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LEAST EXPLORED FACTORS ASSOCIATED WITH PRENATAL SMOKING
- Publication Year :
- 2013
-
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.
- Subjects :
- Adult
medicine.medical_specialty
Domestic Violence
Social Work
Epidemiology
Cross-sectional study
Psychological intervention
Prenatal care
Preconception Care
Article
Interviews as Topic
Young Adult
Pregnancy
Risk Factors
medicine
Odds Ratio
Humans
Psychiatry
business.industry
Public health
Smoking
Public Health, Environmental and Occupational Health
Virginia
Obstetrics and Gynecology
Prenatal Care
Odds ratio
medicine.disease
Substance abuse
Black or African American
Cross-Sectional Studies
Logistic Models
Socioeconomic Factors
Pediatrics, Perinatology and Child Health
Female
Pregnant Women
business
Demography
Maternal Age
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....359b0cf48d12595403b9b9d0313313f6