Tobacco use in pregnancy: prevalence and factors associated with maintenance of consumption

e201907034

Authors

  • María Isolina Santiago-Pérez Subdirección de Información sobre Saúde e Epidemioloxía. Dirección Xeral de Saúde Pública. Consellería de Sanidade. Xunta de Galicia. Santiago de Compostela. España.
  • Mónica Pérez-Ríos Subdirección de Información sobre Saúde e Epidemioloxía. Dirección Xeral de Saúde Pública. Consellería de Sanidade. Xunta de Galicia. Santiago de Compostela. España / Departamento de Medicina Preventiva y Salud Pública. Universidad de Santiago de Compostela. Santiago de Compostela. España
  • Alberto Malvar Pintos Subdirección de Información sobre Saúde e Epidemioloxía. Dirección Xeral de Saúde Pública. Consellería de Sanidade. Xunta de Galicia. Santiago de Compostela. España
  • Xurxo Hervada Vidal Subdirección de Información sobre Saúde e Epidemioloxía. Dirección Xeral de Saúde Pública. Consellería de Sanidade. Xunta de Galicia. Santiago de Compostela. España.

Keywords:

Pregnant women, Smoke, Tobacco, Smoking cessation

Abstract

Background: Tobacco use during pregnancy is detrimental to pregnant women and to the fetus. In Galicia, the data regarding prevalence of tobacco use during pregnancy is outdated and the characteristics of women who continue to smoke during pregnancy are not known. The objectives of this work were to estimate, before and during pregnancy, the prevalence of tobacco use and characterize its consumption, and to identify factors associated with the maintenance of tobacco use during pregnancy.

Methods: A cross-sectional study was conducted in 2016 targeting women who had given birth within the previous 12 months (n=6.436) in Galicia. Information was collected regarding the mother’s status before and during pregnancy, at the time of delivery and survey. Smoking prevalence was estimated both globally and by women related characteristics. Regression models were performed to identify variables associated with smoking maintenance. Prevalence and odds ratio are presented accompanied with 95% confidence interval.

Results: Smoking prevalence during pregnancy was 11.9% (11.1–12.8). Among women who maintain tobacco consumption during pregnancy, the percentage of cigarette smokers decreased, but prevalence of rolled tobacco remain stable. The maintenance of smoking during pregnancy was related to being Spanish, education or having been a daily smoker before pregnancy.

Conclusions: Despite the fact that more than half of Galician women stop smoking during pregnancy, smoking prevalence remains at 12%. The different demographic factors identified in this study as predictors of smoking maintenance, should be kept in mind when intervention programs focused on pregnant women will be design.

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References

World Health Organization WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy. 2013.

United States. Public Health Service. Office of the Surgeon General. The health consequences of smoking-50 years of progress: a report of the Surgeon General. 2014.

Lange S, Probst C, Rehm J, Popova S. National, regional, and global prevalence of smoking during pregnancy in the general population: a systematic review and meta-analysis. Lancet Glob Health. 2018;6(7):e769-e76.

Bolumar F, Rebagliato M, Hernandez-Aguado I, Florey CD. Smoking and drinking habits before and during pregnancy in Spanish women. J Epidemiol Community Health. 1994;48(1):36-40.

Palma S, Perez-Iglesias R, Pardo-Crespo R, Llorca J, Mariscal M, Delgado-Rodriguez M. Smoking among pregnant women in Cantabria (Spain): trend and determinants of smoking cessation. BMC Public Health. 2007 ;27;7:65.

Villalbi JR, Salvador J, Cano-Serral G, Rodriguez-Sanz MC, Borrell C. Maternal smoking, social class and outcomes of pregnancy. Paediatr Perinat Epidemiol. 2007;21(5):441-7.

Jimenez-Muro A, Samper MP, Marqueta A, Rodriguez G, Nerin I. [Prevalence of smoking and second-hand smoke exposure: differences between Spanish and immigrant pregnant women]. Gac Sanit. 2012;26(2):138-44.

Lendoiro E, Gonzalez-Colmenero E, Concheiro-Guisan A, de Castro A, Cruz A, Lopez-Rivadulla M, et al. Maternal hair analysis for the detection of illicit drugs, medicines, and alcohol exposure during pregnancy. Ther Drug Monit. 2013;35(3):296-304.

Delgado Y, Rodriguez G, Samper MP, Caballero V, Cuadrón L, Alvarez M. Características socioculturales, obstétricas y antropométricas de los recién nacidos de madre fumadora. An Pediatr (Barc). 2012;76(1):4-9.

Blasco-Alonso M, Gonzalez-Mesa E, Galvez Montes M, Lozano Bravo I, Merino Galdon F, Cuenca Campos F, et al. Exposure to tobacco, alcohol and drugs of abuse during pregnancy. A study of prevalence among pregnant women in Malaga (Spain). Adicciones. 2015;27(2):99-108.

Pichini S, Puig C, Garcia-Algar OO, Pacifici R, Figueroa C, Vall O, et al. [Neonatal effects of smoking habit during pregnancy and sociodemographic determinants in Barcelona, Spain]. Med Clin. 2002;118(2):53-6.

Martinez-Frias ML, Rodriguez-Pinilla E, Bermejo E. [Tobacco smoking during pregnancy in Spain: an analysis according to years, autonomous communities and maternal characteristics]. Med Clin. 2005;124(3):86-92.

Ley 28/ 2005 de 26 de diciembre, de medidas sanitarias frente al tabaquismo y reguladora de la venta, el suministro, el consumo y la publicidad de los productos del tabaco (BOE nº 309, del martes 27 de diciembre de 2005).

Ley 42/2010 de 30 de diciembre, por la que se modifica la Ley 28/2005, de 26 de diciembre, de medidas sanitarias frente al tabaquismo y reguladora de la venta, el suministro, el consumo y la publicidad de los productos del tabaco (BOE nº 309, del viernes 31 de diciembre de 2010).

Tarrazo M, Perez-Rios M, Santiago-Perez MI, Malvar A, Suanzes J, Hervada X. [Changes in tobacco consumption: boom of roll-your-own cigarettes and emergence of e-cigarettes]. Gac Sanit. 2017;31(3):204-9.

Mateos-Vilchez PM, Aranda-Regules JM, Diaz-Alonso G, Mesa-Cruz P, Gil-Barcenilla B, Ramos-Monserrat M, et al. [Smoking prevalence and associated factors during pregnancy in Andalucia 2007-2012]. Rev Esp Salud Publica. 2014;88(3):369-81.

Hemsing N, Greaves L, O’Leary R, Chan K, Okoli C. Partner support for smoking cessation during pregnancy: a systematic review. Nicotine Tob Res. 2012;14(7):767-76.

McBride CM, Emmons KM, Lipkus IM. Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res. 2003;18(2):156-70.

Published

2019-07-15

How to Cite

1.
Santiago-Pérez MI, Pérez-Ríos M, Malvar Pintos A, Hervada Vidal X. Tobacco use in pregnancy: prevalence and factors associated with maintenance of consumption: e201907034. Rev Esp Salud Pública [Internet]. 2019 Jul. 15 [cited 2025 Jun. 8];93:8 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/1253

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