The research will examine whether there is a decrease in reported maternal alcohol consumption in a high risk sample following the implementation of the alcohol warning label. The proposed research pursues the following specific aims: 1. To determine whether there is a change in knowledge, attitudes, and behavior concerning drinking during pregnancy in 14,500 black prenatal clinic patients following the implementation of the alcohol warning label with emphasis on prenatal patients at highest risk for Alcohol Related Birth Defects (ARBDS) (women who consume greater than or equal to one or more ounces of absolute alcohol per day during their pregnancies). 2. To compare the prevalence in the prenatal clinic sample of alcohol related birth defects before, during and after the implementation of the alcohol warning label law. 3. To evaluate the impact of a randomized clinical trial which involves educational interventions designed to enhance the impact of the alcohol warning label on the knowledge, attitudes, and reported drinking behavior of these pregnant women. The proposed research has several strengths: 1) it focuses on a high risk population of black pregnant women in an inner city clinic. These women are particularly vulnerable to ARBD. 2) As part of the proposed research, we will develop an educational intervention designed to bolster the impact of the label on this hard to reach population. 3) The proposed research builds on an extensive data base from the Wayne State University Fetal Alcohol Research Center that contains information on risk drinking during pregnancy collected from pregnant women since September, 1986. 4) Since May, 1989, we have collected pilot data on knowledge and attitudes about drinking during pregnancy.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA008561-02
Application #
3112672
Study Section
Special Emphasis Panel (SRCA (32))
Project Start
1990-02-01
Project End
1995-01-31
Budget Start
1991-02-01
Budget End
1992-01-31
Support Year
2
Fiscal Year
1991
Total Cost
Indirect Cost
Name
Wayne State University
Department
Type
Schools of Arts and Sciences
DUNS #
City
Detroit
State
MI
Country
United States
Zip Code
48202
Hankin, J R; Sloan, J J; Firestone, I J et al. (1996) Has awareness of the alcohol warning label reached its upper limit? Alcohol Clin Exp Res 20:440-4
Hankin, J R; Firestone, I J; Sloan, J J et al. (1996) Heeding the alcoholic beverage warning label during pregnancy: multiparae versus nulliparae. J Stud Alcohol 57:171-7
Hankin, J R; Sokol, R J (1995) Identification and care of problems associated with alcohol ingestion in pregnancy. Semin Perinatol 19:286-92
Hankin, J R; Sloan, J J; Firestone, I J et al. (1993) The alcohol beverage warning label: when did knowledge increase? Alcohol Clin Exp Res 17:428-30
Hankin, J R; Sloan, J J; Firestone, I J et al. (1993) A time series analysis of the impact of the alcohol warning label on antenatal drinking. Alcohol Clin Exp Res 17:284-9