Behavioral Risk Factor Surveillance System

The 2011-2013 Behavioral Risk Factor Surveillance System (BRFSS) consisted of a telephone survey of 206,481 women aged 18 to 44 years in all 50 states plus the District of Columbia. All women responding to the survey were asked about:

• Any alcohol consumption in the previous 30 days.
• Binge drinking in the previous 30 days.

Binge drinking is defined as consuming four or more drinks during a particular occasion.

Survey Results

The US Centers for Disease Control and Prevention (CDC) analyzed the BRFSS data, which revealed:

• 4% of the survey respondents (8,383 women) were pregnant at the time of the survey.
• 53.6% of all women reported drinking in the previous 30 days.
• 18% reported binge drinking.
• 10% of the pregnant women had at least one drink during the 30-day study period.
• 3% acknowledged binge drinking.

Drinking While Pregnant

Women who drank at least one drink during pregnancy included:

• 19% aged 35 to 44.
• 13% single women.
• 13% college graduates.
• 6.5% with a high school diploma or less education.
• Single women were 2.4 times more likely than married women to drink while pregnant.

Binge Drinking

Binge drinking was reported by frequency (how many binge episodes) and intensity (how many drinks):

• 4.6 binge episodes for pregnant women
• 3.1 episodes for non-pregnant women.
• 7.5 drinks per binge for pregnant women.
• 6 drinks for non-pregnant women.

The binge-drinking rate was highest in non-pregnant women aged 18 to 20, who reported 3.9 episodes in the 30 days prior to the survey and 7.1 drinks on average per binge experience.

Alcohol’s Effects on Women’s Health

The high rate and intensity of drinking, including bingeing, in pregnant women may signal a greater degree of alcohol dependency in these women. Over-consumption of alcohol at any time increases the risk of drinking-related illnesses, falls and accidents caused by being off balance, driving accidents, and violence. During pregnancy, it increases the risk of miscarriage, premature delivery, and stillbirth.

Fetal Alcohol Spectrum Disorders (FASD)

The CDC reports that between 2% and 5% of all first graders in the US are affected by FASD. The spectrum includes impairments and disabilities that range from emotional, behavioral, and physical disabilities to learning disabilities that lead to poor academic performance.

One inherent flaw in all survey-type studies is that the survey respondent relies on memory and recollection, which can be inaccurate, to supply data to the researchers. Another is that people tend to say what they feel the questioner expects or to present themselves in a positive light so the likelihood of under-reporting drinking behaviors is an important consideration when analyzing survey results.


Sources:

1. "Alcohol Use and Binge Drinking Among Women of Childbearing Age — United States, 2011–2013." CDC / Morbidity and Mortality Weekly Report (MMWR). US Department of Health and Human Services, 25 Sept. 2015. Web. 6 Oct. 2015.
2. "Fetal Alcohol Exposure." NIH / National Institute on Alcohol Abuse and Alcoholism. US Department of Health and Human Services, n.d. Web. 6 Oct. 2015.