A recent study by Peltier et al. (2025) examined how social determinants of health (SDoH)—including factors like marital status, income, employment, race, and experiences of stress—impact alcohol use during pregnancy. Using ten years of national data, the research found that while many women reduce or stop alcohol use during pregnancy, a significant subset continue to drink, including engaging in binge drinking. Factors like not being married, having criminal justice involvement, and experiencing psychiatric distress were associated with an increased likelihood of alcohol use during pregnancy. Conversely, being older, identifying as Asian or Hispanic, and not working full-time were linked to a reduced risk of alcohol use. This research underscores the need to screen for alcohol use throughout pregnancy and to tailor prevention and support efforts to women who may be more vulnerable to ongoing alcohol use.
Reflection For FASD Prevention Conversation Facilitators
This study reminds us that alcohol use during pregnancy is often shaped by stress, social supports, and systemic factors rather than individual choice alone. As Prevention Conversation Facilitators, we can use this knowledge to inform and equip those who work with women and pregnant individuals, helping them understand the importance of screening throughout pregnancy and approaching conversations with empathy. By sharing these insights, we can support professionals in having non-judgmental, compassionate discussions that honour women’s circumstances while promoting healthy pregnancies.