2026-08-05T11:38:41Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/260362025-12-18T12:56:29Zcom_20.500.12105_15322com_20.500.12105_2051com_20.500.12105_2052col_20.500.12105_16982col_20.500.12105_19616

00925njm 22002777a 4500 dc Romero-Rodríguez, Esperanza author Cuevas Catalina, María Lourdes author Simon Mendez, Lorena author ECEMC Peripheral Group author Bermejo-Sanchez, Eva author Galan, Iñaki author 2019-11 Background: Even small amounts of alcohol consumed during pregnancy can have adverse effects on the embryo and the fetus. We estimated how alcohol intake among pregnant women in Spain changed between 1980 and 2014, and identified factors associated with alcohol use. Methods: Data came from the Spanish Collaborative Study of Congenital Malformations (ECEMC). The sample includes ECEMC's control mothers, 40,268 pregnant women from all regions of Spain. We classified alcohol consumption during pregnancy into 3 categories: no consumption; sporadic consumption of small amounts of alcohol; and regular consumption, or sporadic but in large quantities including drunkenness. Independent variables included sociodemographic factors, planned/unplanned pregnancy, maternal chronic diseases, gestational diabetes, and tobacco and illegal drug use during pregnancy. Trend analyses were performed using data from 1980 to 2014. The multinomial logistic regression models designed to identify associated factors differentiated between 2 periods: 1994 to 2004 and 2005 to 2014. Results: Prevalence of alcohol consumption declined from 29.6% (95% CI: 27.1 to 32.2) in 1980 to 5.4% (95% CI: 3.7 to 7.6) in 2014, mostly due to the reduction in regular intake. This decline was especially acute between 1980 and 1994. Sporadic and regular consumption increased among women working outside the home, born outside Spain, those whose pregnancy was unplanned, and those reporting using tobacco or other drugs. Comparing 1994 to 2004 versus 2005 to 2014, a stronger association was observed between regular alcohol consumption and tobacco consumption in the latter period (interaction p = 0.003). Conclusions: Alcohol consumption among expectant mothers has declined substantially in the last 35 years. However, it is worth highlighting the significant and substantial associations between alcohol use and consumption of tobacco, which have become stronger in the most recent years. Romero-Rodríguez E, Cuevas L, Simón L; ECEMC Peripheral Group; Bermejo-Sánchez E, Galán I. Changes in Alcohol Intake During Pregnancy in Spain, 1980 to 2014. Alcohol Clin Exp Res. 2019 Nov;43(11):2367-2373. 10.1111/acer.14193 1530-0277 0145-6008 Alcoholism, clinical and experimental research 31509616 https://hdl.handle.net/20.500.12105/26036 Alcohol Illegal Drug Use Pregnancy Tobacco Consumption Changes in Alcohol Intake During Pregnancy in Spain, 1980 to 2014