Sunday Azagba1, Lauren Manzione2, Lingpeng Shan2, Jessica King3. 1. Department of Family and Preventive Medicine, Division of Public Health, University of Utah, 375 Chipeta Way, Salt Lake City, UT, 84108, USA. s.azagba@utah.edu. 2. Department of Family and Preventive Medicine, Division of Public Health, University of Utah, 375 Chipeta Way, Salt Lake City, UT, 84108, USA. 3. Department of Health & Kinesiology, University of Utah, Salt lake city, USA.
Abstract
BACKGROUND: Maternal smoking during pregnancy remains a public health concern in the United States (US). We examined whether the prevalence of smoking during pregnancy decreased between 2010 and 2017 and how trends differed by demographic subgroups. METHODS: We used 2010-2017 data from the National Center for Health Statistics. Rao-Scott Chi-Square tests were performed to compare characteristics between smoking and nonsmoking groups. Cochran-Armitage tests and logistic regression were used to assess overall changes in the prevalence of smoking during pregnancy over time and changes for age, race, and educational attainment subgroups. RESULTS: The prevalence of smoking during pregnancy decreased from 9.2% in 2010 to 6.9% in 2017. In 2017, the prevalence was highest among women aged 20-24 (9.9%), American Indian/Alaskan Natives (15%), and those with a high school diploma or General Educational Development (GED) (12.2%). The prevalence was lowest among women younger than 15 (1.7%), Asian/Pacific Islanders (1%), and those who had a master's degree and higher (0.3%). Prevalence did not decrease significantly over time in the 35-39 age group (4.5 to 4.4%; p = 0.08), and increased dramatically for women with less than a high school diploma from 10.2 to 11.8%; p < 0.0001. CONCLUSIONS: Smoking prevalence during pregnancy in the US is declining, but is highest among younger women (20-24), American Indian/Alaska Natives, and women with a high school diploma or GED. In addition, the prevalence has increased for women with the least education. Targeted research and tobacco control interventions could help address the specific needs of these high-risk subpopulations.
BACKGROUND: Maternal smoking during pregnancy remains a public health concern in the United States (US). We examined whether the prevalence of smoking during pregnancy decreased between 2010 and 2017 and how trends differed by demographic subgroups. METHODS: We used 2010-2017 data from the National Center for Health Statistics. Rao-Scott Chi-Square tests were performed to compare characteristics between smoking and nonsmoking groups. Cochran-Armitage tests and logistic regression were used to assess overall changes in the prevalence of smoking during pregnancy over time and changes for age, race, and educational attainment subgroups. RESULTS: The prevalence of smoking during pregnancy decreased from 9.2% in 2010 to 6.9% in 2017. In 2017, the prevalence was highest among women aged 20-24 (9.9%), American Indian/Alaskan Natives (15%), and those with a high school diploma or General Educational Development (GED) (12.2%). The prevalence was lowest among women younger than 15 (1.7%), Asian/Pacific Islanders (1%), and those who had a master's degree and higher (0.3%). Prevalence did not decrease significantly over time in the 35-39 age group (4.5 to 4.4%; p = 0.08), and increased dramatically for women with less than a high school diploma from 10.2 to 11.8%; p < 0.0001. CONCLUSIONS: Smoking prevalence during pregnancy in the US is declining, but is highest among younger women (20-24), American Indian/Alaska Natives, and women with a high school diploma or GED. In addition, the prevalence has increased for women with the least education. Targeted research and tobacco control interventions could help address the specific needs of these high-risk subpopulations.
Entities:
Keywords:
Maternal cigarette use; Pregnancy; Prevalence; Smoking during pregnancy; Tobacco
Authors: Laura R Stroud; George D Papandonatos; Nancy C Jao; Raymond Niaura; Stephen Buka; Neal L Benowitz Journal: Drug Alcohol Depend Date: 2022-02-17 Impact factor: 4.492
Authors: MacKenzie R Peltier; Walter Roberts; Terril L Verplaetse; Catherine Burke; Yasmin Zakiniaeiz; Kelly Moore; Sherry A McKee Journal: Arch Womens Ment Health Date: 2022-06-23 Impact factor: 4.405
Authors: Nancy C Jao; Natasha A Sokol; Chrystal Vergara-Lopez; Katelyn Borba; Lori A J Scott-Sheldon; Laura R Stroud Journal: J Addict Dis Date: 2021-11-09
Authors: David Tappin; Lesley Sinclair; Frank Kee; Margaret McFadden; Lyn Robinson-Smith; Alex Mitchell; Ada Keding; Judith Watson; Sinead Watson; Alison Dick; David Torgerson; Catherine Hewitt; Jennifer McKell; Pat Hoddinott; Fiona M Harris; Kathleen A Boyd; Nicola McMeekin; Michael Ussher; Linda Bauld Journal: BMJ Date: 2022-10-19
Authors: Nadia Saadat; Liying Zhang; Suzanne Hyer; Vasantha Padmanabhan; Jennifer Woo; Christopher G Engeland; Dawn P Misra; Carmen Giurgescu Journal: Brain Behav Immun Health Date: 2022-03-24