Age and Racial/Ethnic Disparities in Prepregnancy Smoking Among Women Who Delivered Live Births

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Tong, Van T. ; Dietz, Patricia M. ; England, Lucinda J. ; Farr, Sherry L. ; Kim, Shin Y. ; D'Angelo, Denise ; Bombard, Jennifer M.
• Description:
  Introduction ; Prenatal smoking prevalence remains high in the United States. To reduce prenatal smoking prevalence, efforts should focus on delivering evidence-based cessation interventions to women who are most likely to smoke before pregnancy. Our objective was to identify groups with the highest prepregnancy smoking prevalence by age within 6 racial/ethnic groups. ; Methods ; We analyzed data from 186,064 women with a recent live birth from 32 states and New York City from the 2004-2008 Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based survey of postpartum women. We calculated self-reported smoking prevalence during the 3 months before pregnancy for 6 maternal racial/ethnic groups by maternal age (18-24 y or ≥25 y). For each racial/ethnic group, we modeled the probability of smoking by age, adjusting for education, Medicaid enrollment, parity, pregnancy intention, state of residence, and year of birth. ; Results ; Younger women had higher prepregnancy smoking prevalence (33.2%) than older women (17.6%), overall and in all racial/ethnic groups. Smoking prevalences were higher among younger non-Hispanic whites (46.4%), younger Alaska Natives (55.6%), and younger American Indians (46.9%). After adjusting for confounders, younger non-Hispanic whites, Hispanics, Alaska Natives, and Asian/Pacific Islanders were 1.12 to 1.50 times as likely to smoke as their older counterparts. ; Conclusion ; Age-appropriate and culturally specific tobacco control interventions should be integrated into reproductive health settings to reach younger non-Hispanic white, Alaska Native, and American Indian women before they become pregnant.
• Subjects:
  • Adolescent
  • Adult
  • Ethnicity
  • Female
  • Health Behavior
  • Health Status Disparities
  • Humans
  • Infant, Newborn
  • Live Birth
  • Maternal Behavior
  More +
• Source:
  Prev Chronic Dis. 2011; 8(6).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  New York City, NY
• Location:
  North America
• Volume:
  8
• Issue:
  6
• Download URL:
  https://stacks.cdc.gov/view/cdc/4200/cdc_4200_DS1.pdf
• File Type:
  [PDF - 642.30 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:f03abd6e8c3f0dce3c2d0aa5433873ed038635a135ceb524e2023b287f9d0f9ccf16249730628716da83bb8c4327c02b0cbef69b331e8de8c0cee0ec4a2d7e59