Use of Electronic Vapor Products Before, During, and After Pregnancy Among Women with a Recent Live Birth — Oklahoma and Texas, 2015

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Kapaya, Martha ; D’Angelo, Denise V. ; Tong, Van T. ; England, Lucinda ; Ruffo, Nan ; Cox, Shanna ; Warner, Lee ; Bombard, Jennifer ; Guthrie, Tanya ; Lampkins, Ayesha ; King, Brian A.
• Description:
  Electronic vapor products (EVPs) comprise a diverse group of devices, including electronic cigarettes (e-cigarettes). EVP users inhale an aerosol that typically contains nicotine, flavorings, and other additives (1). Nicotine is a developmental toxicant that adversely affects pregnancy and infant outcomes (2). Data from the 2015 Pregnancy Risk Assessment Monitoring System (PRAMS) for Oklahoma and Texas were analyzed to estimate population-based EVP use among women with a recent live birth. EVP use before pregnancy (defined as >3 months before pregnancy) and around the time of pregnancy (defined as any time during the 3 months before pregnancy, the last 3 months of pregnancy, or 2-6 months after delivery), reasons for EVP use, and dual use of EVPs and cigarettes were assessed. Prevalence of EVP use was 10.4% before pregnancy and 7.0% around the time of pregnancy, including 1.4% during the last 3 months of pregnancy. Among women using EVPs during the last 3 months of pregnancy, 38.4% reported use of EVPs containing nicotine, and 26.4% were unsure of nicotine content. Among women who had used EVPs and cigarettes, dual use prevalence was 38.0% in the 3 months before pregnancy, 7.7% during the last 3 months of pregnancy, and 11.8% in the 2-6 months after delivery. The most frequently reported reasons for EVP use around the time of pregnancy were curiosity (54.0%), the perception that EVPs might help with quitting or reducing cigarette smoking (45.2%), and the perception of reduced harm to the mother, when compared with cigarette smoking (45.2%). Clear messages that EVP use is not safe during pregnancy are needed, and broad, barrier-free access to evidence-based tobacco cessation strategies need to be made available.
• Subjects:
  Adult Electronic Nicotine Delivery Systems Female Full Report Health Knowledge, Attitudes, Practice Humans Live Birth Pregnancy Pregnant Women Prenatal Exposure Delayed Effects Risk Assessment Smoking Time Factors

  More +
• Source:
  MMWR Morbidity Mortal Weekly Rep. 68(8):189-194
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.mm6808a1
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  30817748
• Pubmed Central ID:
  PMC6394383
• Document Type:
  Journal Article
• Place as Subject:
  Oklahoma ; Texas
• Pages in Document:
  6 pdf pages
• Volume:
  68
• Issue:
  8
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:206ca30879ff5f590ab49d7a34bdd66dbdeb307885d890733ef38d98f1c90056242ca4aa11a81553b2c64558dc3e9e77475148f6e2f0b7c0316b9ebee7d22d1b
• Download URL:
  https://stacks.cdc.gov/view/cdc/76400/cdc_76400_DS1.pdf
• File Type:
  [PDF - 186.13 KB ]