support and the buffering hypothesis . Psychol Bull1985; 98: 310–57.
17.
Hanson B.Social network, social support and health in elderly men. A population study. Malmö: University of Lund, 1988, MD Thesis.
18.
Hanson B , Östergren P-O.Different social network and social support characteristics, nervous problems and insomnia: Theoretical and methodological aspects on some results from the population study “Men born in 1914”, Malmö, Sweden . Soc Sci Med1987; 25: 849–59.
19.
Hanson B , Östergren P-O.Social networks and health: Theories and empirical evidence from Malmo, Sweden. In Lykke Mortensen E , Egsgaard J , editors. Social networks and health. Copenhagen: Hans Jorgensens Bogtrykkeri/Offset; 1995, p. 52–82.
20.
Armor D , Polich JM.Measurement of alcohol consumption. In Pattison EM , Kaufman E , editors. Encyclopedic Handbook of Alcoholism. New York: Gardner Press Inc; 1982, p. 72–80.
21.
Göransson M , Hanson BS.How much can data on days with heavy drinking decrease the underestimation of true alcohol consumption?J Stud Alcohol?1994; 55: 695–700.
22.
Grimby G , Wilhelmsen L , Björnstorp P , Saltin B , Tibblin G.Habitual physical activity. Aerobic power and blood lipids. In Pernow B , Saltin B , editors. Muscle metabolism during exercise. New York: Plenum Press; 1971, p. 469–81.
23.
Cohen S , Williamsson GM.Perceived stress in a probability sample of the United States. In Spacapan S , Oskamp S , editors. The social psychology of health. The Claremont symposium on applied social psychology. Newbury Park: SAGE Publications; 1988.
24.
Karasek R , Theorell T.Healthy work. Stress productivity, and the reconstruction of working life. New York: Basic Books; 1990.
25.
Norusis M.The SPSS guide to data analysis for release 4. Chicago: SPSS Inc; 1990.
26.
Hanson B , Isacsson SO , Janzon L.Social support and quitting smoking for good. Is there an association? Results from the population study, “Men born in 1914”, Malmö, Sweden . Addictive Behaviors1990; 15: 221–33.
27.
Giovannucci E , Colditz G , Stampfer MJ et al. The assessment of alcohol consumption by a simple self-administered questionnaire . Am J Epidemiol1991; 133: 810–7.
28.
Serdula M , Williamson DF , Kendrick JS , Anda RF , Byers T.Trends in alcohol consumption by pregnant women . JAMA1991; 265: 876–9.
29.
Bolumar F , Rebagliato M , Hernandez-Aguado I , du VFlorey C.Smoking and drinking habits before and during pregnancy in Spanish women . J Epidemiol Community Health1994; 48: 36–40.
30.
Sulaiman N , du VFlorey C , Taylor DJ , Ogston SA.Alcohol consumption in Dundee nulliparas and its effects on outcome of pregnancy . BMJ1988; 296: 1500–3.
31.
Verkerk P.The impact of alcohol misclassification on the relationship between alcohol and pregnancy outcome . Int J Epidemiol1992; Suppl 1: 21: 33–7.
32.
Oakley A.Is social support good for the health of mothers and babies?J Reproductive and Infant Psychology1988; 6: 3–21.
33.
Waterson E , Murray-Lyon IM.Drinking and smoking patterns amongst women attending an antenatal clinic — I Before pregnancy . Alcohol & Alcoholism1989a; 24: 153–62.
34.
Primatesta P , Del Corno G , Bonazzi MC , Waters WE.Alcohol and pregnancy: an international comparison . J Public Health Medicine1993; 15: 69–76.
35.
Walpole I , Zubrick S , Pontré J.Confounding variables in studying the effects of maternal alcohol consumption before and during pregnancy . J Epidemiol Community Health1989; 43: 153–61.
36.
Kaminski M , Rumeau C , Schwartz D.Alcohol consumption in pregnant women and the outcome of pregnancy . Alcoholism Clin Exp Res1978; 2: 155–63.
37.
Waterson E , Murray-Lyon IM.Preventing alcohol related birth damage: A review . Soc Sci Med1990; 30: 349–63.
