2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'BackgroundMaternal smoking is still a major public health problem posing
|
|
|
|
|
|
|
|
the risk of several negative health outcomes for both the pregnant woman
|
|
|
|
|
|
|
|
and her offspring. The prevalence of maternal smoking in Denmark and
|
|
|
|
|
|
|
|
other high-income countries has decreased continuously since the 1980s,
|
|
|
|
|
|
|
|
and a prevalence below 10\% of women who continue to smoke during
|
|
|
|
|
|
|
|
pregnancy has been reported in studies after 2010. Previous studies have
|
|
|
|
|
|
|
|
shown that low socioeconomic status is associated with maternal smoking.
|
|
|
|
|
|
|
|
Information from the Danish Birth Register about maternal smoking shows
|
|
|
|
|
|
|
|
that the prevalence of women who report to smoke in pregnancy has
|
|
|
|
|
|
|
|
decreased continuously with 23.3\% who reported ever smoking in
|
|
|
|
|
|
|
|
pregnancy in 2000, 12.9\% in 2010 and 9.0\% in 2017. The aim of this
|
|
|
|
|
|
|
|
study was to estimate the prevalence of maternal smoking at the time of
|
|
|
|
|
|
|
|
conception and at 20weeks of gestation in a regional Danish population,
|
|
|
|
|
|
|
|
to describe differences in maternal characteristics among smokers,
|
|
|
|
|
|
|
|
quitters and never-smokers, and to estimate predictors of smoking at the
|
|
|
|
|
|
|
|
time of conception.MethodsA cross-sectional study was conducted among
|
|
|
|
|
|
|
|
pregnant women receiving antenatal care at the Department of Obstetrics,
|
|
|
|
|
|
|
|
Zealand University Hospital, Denmark from August 2015 to March 2016
|
|
|
|
|
|
|
|
(n=566). The main outcome was smoking at the time of conception and at
|
|
|
|
|
|
|
|
20weeks of gestation. The questionnaire also collected information about
|
|
|
|
|
|
|
|
maternal, health-related and sociodemographic characteristics.
|
|
|
|
|
|
|
|
Descriptive analysis was conducted, and multivariate logistic regression
|
|
|
|
|
|
|
|
analysis was used to assess the potential associated predictors
|
|
|
|
|
|
|
|
(adjusted odds ratio).ResultsThe prevalence of self-reported smoking at
|
|
|
|
|
|
|
|
the time of conception was 16\% (n=90) and 6\% smoked at 20weeks of
|
|
|
|
|
|
|
|
gestation (n=35), as 61\% of smokers quit smoking during early
|
|
|
|
|
|
|
|
pregnancy. Multiple logistic regression analysis showed that significant
|
|
|
|
|
|
|
|
predictors for smoking at conception were the socioeconomic factors;
|
|
|
|
|
|
|
|
12years of education, shift work and being unemployed.ConclusionThe
|
|
|
|
|
|
|
|
prevalence of self-reported maternal smoking in this regional Danish
|
|
|
|
|
|
|
|
population of pregnant women is lower than seen in previous studies.
|
|
|
|
|
|
|
|
However, predictors for smoking at the time of conception remain to be
|
|
|
|
|
|
|
|
factors of low socioeconomic status confirming a social inequality in
|
|
|
|
|
|
|
|
maternal smoking. Women at risk of smoking during pregnancy must be
|
|
|
|
|
|
|
|
identified in early pregnancy or even before pregnancy and be offered
|
|
|
|
|
|
|
|
interventions to help them quit smoking.'
|
|
|
|
affiliation: 'Backhausen, MG (Corresponding Author), Zealand Univ Hosp, Dept Gynecol
|
|
|
|
\& Obstet, Sygehusvej 10, DK-4000 Roskilde, Denmark.
|
|
|
|
|
|
|
|
de Wolff, Mie Gaarskjaer; Rom, Ane Lilleore; Hegaard, Hanne Kristine, Copenhagen
|
|
|
|
Univ Hosp, Rigshosp, Dept Obstet, Copenhagen, Denmark.
|
|
|
|
|
|
|
|
de Wolff, Mie Gaarskjaer; Rom, Ane Lilleore; Hegaard, Hanne Kristine, Copenhagen
|
|
|
|
Univ Hosp, Rigshosp, Juliane Marie Ctr, Res Unit Womens \& Childrens Hlth, Blegdamsvej
|
|
|
|
9, DK-2100 Copenhagen, Denmark.
|
|
|
|
|
|
|
|
Backhausen, Mette Gronbaek; Iversen, Mette Langeland, Zealand Univ Hosp, Dept Gynecol
|
|
|
|
\& Obstet, Sygehusvej 10, DK-4000 Roskilde, Denmark.
|
|
|
|
|
|
|
|
Bendix, Jane Marie, Univ Copenhagen, Nordsjaellands Hosp, Dept Gynecol \& Obstet,
|
|
|
|
Dyrehavevej 29, DK-3400 Hillerod, Denmark.
|
|
|
|
|
|
|
|
Hegaard, Hanne Kristine, Univ Copenhagen, Fac Hlth \& Med Sci, Inst Clin Med, Blegdamsvej
|
|
|
|
3, Copenhagen, Denmark.'
|
|
|
|
article-number: '82'
|
|
|
|
author: de Wolff, Mie Gaarskjaer and Backhausen, Mette Gronbaek and Iversen, Mette
|
|
|
|
Langeland and Bendix, Jane Marie and Rom, Ane Lilleore and Hegaard, Hanne Kristine
|
|
|
|
author-email: 'mie.gaarskjaer.de.wolff.01@regionh.dk
|
|
|
|
|
|
|
|
mgb@regionsjaelland.dk'
|
|
|
|
author_list:
|
|
|
|
- family: de Wolff
|
|
|
|
given: Mie Gaarskjaer
|
|
|
|
- family: Backhausen
|
|
|
|
given: Mette Gronbaek
|
|
|
|
- family: Iversen
|
|
|
|
given: Mette Langeland
|
|
|
|
- family: Bendix
|
|
|
|
given: Jane Marie
|
|
|
|
- family: Rom
|
|
|
|
given: Ane Lilleore
|
|
|
|
- family: Hegaard
|
|
|
|
given: Hanne Kristine
|
|
|
|
da: '2023-09-28'
|
|
|
|
doi: 10.1186/s12978-019-0740-7
|
|
|
|
files: []
|
|
|
|
issn: 1742-4755
|
|
|
|
journal: REPRODUCTIVE HEALTH
|
|
|
|
keywords: 'Maternal smoking; Pregnancy; Socioeconomic status; Antenatal care;
|
|
|
|
|
|
|
|
Health inequality'
|
|
|
|
keywords-plus: FOR-GESTATIONAL-AGE; RISK; CESSATION; WOMEN; ASSOCIATION; HEALTH
|
|
|
|
language: English
|
|
|
|
month: JUN 14
|
|
|
|
number-of-cited-references: '48'
|
|
|
|
orcid-numbers: 'Bendix, Jesper/0000-0003-1255-2868
|
|
|
|
|
|
|
|
Backhausen, Mette/0000-0002-8312-5567
|
|
|
|
|
|
|
|
Hegaard, Hanne Kristine/0000-0002-7093-0719
|
|
|
|
|
|
|
|
de Wolff, Mie Gaarskjaer/0000-0002-9483-6559
|
|
|
|
|
|
|
|
Bendix, Jane M./0000-0003-3341-6689
|
|
|
|
|
|
|
|
Rom, Ane Lilleore/0000-0003-2474-2677'
|
|
|
|
papis_id: 00613351f2246f4a2beb8fba0ab76371
|
|
|
|
ref: Dewolff2019prevalencepredictors
|
|
|
|
researcherid-numbers: 'Bendix, Jesper/H-5468-2012
|
|
|
|
|
|
|
|
'
|
|
|
|
times-cited: '30'
|
|
|
|
title: 'Prevalence and predictors of maternal smoking prior to and during pregnancy
|
|
|
|
in a regional Danish population: a cross-sectional study'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000471607000001
|
|
|
|
usage-count-last-180-days: '1'
|
|
|
|
usage-count-since-2013: '2'
|
|
|
|
volume: '16'
|
|
|
|
web-of-science-categories: Public, Environmental \& Occupational Health
|
|
|
|
year: '2019'
|