Striving to Meet Healthy People 2020 Objectives: Trend Analysis of Maternal Smoking
| Autor: | Andrew R. Hansen, Toyin Akomolafe, Zachary McGalliard, Jian Zhang, Laura Belle-Isle |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Adolescent medicine.medical_treatment Maternal smoking Prevalence Smoking Prevention Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics Environmental health medicine Humans 030212 general & internal medicine Child business.industry Smoking Infant Newborn Public Health Environmental and Occupational Health Infant Middle Aged Nutrition Surveys medicine.disease United States Pregnancy Complications Trend analysis Healthy People Programs Child Preschool Commentary Smoking cessation Female Smoking Cessation business |
| Zdroj: | Public Health Reports. 133:644-649 |
| ISSN: | 1468-2877 0033-3549 |
| DOI: | 10.1177/0033354918793120 |
| Popis: | Objectives:We examined trends in prevalence rates of smoking and smoking cessation during pregnancy among women in the United States to assess achievement of Healthy People 2020 prevention targets.Methods:We assessed the smoking habits of 30 667 mothers whose children were born between 1985 and 2014 and who were sampled by the National Health and Nutrition Examination Survey, 1999-2014. Sampled participants were children aged 0-15 at the time of interview; however, an adult proxy—usually the biological mother—responded on the child’s behalf and reported information about maternal tobacco use during pregnancy. We calculated prevalence rates, adjusted odds ratios (aORs), and predicted annual increase or decrease of smoking and quitting smoking during pregnancy, adjusting for mother’s age at delivery and income level and child’s race/ethnicity and sex.Results:The average annual prevalence of smoking at any time during pregnancy decreased from 25.7% (95% confidence interval [CI], 15.3%-36.0%) in 1985 to 10.1% (95% CI, 7.1%-13.0%) in 2014 ( P < .001), and quitting smoking at any time during the index pregnancy increased from 36.6% (95% CI, 20.3%-52.9%) in 1985 to 54.9% (95% CI, 44.4%-65.4%) in 2008 ( P = .002). The adjusted annual risk of smoking during pregnancy decreased significantly by 3% (aOR = 0.97; 95% CI, 0.95-0.98; P < .001). The prevalence rate of smoking in the year 2020 extrapolated from the current trend would be 6.1%.Conclusions:Smoking during pregnancy in the United States is declining. However, renewed public health measures are needed to achieve the Healthy People 2020 objectives of preventing smoking among pregnant women in the United States. |
| Databáze: | OpenAIRE |
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