Trends and disparities in smoking before and during pregnancy

Tong, Van

Thursday, August 16, 2012

Exhibit Hall (Kansas City Convention Center)

Ms. Van Tong, MPH , Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA

Dr. Patricia Dietz, DrPH, MPH , Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA

Dr. Lucinda England, MD, MSPH , Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA

Dr. Sherry Farr, MSPH, PhD , Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA

Ms. Shin Kim, MPH , Division of Reproductive Health, Centers for Disease Control and Prevention

Ms. Jennifer Bombard, MSPH , Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA

Learning Objectives

At the conclusion of this presentation attendees will be able to:

Describe state level trends and disparities in the prevalence of smoking around the time of pregnancy using data from the Pregnancy Risk Assessment Monitoring System (PRAMS).

Cross Cutting Program Area(s): Increasing Diversity/Eliminating Disparities and Cessation

Audience: Public health practitioners and healthcare professionals

Key Points: We analyzed 2000-2008 Pregnancy Risk Assessment Monitoring System (PRAMS) data, a population-based survey of women who delivered live infants in 37 states. Prepregnancy: Among states with ≥3 years of data from 2000-2008 (n=29), four states experienced statistically significant declines in prepregnancy smoking (MN, NM, NY, UT), five states experienced increases (LA, MS, OH, OK, WV), and 20 states had no change. State prevalence of prepregnancy smoking in 2008 ranged from 10.4% (UT) to 39.4% (WV). Combining data for all states, approximately half of 18-24 year-olds, non-Hispanic whites, American Indians, and Alaska Natives smoked prepregnancy. During pregnancy: Among states with ≥3 years of data, six states experienced statistically significant declines in prenatal smoking from 2000 to 2008 (IL, MI, MN, NJ, NY, UT), two states experienced increases (LA, WV), and 21 states had no change. State prevalence of prenatal smoking in 2008 ranged from 5.1% (UT) to 28.7% (WV). Combining data from all states, prenatal smoking was highest among 20–24 year-olds (19.3%), Alaska Natives (30.4%), women with <12 years of education (22.5%), and women who were Medicaid-insured during pregnancy (22.1%). Greater smoking cessation efforts are needed among populations at-risk of pregnancy, primarily young, less educated women and in states experiencing increases in or stagnate smoking prevalence.

Educational Experience: Data can be used to monitor and evaluate state prevention and cessation treatment strategies for reproductive-aged women.

Benefits: Continued state tobacco control efforts are needed to reduce smoking before and during pregnancy.

319 Trends and disparities in smoking before and during pregnancy