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Use of Electronic Vapor Products Before, During, and After Pregnancy Among Women with a Recent Live Birth — Oklahoma and Texas, 2015
- Source :
- Morbidity and Mortality Weekly Report
- Publication Year :
- 2019
- Publisher :
- Centers for Disease Control MMWR Office, 2019.
-
Abstract
- 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
Health Knowledge, Attitudes, Practice
medicine.medical_specialty
Time Factors
Health (social science)
Pregnancy risk
Epidemiology
Health, Toxicology and Mutagenesis
Population
Electronic Nicotine Delivery Systems
Risk Assessment
01 natural sciences
Nicotine
03 medical and health sciences
0302 clinical medicine
Health Information Management
Cigarette smoking
Pregnancy
medicine
Humans
Full Report
030212 general & internal medicine
0101 mathematics
education
education.field_of_study
business.industry
Obstetrics
Smoking
010102 general mathematics
Oklahoma
Monitoring system
General Medicine
medicine.disease
Texas
Prenatal Exposure Delayed Effects
Female
Pregnant Women
Risk assessment
Live birth
business
Live Birth
medicine.drug
Subjects
Details
- ISSN :
- 1545861X and 01492195
- Volume :
- 68
- Database :
- OpenAIRE
- Journal :
- MMWR. Morbidity and Mortality Weekly Report
- Accession number :
- edsair.doi.dedup.....edde43295d9bb7c3eaade8a041d7dc7b