{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T14:05:57Z","timestamp":1774620357237,"version":"3.50.1"},"reference-count":60,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T00:00:00Z","timestamp":1608595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\"><jats:title>Introduction<\/jats:title><jats:p>People in Ethiopia, including pregnant women, highly consume both home-made and manufactured alcohol beverages due to lack of awareness about the harmful effect of risky alcohol use, and cultural acceptance of alcohol consumption. Alcohol consumption and other hazardous patterns of use like binge drinking have tremendous adverse effects on fetus and mothers. Therefore, this study aimed to assess the magnitude of alcohol consumption, binge drinking and its determinants among pregnant women residing in Kolfe sub-city, Addis Ababa, Ethiopia.<\/jats:p><\/jats:sec><jats:sec id=\"sec002\"><jats:title>Methods<\/jats:title><jats:p>Institutional based cross-sectional study was conducted among a total of 367 pregnant women. The participants were selected using a systematic random sampling method. Data were collected through a structured questionnaire. A binary logistic regression was conducted using SPSS version 20 software to identify determinants of alcohol consumption and binge drinking. A p-value &lt; 0.05 was used to declare a statistical significance in multiple logistic regression. The results were described using adjusted odds ratio with a 95% confidence interval.<\/jats:p><\/jats:sec><jats:sec id=\"sec003\"><jats:title>Results<\/jats:title><jats:p>This study revealed that the prevalence of alcohol consumption, binge drinking, and weekly alcohol consumption of four or more units among pregnant women was 39.78%, 3.54% and 4.9%, respectively. Not having formal education [AOR 95% CI = 8.47 (2.42, 29.62), having primary education [AOR 95% CI = 4.26 (1.23, 14.74), being a housewife [AOR 95% CI = 4.18 (2.13, 8.22), having an unplanned pregnancy [AOR 95% CI = 2.47(1.33, 4.60), having a history of abortion [AOR 95% CI = 3.33 (1.33, 6.05)], not having awareness about the harmful effect of alcohol consumption [AOR 95% CI = 4.66 (2.53, 8.61)], and not having family social support [AOR 95% CI = 2(1.14,3.53) were determinants of alcohol consumption among pregnant women.<\/jats:p><\/jats:sec><jats:sec id=\"sec004\"><jats:title>Conclusions<\/jats:title><jats:p>This study found a high level of alcohol consumption among pregnant women. Interventions to create awareness on the harmful effects of alcohol are needed. Moreover, strengthening social support during pregnancy and family planning services to reduce unplanned pregnancy and abortion should be considered.<\/jats:p><\/jats:sec>","DOI":"10.1371\/journal.pone.0243784","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T18:35:20Z","timestamp":1608662120000},"page":"e0243784","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":23,"title":["Consumption of alcohol and binge drinking among pregnant women in Addis Ababa, Ethiopia: Prevalence and determinant factors"],"prefix":"10.1371","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4134-8543","authenticated-orcid":true,"given":"Mezinew Sintayehu","family":"Bitew","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maereg 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Gynecol"},{"issue":"9","key":"pone.0243784.ref015","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1001\/archpsyc.63.9.1009","article-title":"In utero alcohol exposure and prediction of alcohol disorders in early adulthood: a birth cohort study","volume":"63","author":"R Alati","year":"2006","journal-title":"Arch Gen Psychiatry"},{"issue":"2","key":"pone.0243784.ref016","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.neubiorev.2006.06.016","article-title":"Fetal alcohol spectrum disorders: a practical clinical approach to diagnosis","volume":"31","author":"MA Manning","year":"2007","journal-title":"Neurosci Biobehav Rev"},{"issue":"4","key":"pone.0243784.ref017","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1177\/0033354916662222","article-title":"Alcohol and pregnancy: CDC\u2019s health advice and the legal rights of pregnant women","volume":"131","author":"NK Seiler","year":"2016","journal-title":"Public Health Rep"},{"key":"pone.0243784.ref018","unstructured":"Butt P, Beirness D, Gliksman L, Paradis C, Stockwell T. Alcohol and health in Canada: a summary of evidence and guidelines for low-risk drinking. Ottawa, Can Cent Subst Abus. 2011;"},{"issue":"4","key":"pone.0243784.ref019","doi-asserted-by":"crossref","first-page":"e207","DOI":"10.1016\/j.wombi.2017.01.003","article-title":"Consumption of alcohol during pregnancy\u2014A multinational European study","volume":"30","author":"A-C M\u00e5rdby","year":"2017","journal-title":"Women and Birth"},{"issue":"2122","key":"pone.0243784.ref020","article-title":"Tobacco and alcohol during pregnancy: prevalence and determinants in Geneva in 2008","volume":"143","author":"J Dupraz","year":"2013","journal-title":"Swiss Med Wkly"},{"key":"pone.0243784.ref021","doi-asserted-by":"crossref","DOI":"10.1155\/2014\/871427","article-title":"Alcohol and other drug use during pregnancy among women attending midwife obstetric units in the Cape Metropole, South Africa","volume":"2014","author":"P Petersen Williams","year":"2014","journal-title":"Adv Prev Med"},{"issue":"4","key":"pone.0243784.ref022","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1007\/s10995-009-0500-3","article-title":"Consumption of alcoholic beverages among pregnant urban Ugandan women","volume":"14","author":"I Namagembe","year":"2010","journal-title":"Matern Child Health J"},{"issue":"4","key":"pone.0243784.ref023","doi-asserted-by":"crossref","first-page":"208","DOI":"10.4236\/ojog.2011.14040","article-title":"Effect of maternal alcohol consumption on gestational diabetes detection and mother-infant\u2019s outcomes in Kinshasa, DR Congo","volume":"1","author":"T Barth\u00e9l\u00e9my","year":"2011","journal-title":"Open J Obs Gynecol"},{"issue":"1","key":"pone.0243784.ref024","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1186\/s12978-017-0384-4","article-title":"Alcohol consumption among pregnant women in James Town Community, Accra, Ghana","volume":"14","author":"JDP Lekettey","year":"2017","journal-title":"Reprod Health"},{"key":"pone.0243784.ref025","unstructured":"Alcohol | Australian Government Department of Health [Internet]. [cited 2020 Jun 17]. https:\/\/www.health.gov.au\/resources\/pregnancy-care-guidelines\/part-c-lifestyle-considerations\/alcohol"},{"issue":"1","key":"pone.0243784.ref026","doi-asserted-by":"crossref","first-page":"13","DOI":"10.4103\/1119-3077.146966","article-title":"Alcohol consumption among pregnant women attending the ante. natal clinic of a tertiary hospital in South. South Nigeria","volume":"18","author":"B Ordinioha","year":"2015","journal-title":"Niger J Clin Pract"},{"issue":"1","key":"pone.0243784.ref027","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.ejmg.2016.09.010","article-title":"Prevalence of alcohol consumption during pregnancy and Fetal Alcohol Spectrum Disorders among the general and Aboriginal populations in Canada and the United States","volume":"60","author":"S Popova","year":"2017","journal-title":"Eur J Med Genet"},{"issue":"37","key":"pone.0243784.ref028","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.15585\/mmwr.mm6437a3","article-title":"Alcohol use and binge drinking among women of childbearing age\u2014United States, 2011\u20132013","volume":"64","author":"CH Tan","year":"2015","journal-title":"Morb Mortal Wkly Rep"},{"issue":"10","key":"pone.0243784.ref029","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.1111\/tmi.12755","article-title":"Actual and predicted prevalence of alcohol consumption during pregnancy in the WHO African Region","volume":"21","author":"S Popova","year":"2016","journal-title":"Trop Med Int Heal"},{"issue":"1306","key":"pone.0243784.ref030","article-title":"Maternal alcohol use before and during pregnancy among women in Taranaki, New Zealand","volume":"122","author":"R Ho","year":"2009","journal-title":"New Zeal Med J"},{"issue":"7","key":"pone.0243784.ref031","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1002\/bdra.23127","article-title":"Prenatal alcohol exposure in the Republic of the Congo: prevalence and screening strategies","volume":"97","author":"AD Williams","year":"2013","journal-title":"Birth Defects Res Part A Clin Mol Teratol"},{"key":"pone.0243784.ref032","unstructured":"Alcohol and Pregnancy: Attitudes Around the Globe [Internet]. [cited 2020 Jun 17]. https:\/\/womensmentalhealth.org\/posts\/alcohol-pregnancy-attitudes-around-globe\/"},{"issue":"6","key":"pone.0243784.ref033","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/j.ntt.2003.07.003","article-title":"Determinants of alcohol use in pregnant women at risk for alcohol consumption","volume":"25","author":"G Haynes","year":"2003","journal-title":"Neurotoxicol Teratol"},{"issue":"4","key":"pone.0243784.ref034","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1542\/peds.96.4.659","article-title":"Association between postpartum substance use and depressive symptoms, stress, and social support in adolescent mothers","volume":"96","author":"B Barnet","year":"1995","journal-title":"Pediatrics"},{"issue":"1","key":"pone.0243784.ref035","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1186\/s12884-015-0630-0","article-title":"Alcohol consumption among pregnant women in Northern Tanzania 2000\u20132010: a registry-based study","volume":"15","author":"AB Isaksen","year":"2015","journal-title":"BMC Pregnancy Childbirth"},{"issue":"3","key":"pone.0243784.ref036","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1111\/j.1728-4465.2014.00393.x","article-title":"Intended and unintended pregnancies worldwide in 2012 and recent trends","volume":"45","author":"G Sedgh","year":"2014","journal-title":"Stud Fam Plann"},{"issue":"2","key":"pone.0243784.ref037","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1348\/135910705X25499","article-title":"Substance use among pregnant women in the context of previous reproductive loss and desire for current pregnancy","volume":"10","author":"PK Coleman","year":"2005","journal-title":"Br J Health Psychol"},{"issue":"9","key":"pone.0243784.ref038","first-page":"QC10","article-title":"Prevalence and predictors of alcohol consumption during pregnancy in South-Eastern Nigeria","volume":"10","author":"CI Onwuka","year":"2016","journal-title":"J Clin diagnostic Res JCDR"},{"issue":"1","key":"pone.0243784.ref039","first-page":"1","article-title":"Exploring knowledge, attitudes, and practices related to alcohol in Mongolia: a national population-based survey","volume":"13","author":"AR Demaio","year":"2013","journal-title":"BMC Public Health"},{"key":"pone.0243784.ref040","article-title":"Social and cultural contexts of alcohol use: Influences in a social\u2013ecological framework","author":"M Sudhinaraset","year":"2016","journal-title":"Alcohol Res Curr Rev"},{"issue":"1","key":"pone.0243784.ref041","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/jpepsy\/jsj036","article-title":"Introduction to the special issue: impact of prenatal substance exposure on children\u2019s health, development, school performance, and risk behavior","volume":"31","author":"CD Coles","year":"2006","journal-title":"J Pediatr Psychol"},{"key":"pone.0243784.ref042","unstructured":"Seyoum G, Gebre A. Rapid assessment of the situation of drug and substance abuse in selected urban areas in Ethiopia. Addis Ababa, AAU. 1995;9\u201355."},{"key":"pone.0243784.ref043","doi-asserted-by":"crossref","DOI":"10.1155\/2020\/1478536","article-title":"Microbiology of Ethiopian traditionally fermented beverages and condiments","volume":"2020","author":"B Wedajo Lemi","year":"2020","journal-title":"Int J Microbiol"},{"key":"pone.0243784.ref044","unstructured":"Narcotic Manual final\u2014EFDA [Internet]. [cited 2020 Jun 18]. http:\/\/www.fmhaca.gov.et\/publication\/narcotic-manual-final\/"},{"key":"pone.0243784.ref045","unstructured":"Abebe H. Isolation and Characterization of the Dominant Yeast in the Traditional beverages of Ethiopia; Tella and Tej. Addis Ababa Universty; 2011."},{"issue":"8","key":"pone.0243784.ref046","doi-asserted-by":"crossref","first-page":"573","DOI":"10.7326\/0003-4819-147-8-200710160-00010","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"147","author":"E Von Elm","year":"2007","journal-title":"Ann Intern Med"},{"key":"pone.0243784.ref047","unstructured":"Kolfe Keranio Sub City\u2014aaca [Internet]. [cited 2020 Jun 15]. http:\/\/www.addisababa.gov.et\/de\/web\/guest\/kolfe-keranio-sub-city"},{"key":"pone.0243784.ref048","unstructured":"Anteab K, Demtsu B, Megra M. Assessment of Prevalence and Associated Factors of Alcohol Use during Pregnancy among the dwellers of Bahir-Dar City, Northwest Ethiopia, 2014. 2014;"},{"issue":"1","key":"pone.0243784.ref049","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1207\/s15327752jpa5201_2","article-title":"The multidimensional scale of perceived social support","volume":"52","author":"GD Zimet","year":"1988","journal-title":"J Pers Assess"},{"issue":"2","key":"pone.0243784.ref050","article-title":"Adaptation of the multidimensional scale of perceived social support in a Ugandan setting","volume":"9","author":"J Nakigudde","year":"2009","journal-title":"Afr Health Sci"},{"issue":"6","key":"pone.0243784.ref051","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/j.1360-0443.1993.tb02093.x","article-title":"Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption\u2010II","volume":"88","author":"JB Saunders","year":"1993","journal-title":"Addiction"},{"key":"pone.0243784.ref052","unstructured":"Statistical Agency C, International I. Ethiopia 2011 Demographic and Health Survey."},{"issue":"4","key":"pone.0243784.ref053","first-page":"116","article-title":"Medications use among pregnant women in Ethiopia: a cross sectional study","volume":"3","author":"MA Mohammed","year":"2013","journal-title":"J Appl Pharm Sci"},{"issue":"10","key":"pone.0243784.ref054","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1016\/S1701-2163(16)30027-5","article-title":"Prevalence of Ethanol Use Among Pregnant Women in Southwestern Uganda","volume":"37","author":"L English","year":"2015","journal-title":"J Obstet Gynaecol Canada JOGC = J d\u2019obstetrique Gynecol du Canada JOGC"},{"issue":"1","key":"pone.0243784.ref055","article-title":"Pregnant women and alcohol use in the Bosomtwe district of the Ashanti region-Ghana","volume":"16","author":"Y Adusi-Poku","year":"2012","journal-title":"Afr J Reprod Health"},{"key":"pone.0243784.ref056","unstructured":"Demographic N. Health Survey 2011. 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