Least explored factors associated with prenatal smoking

Saba W. Masho, Diane L. Bishop, Lori Keyser-Marcus, Sara B. Varner, Shannon White, Dace Svikis

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)1167-1174
Number of pages8
JournalMaternal and Child Health Journal
Volume17
Issue number7
DOIs
StatePublished - Sep 2013
Externally publishedYes

Fingerprint

Social Work
Smoking
Pregnancy
Pregnant Women
Education
Reproductive History
Domestic Violence
Insurance Coverage
Prenatal Care
Prisons
Urban Hospitals
Maternal Age
Street Drugs
Pregnancy Outcome
Gynecology
African Americans
Obstetrics
Substance-Related Disorders
Outpatients
Public Health

Keywords

  • Correlates of smoking
  • Criminal history
  • Preconception health
  • Smoking during pregnancy
  • Social services

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Masho, S. W., Bishop, D. L., Keyser-Marcus, L., Varner, S. B., White, S., & Svikis, D. (2013). Least explored factors associated with prenatal smoking. Maternal and Child Health Journal, 17(7), 1167-1174. https://doi.org/10.1007/s10995-012-1103-y

Least explored factors associated with prenatal smoking. / Masho, Saba W.; Bishop, Diane L.; Keyser-Marcus, Lori; Varner, Sara B.; White, Shannon; Svikis, Dace.

In: Maternal and Child Health Journal, Vol. 17, No. 7, 09.2013, p. 1167-1174.

Research output: Contribution to journalArticle

Masho, SW, Bishop, DL, Keyser-Marcus, L, Varner, SB, White, S & Svikis, D 2013, 'Least explored factors associated with prenatal smoking', Maternal and Child Health Journal, vol. 17, no. 7, pp. 1167-1174. https://doi.org/10.1007/s10995-012-1103-y
Masho SW, Bishop DL, Keyser-Marcus L, Varner SB, White S, Svikis D. Least explored factors associated with prenatal smoking. Maternal and Child Health Journal. 2013 Sep;17(7):1167-1174. https://doi.org/10.1007/s10995-012-1103-y
Masho, Saba W. ; Bishop, Diane L. ; Keyser-Marcus, Lori ; Varner, Sara B. ; White, Shannon ; Svikis, Dace. / Least explored factors associated with prenatal smoking. In: Maternal and Child Health Journal. 2013 ; Vol. 17, No. 7. pp. 1167-1174.
@article{0c7559ce301b42dc9e043542cb09679b,
title = "Least explored factors associated with prenatal smoking",
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.",
keywords = "Correlates of smoking, Criminal history, Preconception health, Smoking during pregnancy, Social services",
author = "Masho, {Saba W.} and Bishop, {Diane L.} and Lori Keyser-Marcus and Varner, {Sara B.} and Shannon White and Dace Svikis",
year = "2013",
month = "9",
doi = "10.1007/s10995-012-1103-y",
language = "English (US)",
volume = "17",
pages = "1167--1174",
journal = "Maternal and Child Health Journal",
issn = "1092-7875",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",
number = "7",

}

TY - JOUR

T1 - Least explored factors associated with prenatal smoking

AU - Masho, Saba W.

AU - Bishop, Diane L.

AU - Keyser-Marcus, Lori

AU - Varner, Sara B.

AU - White, Shannon

AU - Svikis, Dace

PY - 2013/9

Y1 - 2013/9

N2 - 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.

AB - 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.

KW - Correlates of smoking

KW - Criminal history

KW - Preconception health

KW - Smoking during pregnancy

KW - Social services

UR - http://www.scopus.com/inward/record.url?scp=84881378336&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84881378336&partnerID=8YFLogxK

U2 - 10.1007/s10995-012-1103-y

DO - 10.1007/s10995-012-1103-y

M3 - Article

C2 - 22903305

AN - SCOPUS:84881378336

VL - 17

SP - 1167

EP - 1174

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

IS - 7

ER -