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Research has suggested that information communicated by public health and industry-funded organizations differ, as organizations linked to industry have tended to downplay risks with alcohol more broadly and pregnancy specifically. This study describes communication of health risks associated with alcohol use during pregnancy on Twitter by Australian-based organizations and stakeholders. 

Date:
October 2022
Journal name:
Substance Use and Misuse
Authors:
Lisa Schölin, Maddie Heenan.
Page last updated 28 October 2022

This study sought to determine data collection approaches in Australian cohort studies and explore the potential impact on reported prenatal alcohol exposure (PAE) prevalence and patterns. PAE prevalence was estimated as 48% (95% CI: 38 to 57%). Use of trained assessors was an influencing factor of the prevalence estimates when data were collected via interview. Alcohol-focused studies reported higher prevalence of PAE, regardless of method of survey administration. Where interviewer training is not possible, self-administered questionnaires was found most likely provide the most reliable PAE estimates.

Date:
October 2022
Journal name:
International Journal of Environmental Research and Public Health
Authors:
Sophia L. Young, Sarah E. Steane, Nykola L. Ken, Natasha Reid, Linda A. Gallo, Karen M. Moritz.
Page last updated 14 October 2022

This study examines the effect of practice change intervention to support the implementation of guideline-recommended care for addressing alcohol use in pregnancy on self-reported alcohol use during pregnancy through a randomised, stepped-wedge controlled trial within the Hunger New England Local Health District (NSW, Australia).

Date:
August 2022
Journal name:
Substance Abuse Treatment, Prevention, and Policy
Authors:
Tracey W. Tsang, Melanie Kingsland, Emma Doherty, John Wiggers, John Attia,Luke Wolfenden, Adrian Dunlop, Belinda Tully, Ian Symonds, Chris Rissel, Christophe Lecathelinais, Elizabeth J. Elliott
Page last updated 4 October 2022

This systematic review aims to document the range and prevalence of eye abnormalities reported on children with prenatal exposure to alcohol and/ or FASD.

Date:
August 2022
Journal name:
Ophthalmic Epidemiology
Authors:
Tracey W Tsang , Amy Finlay-Jones, Kerrin Perry, John R Grigg Svetlana Popova,Melissa Mei Yin Cheung, Carol Bower, Patrick Tam, Robyn V Jamieson, and Elizabeth J Elliott.
Page last updated 4 October 2022

Prenatal alcohol exposure can contribute to long term adverse health outcomes. Development of the skeletal system begins at the early embryonic stage and continues into early adulthood but the effect of prenatal alcohol exposure on skeletal growth is relatively unexplored in a clinical population. This study examines bone, fat, and muscle accrual in children and adolescents diagnosed with, or at risk of, fetal alcohol spectrum disorders (FASDs). By adolescence, those with FASD were shorter and had lower areal bone mineral density and lean tissue mass than typically developing peers. Overall, adolescents diagnosed with FASDs had greater odds of impairments to bone and body composition.

Date:
August 2022
Journal name:
Bone
Authors:
Sophia L. Young, Linda A. Gallo, Denise S.K. Brookes, Nicole Hayes, Maree Maloney, Karen Liddle, Amanda James, Karen M. Moritz, Natasha Reid
Page last updated 9 August 2022

Clinical guideline recommendations for addressing alcohol consumption during pregnancy are sub-optimally implemented and limited evidence exists to inform practice improvements. This study aims to estimate the effectiveness of a practice change intervention in improving the provision of antenatal care addressing alcohol consumption during pregnancy in public maternity services. A randomised stepped-wedge controlled trial was undertaken with all public maternity services in three sectors (one urban, two regional/rural) of a single local health district in New South Wales, Australia. Five thousand six hundred ninety-four interviews/online questionnaires were completed by pregnant women.

Date:
March 2022
Journal name:
MC pregnancy and childbirth
Authors:
Emma Doherty, Melanie Kingsland, Elizabeth J Elliott, Belinda Tully, Luke Wolfenden, Adrian Dunlop, Ian Symonds, John Attia, Sarah Ward, Mandy Hunter, Carol Azzopardi, Chris Rissel, Karen Gillham, Tracey W Tsang, Penny Reeves, John Wiggers.
Page last updated 9 May 2022

Alcohol labelling laws and policy are contentious and highly politicized. Very few countries have been able to implement health warnings on alcohol labels due to complex legal and governance systems and coordinated industry lobbying. In 2020, Australia and New Zealand implemented a mandatory and evidence-based legal standard for pregnancy warning labels on alcohol products. This article discusses some of the challenges faced in achieving policy change and how these barriers were overcome by public health advocacy groups to build the evidence, counter industry conflicts of interest, consumer test health messages, mobilize community support and gather political support.

Date:
April 2022
Journal name:
Health Promotion International
Authors:
Maddie Heenan, Janani Shanthosh, Katherine Cullerton, Stephen Jan.
Page last updated 27 April 2022

Implementation of antenatal clinical guideline recommendations are implemented for addressing maternal alcohol consumption is sub-optimal There is a complete absence of evidence of the cost and cost-effectiveness of delivering practice change interventions addressing maternal alcohol consumption amongst women accessing maternity services. The study sought to determine the cost, cost-consequence and cost-effectiveness of developing and delivering a multi-strategy practice change intervention in three sectors of a health district in New South Wales, Australia.

Date:
February 2022
Journal name:
Implementation Science
Authors:
Zoe Szewczyk, Penny Reeves, Melanie Kingsland, Emma Doherty, Elizabeth Elliott, Luke Wolfenden, Tracey W. Tsang, Adrian Dunlop, Andrew Searles & John Wiggers
Page last updated 18 March 2022

There is a paucity of prospective longitudinal studies examining the associations between maternal use of alcohol and tobacco during pregnancy and the risk of cannabis use in offspring. The aim of this study was to examine the association between prenatal alcohol and tobacco exposures and offspring cannabis use.

Date:
February 2022
Journal name:
Neurotoxicology and Teratology
Authors:
Bereket Duko, GavinPereira, Robert J.Tait, Kim Betts, John Newnham, Rosa Alatia.
Page last updated 18 March 2022

Accurate information on dose, frequency and timing of maternal alcohol consumption is critically important when investigating fetal risks from prenatal alcohol exposure. Identification of distinct alcohol use behaviours can also assist in developing directed public health messages about possible adverse child outcomes, including Fetal Alcohol Spectrum Disorder. This study published in 2022 aimed to determine group-based trajectories of time-specific, unit-level, alcohol consumption using data from 1458 pregnant women in the Asking Questions about Alcohol in Pregnancy (AQUA) longitudinal study in Melbourne, Australia.

Date:
March 2022
Journal name:
Scientifc Reports
Authors:
Evelyne Muggli, Stephen Hearps, Jane Halliday, Elizabeth J. Elliott, Anthony Penington, Deanne K. Thompson, Alicia Spittle, Della A. Forster, Sharon Lewis & Peter J. Anderson
Page last updated 18 March 2022