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Table 4 Receipt of antenatal care addressing alcohol consumption during pregnancy by sector

From: Practice change intervention to improve antenatal care addressing alcohol consumption during pregnancy: a randomised stepped-wedge controlled trial

 

Sector 1 (urban)

Sector 2 (regional/rural)

Model of care element

Baseline

N = 1308

Follow-up

N = 3175

OR

(95% CI)

p-value

Baseline

N = 302

Follow-up

N = 385

OR

(95% CI)

p-value

n

%

n

%

n

%

n

%

Assessment of alcohol consumption (via AUDIT-C)

346

26.5%

1255

39.5%

2.55

(2.15; 3.03)

< 0.001

87

28.8%

182

47.3%

3.28

(2.27; 4.73)

< 0.001

Complete brief advice (safest not to consume and potential risks)

219

16.7%

791

24.9%

1.97

(1.65; 2.35)

< 0.001

65

21.5%

151

39.2%

2.78

(1.94; 3.97)

< 0.001

Advice safest not to consume

408

31.2%

1447

45.6%

2.55

(2.18; 2.99)

< 0.001

115

38.1%

219

56.9%

2.87

(2.04; 4.03)

< 0.001

Advice on potential risks

325

24.9%

1014

31.9%

1.62

(1.39; 1.89)

< 0.001

92

30.5%

182

47.3%

2.29

(1.65; 3.16)

< 0.001

Complete care relative to level of alcohol risk (complete brief advice and referral)

216

16.5%

789

24.9%

2.00

(1.67; 2.39)

< 0.001

65

21.5%

151

39.2%

2.78

(1.95; 3.98)

< 0.001

Assessment of alcohol consumption (via AUDIT-C) and complete care relative to level of alcohol risk

144

11.0%

562

17.7%

2.13

(1.73; 2.62)

< 0.001

46

15.2%

119

30.9%

3.13

(2.09; 4.67)

< 0.001

 

Sector 3 (regional/rural)

Between group differences

 

Model of care element

Baseline

N = 379

Follow-up

N = 138

OR

(95% CI)

p-value

Sector 1 vs Sector 2

Sector 1 vs Sector 3

p-value

n

%

n

%

OR (95% CI)

OR (95% CI)

Assessment of alcohol consumption (via AUDIT-C)

131

34.6%

66

47.8%

2.31

(1.46; 3.65)

< 0.001

1.28 (0.86; 1.91)

0.91 (0.56; 1.47)

0.40

Complete brief advice (safest not to consume and potential risks)

87

23.0%

44

31.9%

1.79

(1.14; 2.82)

0.012

1.41 (0.95; 2.10)

0.91 (0.56; 1.48)

0.19

Advice safest not to consume

143

37.7%

76

55.1%

2.73

(1.76; 4.22)

< 0.001

1.12 (0.78; 1.63)

1.07 (0.67; 1.70)

0.81

Advice on potential risks

122

32.2%

53

38.4%

1.50

(0.99; 2.27)

0.059

1.41 (0.99; 2.01)

0.92 (0.59; 1.43)

0.14

Complete care relative to level of alcohol risk (complete brief advice and referral)

86

22.7%

44

31.9%

1.82

(1.16; 2.87)

0.010

1.39 (0.94; 2.07)

0.91 (0.56; 1.48)

0.21

Assessment of alcohol consumption (via AUDIT-C) and complete care relative to level of alcohol risk

61

16.1%

37

26.8%

2.33

(1.42; 3.83)

< 0.001

1.47 (0.94; 2.30)

1.10 (0.64; 1.87)

0.25

  1. OR Odds Ratio, 95% CI 95% Confidence Interval; Intervention effects adjusted for sector, type of antenatal visit and time (month of antenatal visit); Missing 7 participants who did not provide all data for receipt of care measures
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