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Am J Public Health. 2002 Nov;92(11):1801-8.

A reexamination of smoking before, during, and after pregnancy.

Author information

  • 1Division of General and Community Pediatrics, Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. robert.kahn@chmcc.org

Abstract

OBJECTIVES:

This study examined the patterns and correlates of maternal smoking before, during, and after pregnancy.

METHODS:

We examined socioeconomic, demographic, and clinical risk factors associated with maternal smoking in a nationally representative cohort of women (n = 8285) who were surveyed 17 +/- 5 months and again 35 +/- 5 months after delivery.

RESULTS:

Smoking rates among women with a college degree decreased 30% from before pregnancy to 35 months postpartum but did not change among the least educated women. Risk factors clustered, and a gradient linked the number of risk factors (0, 2, 4) to the percentage smoking (6%, 31%, 58%, P <.0001).

CONCLUSIONS:

The period of pregnancy and early parenthood is associated with worsening education-related disparities in smoking as well as substantial clustering of risk factors. These observations could influence the targeting and design of maternal smoking interventions.

PMID:
12406812
[PubMed - indexed for MEDLINE]
PMCID:
PMC1447332
Free PMC Article
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