This nationally representative study sheds light on the geographic disparities in substance use during pregnancy, highlighting how pregnant individuals in rural areas are significantly more likely to use tobacco, while those in urban areas are more likely to consume alcohol. These patterns are influenced by complex factors including access to care, stigma, socioeconomic status, and the availability of tailored supports.
As FASD Prevention Facilitators, especially those delivering training and awareness to health and social service professionals, these findings are a powerful reminder that where someone lives deeply influences how they engage with services, and what kinds of supports they may need to reduce or eliminate substance use during pregnancy.
Key Reflection
FASD prevention is not a one-size-fits-all approach. This study reinforces the importance of tailored, community-based strategies that are rooted in both cultural safety and geographic context. It also underscores the need for facilitators to ensure their messaging addresses both alcohol and tobacco use—and recognizes the barriers pregnant people may face in disclosing or reducing their use.
Reflection Question for Practice
How can I adapt my training and awareness efforts to reflect the unique needs of professionals working with pregnant people in rural vs. urban settings, especially when it comes to stigma, access to services, and substance use patterns?