TY - JOUR
T1 - Maternal Patterns of Postpartum Alcohol Consumption by Age
T2 - A Longitudinal Analysis of Adult Urban Mothers
AU - Liu, Weiwei
AU - Mumford, Elizabeth A.
AU - Petras, Hanno
N1 - Funding Information:
The research was funded by the National Institute on Drug Abuse (grant 1 R01 DA 030496-01A1, Social Ecology of Maternal Substance Use, to principal investigator Dr. Elizabeth A. Mumford). Our thanks to Kaitlyn Krivitzky, Emily F. White, and Hannah Joseph for reviewing the literature supporting this paper and preparing the tables and figures. We also appreciate the consultations provided by Dr. Pradip Muhuri, SAMHSA, regarding estimates of similar outcomes in the National Survey on Drug Use and Health.
Publisher Copyright:
© 2014, Society for Prevention Research.
PY - 2015/4
Y1 - 2015/4
N2 - The purpose of this study is to investigate a) longitudinal patterns of maternal postpartum alcohol use as well as its variation by maternal age at child birth and b) within maternal age groups, the association between other maternal characteristics and alcohol use patterns for the purposes of informed prevention design. Study sample consists of 3397 mothers from the Fragile Families and Child Wellbeing Study representing medium and large US urban areas. Maternal drinking and binge drinking were measured at child age 1, 3, and 5 years. We conducted separate longitudinal latent class analysis within each of the three pre-determined maternal age groups (ages 20–25, n = 1717; ages 26–35, n = 1367; ages 36+, n = 313). Results revealed different class structures for maternal age groups. While two classes (NB [non-binge]-drinkers and LL [low-level]-drinkers) were identified for mothers in each age group, a third class (binge drinkers) was separately distinguished for the two older age groups. Whereas binge drinking rates appear to remain stable over the 5 years postdelivery for mothers who gave birth in their early twenties, mothers ages 26 and older increasingly engaged in binge drinking over time, surpassing the binge drinking behavior of younger mothers. Depression significantly increases the odds of being a NB-drinker for the 20–25 age group and that of being a binge drinker for the 36+ age group, whereas smoking during pregnancy is associated with subsequent binge drinking only for mothers ages 20–25. Findings highlight the importance of distinguishing risk factors by maternal age groups for drinking while parenting a young child, to inform the design of intervention strategies tailored to mothers of particular ages.
AB - The purpose of this study is to investigate a) longitudinal patterns of maternal postpartum alcohol use as well as its variation by maternal age at child birth and b) within maternal age groups, the association between other maternal characteristics and alcohol use patterns for the purposes of informed prevention design. Study sample consists of 3397 mothers from the Fragile Families and Child Wellbeing Study representing medium and large US urban areas. Maternal drinking and binge drinking were measured at child age 1, 3, and 5 years. We conducted separate longitudinal latent class analysis within each of the three pre-determined maternal age groups (ages 20–25, n = 1717; ages 26–35, n = 1367; ages 36+, n = 313). Results revealed different class structures for maternal age groups. While two classes (NB [non-binge]-drinkers and LL [low-level]-drinkers) were identified for mothers in each age group, a third class (binge drinkers) was separately distinguished for the two older age groups. Whereas binge drinking rates appear to remain stable over the 5 years postdelivery for mothers who gave birth in their early twenties, mothers ages 26 and older increasingly engaged in binge drinking over time, surpassing the binge drinking behavior of younger mothers. Depression significantly increases the odds of being a NB-drinker for the 20–25 age group and that of being a binge drinker for the 36+ age group, whereas smoking during pregnancy is associated with subsequent binge drinking only for mothers ages 20–25. Findings highlight the importance of distinguishing risk factors by maternal age groups for drinking while parenting a young child, to inform the design of intervention strategies tailored to mothers of particular ages.
KW - Binge drinking
KW - Early parenthood
KW - Longitudinal latent class analysis
KW - Maternal age
KW - Postpartum alcohol use
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U2 - 10.1007/s11121-014-0522-y
DO - 10.1007/s11121-014-0522-y
M3 - Article
C2 - 25344349
AN - SCOPUS:84925485139
SN - 1389-4986
VL - 16
SP - 353
EP - 363
JO - Prevention Science
JF - Prevention Science
IS - 3
ER -