Understanding Contraceptive Behaviour to Prevent Unintended Alcohol-Exposed Pregnancies

Main Article Content

Natasha Reid
Chun-Chi Chen
Anne Bernard
Frances O'Callaghan

Keywords

fetal alcohol spectrum disorder; prevention; contraception; unplanned pregnancy

Abstract

 


Materials and Methods


Participants were recruited through the university research participation website where a link to an online survey was made available to first year undergraduate psychology students. The online questionnaire included questions on contraceptive and alcohol consumption behaviours in the past month, and questions that assessed participants’ knowledge and attitudes. A total of 106 participants were included in the current study.


 


Results


The majority of participants reported using contraception when having sex in the past month. The most common form of contraceptive used was male condoms (~60%), followed by the oral contraceptive pill (~46%). There was a significant difference in one of the knowledge scales between the two contraceptive groups: participants who reported Never/Sometimes using contraception had higher knowledge of reproduction compared to those who reported using contraception more often. The proportion of participants who used contraception more frequently reported having more positive attitudes towards contraception compared to those who reported Never or Sometimes using contraception.


 


Conclusion


Given the lifelong impacts that can be experienced for individuals with Fetal Alcohol Spectrum Disorder (FASD), prevention of unintended alcohol-exposed pregnancies is an area that requires serious attention. If the high prevalence rates of FASD are to be reduced, prevention needs to take place for people of reproductive age, particularly in Australia where we have high rates of unplanned pregnancies and a binge drinking culture.

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References

1. Johnson SK, Velasquez MM, von Sternberg K. CHOICES: An empirically supported intervention for preventing alcohol-exposed pregnancy in community settings. Res Soc Work Pract 2015;25(4):488–92.
2 Rassi A, Wattimena J, Black K. Pregnancy intention in an urban Australian antenatal population. Aust N Z J Public Health 2013;37:568-573.
3. Coombe J, Harris ML, Wigginton B, Lucke JC, Lox-ton D. Contraceptive use at the time of unintended pregnancy: Findings from the contraceptive use, pregnancy intention and decisions study. Aust Fam Phys 2016;45(11):842.
4. Richters J, Fitzadam S, Yeung A, Caruana T, Rissel C, Simpson JM, et al. Contraceptive practices among women: the second Australian study of health and relationships. Contracept 2016;94(5):548–55.
5. Australian Institute of Health and Welfare. In: National Drug Strategy Household Survey 2016: detailed find-ings. Drug Statistics series no. 31.Cat. no. PHE 214. 2017. Canberra: AIHW.
6. McCormack C, Hutchinson D, Burns L, Wilson J, Elliott E, Allsop S, et al. Prenatal alcohol consumption between conception and recognition of pregnancy. Alcohol Clin Exp Res 2017;41(2):369–78.
7. Brems C, Johnson ME, Metzger JS, Dewane SL. Col-lege students’ knowledge about fetal alcohol spectrum disorder. J Popul Ther Clin Pharmacol 2014;21:e159–66.
8. Balachova T, Bard D, Bonner B, Chaffin M, Isurina G, Tsvetkova L, et al. Do attitudes and knowledge predict at-risk drinking among Russian women? Am J Drug Alcohol Abuse 2016 May;42(3):306–15.
9. Kesmodel U, Schioler Kesmodel P. Drinking during pregnancy: attitudes and knowledge among pregnant Danish women, 1998. Alcohol Clin Exp Res 2002 Oct;26(10):1553–60.
10. Chambers CD, Hughes S, Meltzer SB, Wahlgren D, Kassem N, Larson S, et al. Alcohol consumption among low-income pregnant Latinas. Alcohol Clin Exp Res 2005 Nov;29(11):2022–8.
11. Chang G, McNamara TK, Orav EJ, Wilkins-Haug L. Alcohol use by pregnant women: partners, knowl-edge, and other predictors. J Stud Alcohol 2006 Mar;67(2):245–51.
12. Sobell LC, Sobell MB. Timeline follow-back. In: Measuring Alcohol Consumption. Springer; 1992.
13. R Core Team. A language and environment for statis-tical computing. Vienna (Austria): R Foundation for Statistical Computing; 2012.
14. Gray E, McDonald P. Using a reproductive life course approach to understand contraceptive method use in Australia. J Biosoc Sci 2010;42(1):43–57.
15. Gomez AM, Fuentes L, Allina A. Women or LARC first? Reproductive autonomy and the pro-motion of long–acting reversible contraceptive methods. Perspect Sex Reprod Health 2014;46(3): 171–75.
16. Whitaker AK, Terplan M, Gold MA, Johnson LM, Creinin MD, Harwood B. Effect of a brief educational intervention on the attitudes of young women toward the intrauterine device. J Pediatr Adolesc Gynecol 2010;23(2):116–20.
17. Rose SB, Cooper AJ, Baker NK, Lawton B. Attitudes toward long-acting reversible contraception among young women seeking abortion. J Womens Health 2011;20(11):1729–35.
18. Pazol K, Zapata LB, Tregear SJ, Mautone-Smith N, Gavin LE. Impact of contraceptive education on contraceptive knowledge and decision making: a systematic review. Am J Prev Med 2015;49(2): S46–S56.
19. Gosling SD, Vazire S, Srivastava S, John OP. Should we trust web-based studies? A comparative analysis of six preconceptions about internet questionnaires. Am Psychol 2004;59(2):93.