History of physical abuse and periconceptional drinking in pregnant women

Anika A.H. Alvanzo, Dace S. Svikis

Research output: Contribution to journalArticlepeer-review


This study examines the relationship between physical abuse and periconceptional drinking in women presenting to a mid-Atlantic, urban hospital-based OB/GYN clinic serving a largely indigent population between April 2003 and May 2004. During their first prenatal visit, 308 women completed a screening battery that included the Abuse Assessment Screen (AAS) and measures of alcohol use, including the CAGE, T-ACE, TWEAK, and the PRIME-MD Patient Health Questionnaire (PHQ). Bivariate analyses, including odds ratios (ORs) and 95% confidence intervals (CIs), revealed that women with a history of physical abuse were more likely to report drinking alcohol within the 3 months prior to their prenatal care visit and were significantly more likely to meet criteria for risk drinking on multiple measures. A history of physical abuse appears to be associated with higher self-reported rates of periconceptional drinking in pregnant women. Study findings support the need for assessment of abuse history as a potential risk factor for alcohol use in pregnant women.

Original languageEnglish (US)
Pages (from-to)1098-1109
Number of pages12
JournalSubstance Use and Misuse
Issue number8-9
StatePublished - Jul 2008
Externally publishedYes


  • Abuse
  • Alcohol
  • Periconceptional drinking
  • Physical abuse
  • Pregnancy risk drinking
  • Prenatal alcohol exposure

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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