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Cognitions and behaviors related to risk for alcohol-exposed pregnancies among young adult women.

Authors
  • Thompson, Erika L1
  • Litt, Dana M2
  • Griner, Stacey B2
  • Lewis, Melissa A2
  • 1 Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA. [email protected]
  • 2 Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Blvd, Fort Worth, TX, 76107, USA.
Type
Published Article
Journal
Journal of behavioral medicine
Publication Date
Feb 01, 2021
Volume
44
Issue
1
Pages
123–130
Identifiers
DOI: 10.1007/s10865-020-00183-w
PMID: 32944846
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study assessed alcohol and sex-related cognitions and behaviors, including alcohol-related sexual expectancies, descriptive norms, and protective behavioral strategies, associated with women's risk for an alcohol-exposed pregnancy. A national sample of young adults ages 18-20 years was subset to women who were capable of pregnancy and sexually active (n = 422). The outcome was risk of alcohol-exposed pregnancy as determined by contraceptive status and heavy-episodic drinking. SAS version 9.4 was used to estimate logistic regression models. Alcohol-related sexual expectancies related to enhancement were significantly associated with increased odds of alcohol-exposed pregnancy risk. In contrast, women who reported the use of more safe sex (non-condom related) protective behavioral strategies (e.g., talk to partner about birth control use) were at decreased odds of alcohol-exposed pregnancy risk. Future interventions to reduce the risk of alcohol-exposed pregnancies should consider alcohol-related sexual expectancies and safer sex protective behavioral strategies as leverage points.

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