Literature on the harmful effects and mechanisms of action of tobacco, alcohol and some drugs during pregnancy was reviewed. A structured questionnaire, based on a pilot study was administered to a defined representative sample of 223 consecutive women who gave birth to a live infant(s) in three contiguous geographical areas of County Kilkenny between July 1 1983 and mid- December 1983. Data relating to substance use currently and during the last pregnancy was collected and analysed. Attitudes to use, perceived risk to fetus and sources of health information were also explored. Overall 45.7% of the women smoked cigarettes, 62.8% drank alcohol, 29.1% both smoked and drank, and 20% neither smoked nor drank. Of the 223 subjects 41.3% used analgesics, 30% used the contraceptive pill and 7.2% used sedatives or hypnotics.
The results were broken down by five variables. Smoking was more prevalent in the urban than in the rural area, in lower than in higher socio-economic groups, at the lower educational levels, and for women who first became pregnant at an early age. In contrast to smoking, alcohol use was relatively independent of social factors. There was no notable variation in drug use on subgroup analysis. Based on these results, which are presented in graphic and tabular form, some ideas are formulated for the promotion and dissemination of information regarding substance use preconceptionally and during pregnancy. Target groups are identified and professional organisations and other outlets which might influence these target groups are discussed.
|Item Type:||Thesis (Other)|
|Keywords:||attitude toward AOD, Ireland, Kilkenny, pregnancy, risk factors, smoking, woman|
|Notes:||This is a thesis for Membership to the Faculty of Public Health Medicine (MFCMI) Part II Passes. Contact RCSI for details of the full text.|
|Accession Number:||HRB 2693 (Not in collection)|
|Subjects:||VA Geographic area > Europe > Ireland > Kilkenny|
E Concepts in biomedical areas > Pregnancy
F Concepts in psychology > Attitude and behaviour > Attitude toward AOD
F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour
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