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Article Reference Troff document (with manpage macros)Prevalence and Correlates of Alcohol Consumption During Pregnancy in Georgia: Evidence from a National Survey
Background: While alcohol consumption is pervasive in the country of Georgia, the extent of alcohol consumption among pregnant women is yet to be examined. The goal of this study is to examine prevalence and correlates of alcohol consumption during pregnancy in Georgia. Methods: Using data from the World Health Organization’s Stepwise approach to noncommunicable disease risk factor surveillance in Georgia, this study examined prevalence and sociodemographic correlates of alcohol use among pregnant women in Georgia. The study sample of reproductive age (18-45) women was drawn from the STEPS, which is a large and nationally representative survey of adults with a 95% participation rate. Frequencies, multivariate analyses and related statistics were computed to describe and study associations among the target population and the odds of alcohol consumption during pregnancy. Results: Only 66 individuals in the sample were pregnant. About 13% of pregnant women consumed alcohol in the past 30 days and nearly 70% of them engaged in binge drinking on at least one occasion. Pregnant women who were young, married, homemakers, living in two-member households and in the lowest bracket of monthly income had the highest likelihood of consuming alcohol and binge drinking. The study results were statistically significant (p< .05). Conclusions: This study reveals the magnitude of alcohol consumption and binge drinking among reproductive age women in Georgia. This study also shows prevalence and correlates of alcohol consumption during pregnancy in Georgia. The results identify characteristics of women who are most likely to use alcohol during pregnancy. Given that, alcohol use is a modifiable behavioral risk factor, the findings in this study provide the foundation for evidence-based prevention strategies that target pregnant and reproductive age women.
Located in MPRC People / Manouchehr (Mitch) Mokhtari, Ph.D. / Mitch Mokhtari Publications
Article ReferenceMaternal postpartum depressive symptoms and infant externalizing and internalizing behaviors
Maternal postpartum depression has been shown to be one of the main predictors of externalizing and internalizing behaviors in toddlers and adolescents. Research suggests that presence of such behaviors can be observed as early as infancy. The current study uses longitudinal data from 247 mothers to examine the relationship between postpartum depressive symptoms at 8 weeks and the infant's externalizing and internalizing behaviors at 12 months. In unadjusted linear regression models, there were associations between postpartum depressive symptoms and infant externalizing behaviors (β=0.082, SE=0.032, p=0.012) and internalizing behaviors (β=0.111, SE=0.037, p=0.003). After controlling for potential confounding factors, including maternal age, race, education, home ownership, smoking status in the postpartum period, marital status, parenting stress, and happiness from becoming a parent, the associations between postpartum depressive symptoms and infant externalizing (β=0.051, SE=0.034, p=0.138) and internalizing behaviors (β=0.077, SE=0.040, p=0.057) were reduced and became non-significant. Furthermore, in these models the total amount of variance explained was 17.2% (p<0.0001) for externalizing behaviors and 10.5% (p<0.01) for internalizing behaviors; the only significant predictor of externalizing behaviors was maternal age (β=-0.074, SE=0.030, p=0.014), and of internalizing behaviors was white non-Hispanic ethnicity (β=-1.33, SE=0.378, p=0.0005). A combined effect of the confounding factors seems to explain the finding of no significant independent association between postpartum depressive symptoms and infant externalizing and internalizing behaviors.
Located in MPRC People / Edmond Shenassa, Ph.D. / Edmond Shenassa Publications