{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T09:35:39Z","timestamp":1789724139854,"version":"4.0.1"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100011094","name":"Public Health Agency of Canada","doi-asserted-by":"publisher","award":["1718-HQ-000774"],"award-info":[{"award-number":["1718-HQ-000774"]}],"id":[{"id":"10.13039\/100011094","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Alcohol use during pregnancy and breastfeeding can have adverse consequences for child development, including fetal alcohol spectrum disorder (FASD). This study investigated the prevalence of alcohol use during pregnancy and breastfeeding and its associations with current substance use behaviors and beliefs about the safety of alcohol use in pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study used pooled data from the 2018\u20132020 CAMH Monitor Survey, a population-based survey of adults in Ontario (N\u2009=\u20095957). Descriptive analyses and multivariable logistic regression were conducted to examine associations between maternal alcohol use and sociodemographic characteristics, substance use, and beliefs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of parous women (n\u2009=\u20091512; mean age: 65\u00a0years), 14.7% reported drinking alcohol during their most recent pregnancy (30\u00a0years prior, on average) and 17.8% while breastfeeding. Alcohol use during pregnancy was associated with lifetime substance use, current tobacco and alcohol use, and misconceptions about alcohol use in pregnancy. Gender differences emerged in beliefs: while awareness of FASD was relatively high among both women (87.2%) and men (80.6%), men were more likely than women to hold inaccurate beliefs, including that small amounts or certain types of alcohol may be safe during pregnancy. Men and women who were current drinkers of alcohol were significantly more likely to endorse these misconceptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Public health messaging and maternal alcohol use prevention strategies must address persistent misconceptions about alcohol use in pregnancy and engage not only women and expectant mothers, but also men, partners, and broader social networks. Interventions should integrate education, universal screening, and trauma-informed care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/alcalc\/agag029","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T11:43:50Z","timestamp":1776253430000},"source":"Crossref","is-referenced-by-count":2,"title":["Alcohol use during pregnancy and public awareness of harms: findings from the CAMH Monitor Survey, Ontario, Canada"],"prefix":"10.1093","volume":"61","author":[{"given":"Danijela","family":"Dozet","sequence":"first","affiliation":[{"name":"Institute for Mental Health Policy Research, Centre for Addiction and Mental Health , 250 College Street, Toronto, ON M5S 2S1 ,","place":["Canada"]},{"name":"The Margaret and Wallace McCain Centre for Child, Youth, & Family Mental Health, Centre for Addiction and Mental Health , 80 Workman Way, Toronto, Ontario, M6J 1H4 ,","place":["Canada"]},{"name":"Institute of Medical Science University of Toronto, Temerty Faculty of Medicine , Medical Sciences Building, 1 King\u2019s College Circle, Toronto, ON M5S 1A8 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anca R","family":"Ialomiteanu","sequence":"additional","affiliation":[{"name":"Institute for Mental Health Policy Research, Centre for Addiction and Mental Health , 250 College Street, Toronto, ON M5S 2S1 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayley A","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Institute for Mental Health Policy Research, Centre for Addiction and Mental Health , 250 College Street, Toronto, ON M5S 2S1 ,","place":["Canada"]},{"name":"Dalla Lana School of Public Health, University of Toronto , 155 College Street, Toronto, ON M5T 3M7 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svetlana","family":"Popova","sequence":"additional","affiliation":[{"name":"Institute for Mental 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