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Pregnant Women's Alcohol Consumption Rises as Public Health Messaging Falters

A new JAMA study shows that the share of pregnant women reporting alcohol use climbed from 9% in 2011 to nearly 15% in 2024, while overall adult drinking fell.

A recent investigation published in the Journal of the American Medical Association reveals that the proportion of pregnant women who said they drank alcohol in the prior month grew from 9% in 2011 to almost 15% in 2024, marking a 59% increase. Binge drinking among this group rose by three-quarters and heavy drinking nearly tripled, even as overall adult alcohol use declined to a historic low. The study, conducted by scholars at Columbia University and the University of California, San Diego using CDC survey data, cannot pinpoint the cause of the shift, but highlights the growing influence of social-media platforms and non-credentialed influencers on health decisions.

The author cites the 2013 book "Expecting Better" by Emily Oster as an example of permissive messaging that may have resonated with well-educated, older pregnant women. She calls for public-health communications that address both fetal and maternal risks without shaming, emphasizing the need for trained communicators and behavioral scientists to craft balanced messages. Without such changes, the author warns that trust in health authorities will continue to erode.

Why it matters

Rising alcohol use in pregnancy threatens maternal and fetal health and signals a breakdown in effective public-health communication.

In this story

pregnancy drinkingalcohol usepublic health messagingsocial media influencersJAMA studymaternal healthCDC survey
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