Tobacco and nicotine delivery product use in a national sample of pregnant women

PREVENTIVE MEDICINE

卷:104

Article

Kurti, Allison N.^1,2  Redner, Ryan^1,6  Lopez, Alexa A.¹  Keith, Diana R.^1,2  Villanti, Andrea C.^1,2  Stanton, Cassandra A.⁷  Gaalema, Diann E.^1,2  Bunn, Janice Y.⁴  Doogan, Nathan J.⁸  Cepeda-Benito, Antonio¹  Roberts, Megan E.⁸  Phillips, Julie^1,5  Higgins, Stephen T.^1,2,3 

[1] Univ Vermont, Tobacco Ctr Regulatory Sci, Burlington, VT 05405 USA

[2] Univ Vermont, Dept Psychiat, Burlington, VT 05405 USA

[3] Univ Vermont, Dept Psychol Sci, Burlington, VT 05405 USA

[4] Univ Vermont, Dept Biostat, Gynecol, Obstet, Burlington, VT 05405 USA

[5] Univ Vermont, Dept Reprod Sci, Burlington, VT 05405 USA

[6] Southern Illinois Univ, Rehabil Inst, Carbondale, IL USA

[7] Georgetown Univ, Med Ctr, Ctr Evaluat & Coordinat Training & Res CECTR Toba, Westat,Dept Oncol, Washington, DC 20057 USA

[8] Ohio State Univ, Columbus, OH 43210 USA

关键词: Pregnancy;    Tobacco;    Nicotine;    Cigarette smoking;    E-cigarettes;    Hookah;    Cigars;    Population Assessment of Health and Tobacco;    Nationally representative sample;   

DOI  :  10.1016/j.ypmed.2017.07.030

来源: Elsevier

【 摘 要 】

Monitoring use of tobacco products among pregnant women is a public health priority, yet few studies in U.S. national samples have been reported on this topic. We examined prevalence and correlates of using cigarettes, e-cigarettes, and other tobacco/nicotine delivery products in a U.S. national sample of pregnant women. Data were obtained from all pregnant women (>= 18 years) in the first wave of the Population Assessment of Tobacco and Health (PATH, 2013-2014) Study (N = 388). Prevalence of current and prior use of tobacco/nicotine products was examined overall and among current cigarette smokers. Multiple logistic regression was used to examine correlates of use of cigarettes, e-cigarettes, hookah and cigars. Overall prevalence was highest for cigarettes (13.8%), followed by e-cigarettes (4.9%), hookah (2.5%) and cigars (2.3%), and below 1% for all other products. Prevalence of using other tobacco products is much higher among current smokers than the general population, with e-cigarettes (28.5%) most prevalent followed by cigars (14.0%), hookah (12.4%), smokeless (4.7%), snus (4.6%), and pipes (2.1%). Sociodemographic characteristics (poverty, low educational attainment, White race) and past-year externalizing psychiatric symptoms were correlated with current cigarette smoking. In turn, current cigarette smoking and past year illicit drug use were correlated with using e-cigarettes, hookah, and cigars. These results underscore that tobacco/nicotine use during pregnancy extends beyond cigarettes. The results also suggest that use of these other products should be included in routine clinical screening on tobacco use, and the need for more intensive tobacco control and regulatory strategies targeting pregnant women. (C) 2017 Elsevier Inc. All rights reserved.

【 授权许可】

Free