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Published in: Maternal and Child Health Journal 7/2013

01-09-2013

Least Explored Factors Associated with Prenatal Smoking

Authors: Saba W. Masho, Diane L. Bishop, Lori Keyser-Marcus, Sara B. Varner, Shannon White, Dace Svikis

Published in: Maternal and Child Health Journal | Issue 7/2013

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Abstract

Poor pregnancy and birth outcomes are major problems in the United States, and maternal smoking during pregnancy has been identified as one of the most preventable risk factors associated with these outcomes. This study examines less explored risk factors of smoking among underserved African American pregnant women. A cross-sectional survey was conducted at an outpatient obstetrics-gynecology clinic of an inner-city university hospital in Virginia from March 2009 through January 2011 in which pregnant women (N = 902) were interviewed at their first prenatal care visit. Survey questions included items related to women’s sociodemographic characteristics as well as their pregnancy history; criminal history; receipt of social services; child protective services involvement; insurance status; and history of substance abuse, domestic violence, and depression. Multiple logistic regression was conducted to calculate odds ratios and 95 % confidence intervals depicting the relationship between these factors and smoking during pregnancy. The analysis reported that maternal age [OR = 1.08, 95 % CI = 1.05–1.12], less than high school education [OR = 4.30, 95 % CI = 2.27–8.14], unemployed [OR = 2.33, 95 % CI = 1.35–4.04], criminal history [OR = 1.66, 95 % CI = 1.05–2.63], receipt of social services [OR = 2.26, 95 % CI = 1.35–3.79] alcohol use [OR = 2.73, 95 % CI = 1.65–4.51] and illicit drug use [OR = 1.97, 95 % CI = 1.04–3.74] during pregnancy were statistically significant risk factors associated with smoking during pregnancy. In addition to the well known risk factors, public health professionals should be aware that criminal history and receipt of social services are important factors associated with smoking during pregnancy. Social service providers such as WIC and prisons and jails may offer a unique opportunity for education and cessation interventions during the preconception or interconception period.
Literature
1.
go back to reference Dietz, P. M., England, L. J., Shapiro-Mendoza, C. K., et al. (2010). Infant morbidity and mortality attributable to prenatal smoking in the U.S. American Journal of Preventive Medicine, 39, 45–52.PubMedCrossRef Dietz, P. M., England, L. J., Shapiro-Mendoza, C. K., et al. (2010). Infant morbidity and mortality attributable to prenatal smoking in the U.S. American Journal of Preventive Medicine, 39, 45–52.PubMedCrossRef
2.
go back to reference Lanari, M., Giovannini, M., Giuffré, L., et al. (2002). Prevalence of respiratory syncytial virus infection in Italian infants hospitalized for acute lower respiratory tract infections, and association between respiratory syncytial virus infection risk factors and disease severity. Pediatric Pulmonology, 33, 458–465.PubMedCrossRef Lanari, M., Giovannini, M., Giuffré, L., et al. (2002). Prevalence of respiratory syncytial virus infection in Italian infants hospitalized for acute lower respiratory tract infections, and association between respiratory syncytial virus infection risk factors and disease severity. Pediatric Pulmonology, 33, 458–465.PubMedCrossRef
3.
go back to reference Nuorti, J. P., Butler, J. C., Farley, M. M., et al. (2000). Cigarette smoking and invasive pneumococcal disease. New England Journal of Medicine, 342, 681–689.PubMedCrossRef Nuorti, J. P., Butler, J. C., Farley, M. M., et al. (2000). Cigarette smoking and invasive pneumococcal disease. New England Journal of Medicine, 342, 681–689.PubMedCrossRef
4.
go back to reference Ey, J. L., Holberg, C. J., Aldous, M. B., et al. (1995). Passive smoke exposure and otitis media in the first year of life. Pediatrics, 95, 670–677.PubMed Ey, J. L., Holberg, C. J., Aldous, M. B., et al. (1995). Passive smoke exposure and otitis media in the first year of life. Pediatrics, 95, 670–677.PubMed
5.
go back to reference Burr, M. L., Anderson, H. R., Austin, J. B., et al. (1999). Respiratory symptoms and home environment in children: A national survey. Thorax, 54(27–32), 9. Burr, M. L., Anderson, H. R., Austin, J. B., et al. (1999). Respiratory symptoms and home environment in children: A national survey. Thorax, 54(27–32), 9.
6.
go back to reference Wisborg, K., Kesmodel, U., Henriksen, T. B., et al. (2001). Exposure to tobacco smoke in utero and the risk of stillbirth and death in the first year of life. American Journal of Epidemiology, 154, 322–327.PubMedCrossRef Wisborg, K., Kesmodel, U., Henriksen, T. B., et al. (2001). Exposure to tobacco smoke in utero and the risk of stillbirth and death in the first year of life. American Journal of Epidemiology, 154, 322–327.PubMedCrossRef
7.
go back to reference Tong, V. T., Fones, J. R., Dietz, P. M., et al. (2009). Trends in smoking before, during and after pregnancy—Pregnancy risk assessment monitoring system (PRAMS), United States, 31 Sites, 2000–2005. MMWR., 58(SS04), 1–29. Tong, V. T., Fones, J. R., Dietz, P. M., et al. (2009). Trends in smoking before, during and after pregnancy—Pregnancy risk assessment monitoring system (PRAMS), United States, 31 Sites, 2000–2005. MMWR., 58(SS04), 1–29.
8.
go back to reference Cnattingius, S., Lindmark, G., & Meirik, O. (1992). Who continues to smoke while pregnant? Journal of Epidemiology Community Health, 46, 218–221.PubMedCrossRef Cnattingius, S., Lindmark, G., & Meirik, O. (1992). Who continues to smoke while pregnant? Journal of Epidemiology Community Health, 46, 218–221.PubMedCrossRef
9.
go back to reference Chasnoff, I. J., Neuman, K., Thornton, C., et al. (2001). Screening for substance use in pregnancy: A practical approach for the primary care physician. American Journal of Obstetrics and Gynecology, 184, 752–758.PubMedCrossRef Chasnoff, I. J., Neuman, K., Thornton, C., et al. (2001). Screening for substance use in pregnancy: A practical approach for the primary care physician. American Journal of Obstetrics and Gynecology, 184, 752–758.PubMedCrossRef
10.
go back to reference Svikis, D., Henningfield, J., Gazaway, P., et al. (1997). Tobacco use for identifying pregnant women at risk of substance abuse. Journal of Reproductive Medicine, 42, 299–302.PubMed Svikis, D., Henningfield, J., Gazaway, P., et al. (1997). Tobacco use for identifying pregnant women at risk of substance abuse. Journal of Reproductive Medicine, 42, 299–302.PubMed
11.
go back to reference Gilman, S. E., Breslau, J., Subramanian, S. V., et al. (2008). Social factors, psychopathology, and maternal smoking during pregnancy. American Journal of Public Health, 98, 448–453.PubMedCrossRef Gilman, S. E., Breslau, J., Subramanian, S. V., et al. (2008). Social factors, psychopathology, and maternal smoking during pregnancy. American Journal of Public Health, 98, 448–453.PubMedCrossRef
12.
go back to reference Agrawal, A., Knopik, V. S., Pergadia, M. L., et al. (2008). Correlates of cigarette smoking during pregnancy and its genetic and environmental overlap with nicotine dependence. Nicotine and Tobacco Research, 10, 567–578.PubMedCrossRef Agrawal, A., Knopik, V. S., Pergadia, M. L., et al. (2008). Correlates of cigarette smoking during pregnancy and its genetic and environmental overlap with nicotine dependence. Nicotine and Tobacco Research, 10, 567–578.PubMedCrossRef
13.
go back to reference Hammarstrom, A., & Janlert, U. (2003). Unemployment—an important predictor for future smoking: a 14-year follow-up study of school leavers. Scandinavian Journal of Public Health, 31, 229–232.PubMedCrossRef Hammarstrom, A., & Janlert, U. (2003). Unemployment—an important predictor for future smoking: a 14-year follow-up study of school leavers. Scandinavian Journal of Public Health, 31, 229–232.PubMedCrossRef
14.
go back to reference Zhu, S. H., & Valbo, A. (2002). Depression and smoking during pregnancy. Addictive Behaviors, 27, 649–658.PubMedCrossRef Zhu, S. H., & Valbo, A. (2002). Depression and smoking during pregnancy. Addictive Behaviors, 27, 649–658.PubMedCrossRef
15.
go back to reference Linares, T. J., Heil, S. H., Higgins, S. T., et al. (2009). Depressive symptoms predict smoking status among pregnant women. Addictive Behaviors, 34, 705–708.CrossRef Linares, T. J., Heil, S. H., Higgins, S. T., et al. (2009). Depressive symptoms predict smoking status among pregnant women. Addictive Behaviors, 34, 705–708.CrossRef
16.
go back to reference Goedhart, G., Van der Wal, M. F., Cuijpers, P., et al. (2009). Psychosocial problems and continued smoking during pregnancy. Addictive Behaviors, 34, 403–406.PubMedCrossRef Goedhart, G., Van der Wal, M. F., Cuijpers, P., et al. (2009). Psychosocial problems and continued smoking during pregnancy. Addictive Behaviors, 34, 403–406.PubMedCrossRef
17.
go back to reference Durrah, T. L., & Rosenberg, T. J. (2004). Smoking among female arrestees: Prevalence of daily smoking and smoking cessation efforts. Addictive Behaviors, 29, 1015–1019.PubMedCrossRef Durrah, T. L., & Rosenberg, T. J. (2004). Smoking among female arrestees: Prevalence of daily smoking and smoking cessation efforts. Addictive Behaviors, 29, 1015–1019.PubMedCrossRef
18.
go back to reference Staton, M., Leukefeld, C., & Webster, J. M. (2003). Substance use, health, and mental health: Problems and service utilization among incarcerated women. International Journal of Offender Therapy and Comparative Criminology, 47, 224–239.PubMedCrossRef Staton, M., Leukefeld, C., & Webster, J. M. (2003). Substance use, health, and mental health: Problems and service utilization among incarcerated women. International Journal of Offender Therapy and Comparative Criminology, 47, 224–239.PubMedCrossRef
19.
go back to reference Taylor, B. G., Newton, P. J., & Brownstein, H. H. (2003). Drug use among female arrestees. In Arrestee Drug Abuse Monitoring (ADAM) 2000 Annual Report (pp. 1–2). Washington, DC: National Institute of Justice. Taylor, B. G., Newton, P. J., & Brownstein, H. H. (2003). Drug use among female arrestees. In Arrestee Drug Abuse Monitoring (ADAM) 2000 Annual Report (pp. 1–2). Washington, DC: National Institute of Justice.
21.
go back to reference Knight, M., & Plugge, E. (2005). Risk factors for adverse perinatal outcomes in imprisoned pregnant women: A systematic review. BMC Public Health, 5, 111.PubMedCrossRef Knight, M., & Plugge, E. (2005). Risk factors for adverse perinatal outcomes in imprisoned pregnant women: A systematic review. BMC Public Health, 5, 111.PubMedCrossRef
22.
go back to reference Knight, M., & Plugge, E. (2005). The outcomes of pregnancy among imprisoned women: A systematic review. British Journal of Obstetrics and Gynaecology, 112, 1467–1474.PubMedCrossRef Knight, M., & Plugge, E. (2005). The outcomes of pregnancy among imprisoned women: A systematic review. British Journal of Obstetrics and Gynaecology, 112, 1467–1474.PubMedCrossRef
23.
go back to reference Masho, S. W., Keyser-Marcus, L., Varner, S. B., et al. (2011). Addressing perinatal disparities using community-based participatory research: Data into action. Journal of Community Psychology, 39, 292–302.PubMedCrossRef Masho, S. W., Keyser-Marcus, L., Varner, S. B., et al. (2011). Addressing perinatal disparities using community-based participatory research: Data into action. Journal of Community Psychology, 39, 292–302.PubMedCrossRef
24.
go back to reference Joyce, T., Racine, A., & Yunzal-Butler, C. (2008). Reassessing the WIC effect: Evidence from the pregnancy nutrition surveillance system. Journal of Policy Analysis and Management, 27(2), 277–303.CrossRef Joyce, T., Racine, A., & Yunzal-Butler, C. (2008). Reassessing the WIC effect: Evidence from the pregnancy nutrition surveillance system. Journal of Policy Analysis and Management, 27(2), 277–303.CrossRef
25.
go back to reference Feldhaus, K. M., Koziol-McLain, J., Amsbury, H. L., et al. (1997). Accuracy of 3 brief screening questions for detecting partner violence in the emergency department. JAMA, 277, 1357–1361.PubMedCrossRef Feldhaus, K. M., Koziol-McLain, J., Amsbury, H. L., et al. (1997). Accuracy of 3 brief screening questions for detecting partner violence in the emergency department. JAMA, 277, 1357–1361.PubMedCrossRef
26.
go back to reference Kroenke, K., Spitzer, R. L., & Williams, J. B. (2003). The patient health questionnaire-2: Validity of a two-item depression screener. Medical Care, 41, 1284–1292.PubMedCrossRef Kroenke, K., Spitzer, R. L., & Williams, J. B. (2003). The patient health questionnaire-2: Validity of a two-item depression screener. Medical Care, 41, 1284–1292.PubMedCrossRef
27.
go back to reference Bonollo, D. P., Zapka, J. G., Stoddard, A. M., et al. (2002). Treating nicotine dependence during pregnancy and postpartum: Understanding clinician knowledge and performance. Patient Education and Counseling, 48, 265–274.PubMedCrossRef Bonollo, D. P., Zapka, J. G., Stoddard, A. M., et al. (2002). Treating nicotine dependence during pregnancy and postpartum: Understanding clinician knowledge and performance. Patient Education and Counseling, 48, 265–274.PubMedCrossRef
28.
go back to reference Pullon, S., Webster, M., McLeod, D., et al. (2004). Smoking cessation and nicotine replacement therapy in current primary maternity care. Australian Family Physician, 33, 94–96.PubMed Pullon, S., Webster, M., McLeod, D., et al. (2004). Smoking cessation and nicotine replacement therapy in current primary maternity care. Australian Family Physician, 33, 94–96.PubMed
29.
go back to reference Lancaster, C. A., Gold, K. J., Flynn, H. A., et al. (2010). Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal of Obstetrics and Gynecology, 202, 5–14.PubMedCrossRef Lancaster, C. A., Gold, K. J., Flynn, H. A., et al. (2010). Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal of Obstetrics and Gynecology, 202, 5–14.PubMedCrossRef
30.
go back to reference Bowen, A., & Muhajarine, N. (2006). Prevalence of antenatal depression in women enrolled in an outreach program in Canada. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35, 491–498.PubMedCrossRef Bowen, A., & Muhajarine, N. (2006). Prevalence of antenatal depression in women enrolled in an outreach program in Canada. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35, 491–498.PubMedCrossRef
31.
go back to reference Flynn, H. A., Marcus, S. M., Barry, K. L., et al. (2003). Rates and correlates of alcohol use among pregnant women in obstetrics clinics. Alcoholism, Clinical and Experimental Research, 27, 81–87.PubMedCrossRef Flynn, H. A., Marcus, S. M., Barry, K. L., et al. (2003). Rates and correlates of alcohol use among pregnant women in obstetrics clinics. Alcoholism, Clinical and Experimental Research, 27, 81–87.PubMedCrossRef
32.
go back to reference Vander Weg, M. W., Ward, K. D., Scarinci, I. C., et al. (2004). Smoking-related correlates of depressive symptoms in low-income pregnant women. American Journal of Health Behavioural, 28, 510–521. Vander Weg, M. W., Ward, K. D., Scarinci, I. C., et al. (2004). Smoking-related correlates of depressive symptoms in low-income pregnant women. American Journal of Health Behavioural, 28, 510–521.
33.
go back to reference Ward, K. D., Vander Weg, M. W., Sell, M. A., et al. (2006). Characteristics and correlates of quitting among black and white low income pregnant smokers. American Journal of Health Behavioural, 30, 651–662.CrossRef Ward, K. D., Vander Weg, M. W., Sell, M. A., et al. (2006). Characteristics and correlates of quitting among black and white low income pregnant smokers. American Journal of Health Behavioural, 30, 651–662.CrossRef
34.
go back to reference Hoffman, S., & Hatch, M. C. (2000). Depressive symptomatology during pregnancy: Evidence for an association with decreased fetal growth in pregnancies of lower social class women. Health Psychology, 19, 535–543.PubMedCrossRef Hoffman, S., & Hatch, M. C. (2000). Depressive symptomatology during pregnancy: Evidence for an association with decreased fetal growth in pregnancies of lower social class women. Health Psychology, 19, 535–543.PubMedCrossRef
36.
go back to reference McFarlane, J., Parker, B., & Soeken, K. (1996). Physical abuse, smoking, and substance use during pregnancy: Prevalence, interrelationships, and effects on birth weight. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 25, 313–320.PubMedCrossRef McFarlane, J., Parker, B., & Soeken, K. (1996). Physical abuse, smoking, and substance use during pregnancy: Prevalence, interrelationships, and effects on birth weight. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 25, 313–320.PubMedCrossRef
37.
go back to reference Jesse, D. E., Graham, M., & Swanson, M. (2006). Psychosocial and spiritual factors associated with smoking and substance use during pregnancy in African American and White low-income women. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35, 68–77.PubMedCrossRef Jesse, D. E., Graham, M., & Swanson, M. (2006). Psychosocial and spiritual factors associated with smoking and substance use during pregnancy in African American and White low-income women. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35, 68–77.PubMedCrossRef
38.
go back to reference Ringel, J. S., & Evans, W. N. (2001). Cigarette taxes and smoking during pregnancy. American Journal of Public Health, 91, 1851–1856.PubMedCrossRef Ringel, J. S., & Evans, W. N. (2001). Cigarette taxes and smoking during pregnancy. American Journal of Public Health, 91, 1851–1856.PubMedCrossRef
39.
go back to reference Van Walbeek, C. (2010). A simulation model to predict the fiscal and public health impact of a change in cigarette excise taxes. Tobacco Control, 19, 31–36.PubMedCrossRef Van Walbeek, C. (2010). A simulation model to predict the fiscal and public health impact of a change in cigarette excise taxes. Tobacco Control, 19, 31–36.PubMedCrossRef
40.
go back to reference Gilmore, A. B., Branston, J. R., & Sweanor, D. (2010). The case for OFSMOKE: How tobacco price regulation is needed to promote the health of markets, government revenue and the public. Tobacco Control, 19, 423–430.PubMedCrossRef Gilmore, A. B., Branston, J. R., & Sweanor, D. (2010). The case for OFSMOKE: How tobacco price regulation is needed to promote the health of markets, government revenue and the public. Tobacco Control, 19, 423–430.PubMedCrossRef
41.
go back to reference Rivara, F. P., Ebel, B. E., Garrison, M. M., et al. (2004). Prevention of smoking-related deaths in the United States. American Journal of Preventive Medicine, 27, 118–125.PubMedCrossRef Rivara, F. P., Ebel, B. E., Garrison, M. M., et al. (2004). Prevention of smoking-related deaths in the United States. American Journal of Preventive Medicine, 27, 118–125.PubMedCrossRef
42.
go back to reference Dietz, P. M., Homa, D., England, L. J., et al. (2011). Estimates of nondisclosure of cigarette smoking among pregnant and nonpregnant women of reproductive age in the United States. American Journal of Epidemiology, 173, 355–359.PubMedCrossRef Dietz, P. M., Homa, D., England, L. J., et al. (2011). Estimates of nondisclosure of cigarette smoking among pregnant and nonpregnant women of reproductive age in the United States. American Journal of Epidemiology, 173, 355–359.PubMedCrossRef
Metadata
Title
Least Explored Factors Associated with Prenatal Smoking
Authors
Saba W. Masho
Diane L. Bishop
Lori Keyser-Marcus
Sara B. Varner
Shannon White
Dace Svikis
Publication date
01-09-2013
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 7/2013
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-012-1103-y

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