Monday, June 30, 2025 6/30/2025

Alcohol and pregnancy: benefits and harms of state-level policies

Award Number: R01AA023267
ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 05/15/2015
PERIOD OF PERFORMANCE END DATE: 02/28/2026

Group Awards By:

View Award Description

Alcohol and pregnancy: benefits and harms of state-level policies - Abstract This project takes a successful and productive R01 – the Drug-Alcohol Pregnancy Policy Study (D-APPS) Phase 1 – to the next phase and further examines impacts of state pregnancy-specific alcohol policies and expands focus to identify general population alcohol policies that reduce harms related to alcohol use during pregnancy. Alcohol is a known teratogen that causes fetal alcohol syndrome and a range of other harms to fetuses. Alcohol use during pregnancy is common, with 15% of pregnant women reporting any alcohol use and 3% of pregnant women reporting binge drinking in the past month. Despite considerable governmental and clinical attention to alcohol use during pregnancy, alcohol use during pregnancy has remained common and essentially stable for decades in the U.S. Thus, assessing which existing pregnancy-specific and general population alcohol policies influence harm from alcohol use during pregnancy is imperative. Since the 1970s, almost all states have enacted one or more policies related to alcohol use during pregnancy. States continue to enact pregnancy-specific alcohol policies. D-APPS Phase 1 found that most pregnancy-specific alcohol policies lead to increases in low birthweight and preterm birth and decreases in prenatal care, which results in thousands of babies born low birthweight or preterm each year. Findings indicate that while alcohol use during pregnancy causes public health harms, so do the policies adopted in response. Before abandoning pregnancy- specific alcohol policies, research is needed to see if there are any positive impacts on more severe outcomes related to alcohol use during pregnancy, such as child morbidities and child maltreatment. Additional research is also needed to identify other possible policies that might reduce harms from drinking during pregnancy. General population alcohol policies that address price and availability of alcohol and criminalization of drinking behavior could also reduce harm related to drinking during pregnancy, but this has not yet been studied comprehensively. In this project, we assess whether existing pregnancy-specific alcohol policies affect other outcomes related to drinking during pregnancy and identify general population alcohol policies that reduce harms related to drinking during pregnancy. We examine whether effects differ by race/ethnicity and socioeconomic status as well as by the other policies in effect at the time. This study uses insurance claims and Treatment Episode Dataset-Admissions data from the 1990s-present, Natality Birth Data and National Alcohol Survey Data from the 1970s-present, NIAAA's Alcohol Policy Information System, and other policy data sources. We will use both epidemiologic and economics-based data analysis approaches to allow for causal interpretation of findings. Findings will inform ongoing policy debates, advocacy and professional education efforts by maternal and child health professionals and obstetricians and gynecologists, and inform policy approaches to reduce harms from drinking during pregnancy.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $205,235 )
2025	2025	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Alcohol Research Programs	000	8	5/20/2025	NON-COMPETING CONTINUATION	$205,235
														Subtotal = $205,235

Issue Date FY: 2024 ( Subtotal = $603,412 )
2024	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Alcohol Research Programs	001	7	5/21/2024	NON-COMPETING CONTINUATION	$60,341
2024	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Alcohol Research Programs	000	7	2/29/2024	NON-COMPETING CONTINUATION	$543,071
														Subtotal = $603,412

Issue Date FY: 2023 ( Subtotal = $602,490 )
2023	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	000	6	2/27/2023	NON-COMPETING CONTINUATION	$602,490
														Subtotal = $602,490

Issue Date FY: 2022 ( Subtotal = $601,812 )
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	001	5	6/22/2022	NON-COMPETING CONTINUATION	$60,183
2022	2022	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	000	5	2/24/2022	NON-COMPETING CONTINUATION	$541,629
														Subtotal = $601,812

Issue Date FY: 2021 ( Subtotal = $532,805 )
2021	2021	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	000	4	4/19/2021	COMPETING CONTINUATION	$532,805
														Subtotal = $532,805

Issue Date FY: 2020 ( Subtotal = -$18,271 )
2020	2017	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	000	3	2/29/2020	SUPPLEMENT FOR EXPANSION	-$18,271
														Subtotal = -$18,271

Issue Date FY: 2019 ( Subtotal = $0 )
2019	2017	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	001	3	5/3/2019	SUPPLEMENT FOR EXPANSION	$0
2019	2017	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	000	3	5/3/2019	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2017 ( Subtotal = $329,024 )
2017	2017	UNIVERSITY OF CALIFORNIA, SAN FRANCISCO	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Alcohol Research Programs	001	3	7/25/2017	NON-COMPETING CONTINUATION	$29,257
2017	2017	UNIVERSITY OF CALIFORNIA, SAN FRANCISCO	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Alcohol Research Programs	000	3	4/17/2017	NON-COMPETING CONTINUATION	$263,308
2017	2017	UNIVERSITY OF CALIFORNIA, SAN FRANCISCO	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Alcohol Research Programs	002	3	7/26/2017	SUPPLEMENT FOR EXPANSION	$36,459
														Subtotal = $329,024

Issue Date FY: 2016 ( Subtotal = $293,606 )
2016	2016	UNIVERSITY OF CALIFORNIA-SAN FRANCISCO	BOX 0812	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	000	2	4/29/2016	NON-COMPETING CONTINUATION	$293,606
														Subtotal = $293,606

Issue Date FY: 2015 ( Subtotal = $302,653 )
2015	2015	UNIVERSITY OF CALIFORNIA-SAN FRANCISCO	BOX 0812	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Alcohol Research Programs	000	1	5/13/2015	NEW	$302,653
														Subtotal = $302,653

Grand Total All Awards = $3,452,766

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Alcohol and pregnancy: benefits and harms of state-level policies

Award Number: R01AA023267

ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 05/15/2015

PERIOD OF PERFORMANCE END DATE: 02/28/2026

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer