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' type: article 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'