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Preconception and Prenatal Smoking among Maine Women: Defining Risk and Determining the Impact of Efforts by Care Providers to Promote Cessation

Published online by Cambridge University Press:  28 June 2017

David E. Harris ,
AbouEl-Makarim A. Aboueissa ,
Cheryl Sarton  and
Nancy Baugh
David E. Harris*
Affiliation:
School of Nursing, University of Southern Maine, Portland, Maine
AbouEl-Makarim A. Aboueissa
Affiliation:
Department of Mathematics and Statistics, University of Southern Maine, Portland, Maine
Cheryl Sarton
Affiliation:
School of Nursing, University of Southern Maine, Portland, Maine
Nancy Baugh
Affiliation:
College of Graduate & Professional Studies, Franklin Pierce University, Rindge, New Hampshire
*
Address for correspondence: David E. Harris, School of Nursing, University of Southern Maine, Portland, ME 04104. Email: deharris@maine.edu
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Abstract

Introduction: Smoking before and during pregnancy is a risk for women and their babies, but encouraging tobacco abstinence challenges practitioners.

Aims: We define correlates of tobacco use around pregnancy and determine the impact of providers’ efforts to encourage abstinence.

Methods: We analysed responses (2000 – 2010) from the Pregnancy Risk Assessment Monitoring System questionnaire for Maine, United States, a state with higher than average smoking rates. We performed multivariable logistic regression analysis with demographic and behavioural independent variables, and smoking in the last 3 months before and in the last 3 months of pregnancy as dependent variables.

Results: Of 12,409 questionnaire responders, 32% smoked before pregnancy; 60.5% of these women continued during pregnancy. Women were more likely to smoke before pregnancy and to continue during pregnancy if they had a previous birth, were unmarried, had ≤ a high school education, or had a household income ≤ $20,000/year. Pre-pregnancy smokers were more likely to continue smoking during pregnancy if their gestational weight gain was less than recommended and, surprisingly, if they recalled a provider discussion about smoking cessation.

Conclusions: We identify women at risk for smoking before and during pregnancy and demonstrate that current tobacco abstinence interventions by providers may not always be effective.

Type
Protocol
Information
Journal of Smoking Cessation , Volume 13 , Issue 2 , June 2018 , pp. 87 - 91
Copyright
Copyright © The Author(s) 2017 

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