Evaluation of four maternal smoking questions.

Details

• Alternative Title:
  Public Health Rep
• Personal Author:
  Kharrazi, M ; Epstein, D ; Hopkins, B ; Kreutzer, R ; Doebbert, G ; Hiatt, R ; Swan, S ; Eskenazi, B ; Pirkle, J L ; Bernert, J T
• Description:
  The authors evaluated four questions about maternal smoking during pregnancy for use on birth certificates.|Question 1 (yes/no format) and Question 2 (trimester-specific design) were tested among 1171 women who delivered at two Kaiser Permanente medical centers in northern California. Responses to Questions 1 and 2 were compared with smoking information provided by participants in telephone interviews conducted during pregnancy. Question 3 (multiple choice format) and Question 4 (month- and grouped month-specific design) were tested among 900 women who enrolled in a statewide prenatal screening program and who delivered in 20 hospitals in four Central Valley counties. Responses to Questions 3 and 4 were compared with mid-pregnancy serum cotinine levels. The authors evaluated the four questions in terms of conciseness, response rate, data accuracy, and type of data requested.|Questions 1 and 2 were the most concise. Response rates could not be calculated for Questions 1 and 2. Response rates were 86.0% for Question 3 and 74.2% for Question 4. Sensitivity was 47.3% for Question 1, 62.1% for Question 2, 83.8% for Question 3, and 86.7% for Question 4. The types of data requested by Questions 2 and 4 seem to best satisfy the needs of the broad audience of birth certificate users.|No single question was clearly superior. The authors propose a combination of Questions 2 and 4, which asks about average number of cigarettes smoked per day in the three months before pregnancy and in each trimester of pregnancy.
• Subjects:
  Birth Certificates California Cross-Sectional Studies Female Health Knowledge, Attitudes, Practice Humans Incidence Infant, Newborn Mothers Pregnancy Pregnancy Trimesters Prenatal Care Research Article Smoking

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• Source:
  Public Health Rep. 114(1):60-70
• Pubmed ID:
  9925173
• Pubmed Central ID:
  PMCnull
• Document Type:
  Journal Article
• Volume:
  114
• Issue:
  1
• Collection(s):
  Public Health Reports
• Main Document Checksum:
  urn:sha256:3dead9f19b62d13acd896fc72ae0571c0e1bd345e15fd0d6de67adde7ff7f6cf
• Download URL:
  https://stacks.cdc.gov/view/cdc/64740/cdc_64740_DS1.pdf
• File Type:
  [PDF - 3.39 MB ]