Regional comparison of self-reported late pregnancy cigarette smoking to mass spectrometry analysis.

Autor: Hall ES; Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.; Translational Data Science and Informatics, Geisinger, Danville, PA, USA., McAllister JM; Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.; Center for Addiction Research, University of Cincinnati College of Medicine, Cincinnati, OH, USA., Kelly EA; Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.; Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA., Setchell KDR; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.; Division of Pathology and Laboratory Medicine, Clinical Mass Spectrometry, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA., Megaraj V; Division of Pathology and Laboratory Medicine, Clinical Mass Spectrometry, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA., Jimenez KL; Division of Pathology and Laboratory Medicine, Clinical Mass Spectrometry, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA., Nidey N; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.; Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA., Greenberg JM; Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA., Wexelblatt SL; Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Scott.wexelblatt@cchmc.org.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA. Scott.wexelblatt@cchmc.org.; Center for Addiction Research, University of Cincinnati College of Medicine, Cincinnati, OH, USA. Scott.wexelblatt@cchmc.org.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2021 Oct; Vol. 41 (10), pp. 2417-2423. Date of Electronic Publication: 2021 Mar 23.
DOI: 10.1038/s41372-021-01045-2
Abstrakt: Objective: To report a more accurate prevalence estimate of late pregnancy nicotine exposures.
Study Design: A cross-sectional study during a 2-month period in 2019. Participants were women delivering in any of the six county maternity hospitals who consented to universal drug testing at the time of delivery as part of routine hospital admission.
Results: Of 2531 tested samples, 18.7% tested positive for high levels of cotinine indicating primary smoking or other primary use of tobacco products. Together, 33.0% of the study population tested positive for nicotine exposure during late pregnancy compared to vital records which reported 8.2% cigarette smoking during the third trimester of pregnancy and 10.5% cigarette smoking at any time during pregnancy through maternal self-report.
Conclusion: Captured vital birth smoking measures vastly underreport actual primary exposures to nicotine products. Vital birth data also fail to capture secondhand exposures which constitute a significant proportion of the population.
(© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Databáze: MEDLINE
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