Examining the relationship between pregnancy and quitting use of tobacco products in a US national sample of women of reproductive age

PREVENTIVE MEDICINE

卷:117

Article

Kurti, Allison N.^1,2  Redner, Ryan^1,6  Bunn, Janice Y.⁴  Tang, Katherine^1,2  Nighbor, Tyler^1,2  Lopez, Alexa A.¹  Keith, Diana R.^1,2  Villanti, Andrea C.^1,2  Stanton, Cassandra A.^7,9  Gaalema, Diann E.^1,2  Doogan, Nathan J.⁸  Cepeda-Benito, Antonio¹  Roberts, Megan E.⁸  Phillips, Julie^1,5  Parker, Maria A.^1,2  Quisenberry, Amanda J.⁸  Higgins, Stephen T.^1,2,3 

[1] Univ Vermont, Vermont Ctr Behav & Hlth, 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, Burlington, VT 05405 USA

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

[6] Southern Illinois Univ, Rehabil Inst, Carbondale, IL 62901 USA

[7] Westat Corp, Ctr Evaluat & Coordinat Training & Res CECTR Toba, Rockville, MD USA

[8] Ohio State Univ, Ctr Excellence Regulatory Tobacco Sci, Columbus, OH 43210 USA

[9] Georgetown Univ, Med Ctr, Dept Oncol, Washington, DC 20057 USA

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

DOI  :  10.1016/j.ypmed.2018.08.019

来源: Elsevier

【 摘 要 】

This study examined quit rates longitudinally for cigarettes, e-cigarettes, hookah, cigars, and all tobacco products in a U.S. national sample of women aged 18-44 who completed both Wave 1 (W1) and Wave 2 (W2) of the Population Assessment of Tobacco and Health (PATH, 2013-2014, 2014-2015) study (N = 7814). Quit rates were examined among women who transitioned into pregnancy across survey waves, and among a comparable sample of non-pregnant women to provide contextual information about quitting among the broader population of reproductive-aged women. Multiple logistic regression modeling was used to estimate the associations of pregnancy and quitting adjusting for other demographic and psychosocial characteristics. Quit rates among women who were pregnant in W2 were highest for hookah (98.3%), followed by cigars (88.0%), e-cigarettes (81.3%), and lowest for tobacco cigarettes (53.4%). Slightly more than half (58.7%) of women reported quitting use all tobacco products while pregnant. Pregnancy was independently associated with increased odds of quitting hookah (AOR = 52.9, 95% CI = 3.4, 830.2), e-cigarettes (AOR = 21.0, 95% CI = 2.6, 170.3), all tobacco products (AOR = 9.6, 95% CI = 6.4, 14.5), and cigarettes (AOR = 6.5, 95% CI = 4.2, 10.1), although not cigars. Relative to other demographic and psychosocial characteristics, pregnancy was the strongest predictor of quitting use of each tobacco product. While these data indicate that pregnancy has strong, independent associations with quitting a variety of commercially available tobacco products, the comparatively lower quit rates for cigarettes versus other tobacco products underscores the long-standing need for more intensive, multi-pronged clinical and regulatory interventions to reduce cigarette use among reproductive-aged women.

【 授权许可】

Free