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A population study of first and subsequent pregnancy smoking behaviors in Ohio

Journal of Perinatology volume 36, pages 948–953 (2016)Cite this article

Subjects

Abstract

Objective:

The objective of this study is to identify maternal characteristics associated with non-smoking during a subsequent pregnancy after first pregnancy smoking.

Study Design:

We conducted a retrospective population-based analysis of Ohio vital birth records from 2007 to 2013. We used logistic regression to calculate adjusted odds ratios with 95% confidence intervals for detection of characteristics associated with non-smoking during a subsequent pregnancy after first pregnancy smoking.

Results:

Among 75 190 mothers, 75.6% were non-smokers and 13.7% were smokers during both pregnancies. During their first pregnancy, 49.7% of 15 075 smokers quit. Of them, 50.1% remained non-smokers during their subsequent pregnancy. Women who reduced, but continued smoking during their first pregnancy, were more than five times as likely to smoke during their subsequent pregnancy than women who quit (odds ratio (95% confidence interval): 2.85 (2.43 to 3.35) vs 0.55 (0.45 to 0.67)).

Conclusion:

Interventions targeting complete cessation, rather than reduction in smoking among first-time mothers, may be the most effective at optimizing long-term health benefits.

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Acknowledgements

This study includes data provided by the ODH, which should not be considered an endorsement of the study or its conclusions. This work was supported by the Cincinnati Children’s Hospital Perinatal Institute and Cradle Cincinnati.

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Authors and Affiliations

  1. Perinatal Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    E S Hall & J M Greenberg

  2. Cradle Cincinnati, Cincinnati, OH, USA

    E S Hall, M Venkatesh & J M Greenberg

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  1. E S Hall
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Correspondence to E S Hall.

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Hall, E., Venkatesh, M. & Greenberg, J. A population study of first and subsequent pregnancy smoking behaviors in Ohio. J Perinatol 36, 948–953 (2016). https://doi.org/10.1038/jp.2016.119

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