Knowledge and Attitudes of Adults towards Smoking in Pregnancy: Results from the HealthStyles© 2008 Survey

Polen, Kara N. D.; Sandhu, Paramjit K.; Honein, Margaret A.; Green, Katie K.; Berkowitz, Judy M.; Pace, Jill; Rasmussen, Sonja A.

doi:10.1007/s10995-014-1505-0

Cited by 16Smoking Behavior and CessationPrenatal Substance Exposure EffectsPregnancy and Medication Impact

Knowledge and Attitudes of Adults towards Smoking in Pregnancy: Results from the HealthStyles© 2008 Survey

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Polen, Kara N. D., Sandhu, Paramjit K., Honein, Margaret A., Green, Katie K., Berkowitz, Judy M., Pace, Jill, Rasmussen, Sonja A.·2015·Maternal and Child Health Journal

DOI 10.1007/s10995-014-1505-0PMC PMC4594848

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Abstract

Smoking during pregnancy is causally associated with many adverse health outcomes. Quitting smoking, even late in pregnancy, improves some outcomes. Among adults in general and reproductive-aged women, we sought to understand knowledge and attitudes towards prenatal smoking and its effects on pregnancy outcomes. Using data from the 2008 HealthStyles© survey, we assessed knowledge and attitudes about prenatal smoking and smoking cessation. We classified respondents as having high knowledge if they gave ≥ 5 correct responses to six knowledge questions regarding the health effects of prenatal smoking. We calculated frequencies of correct responses to assess knowledge about prenatal smoking and estimated relative risk to examine knowledge by demographic and lifestyle factors. Only 15 % of all respondents and 23 % of reproductive-aged women had high knowledge of the adverse effects of prenatal smoking on pregnancy outcomes. Preterm birth and low birth weight were most often recognized as adverse outcomes associated with prenatal smoking. Nearly 70 % of reproductive-aged women smokers reported they would quit smoking if they became pregnant without any specific reasons from their doctor. Few respondents recognized the benefits of quitting smoking after the first trimester of pregnancy. Our results suggest that many women lack knowledge regarding the increased risks for adverse outcomes associated with prenatal smoking. Healthcare providers should follow the recommendations provided by the American Congress of Obstetricians and Gynecologists, which include educating women about the health risks of prenatal smoking and the benefits of quitting. Healthcare providers should emphasize quitting smoking even after the first trimester of pregnancy.

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Authors: Polen, K. N. D., Sandhu, P. K., Honein, M. A., Green, K. K., Berkowitz, J. M., Pace, J., & Rasmussen, S. A.
Affiliations: Centers for Disease Control and Prevention (US)
Battelle (US)
Corresponding author: Polen, Kara N. D.
ORCID: Sandhu, Paramjit K.
Honein, Margaret A.
Rasmussen, Sonja A.
Venue: Maternal and Child Health Journal
Publisher: Springer Science and Business Media LLC
Published: 2014-05-14
Volume: 19
Issue: 1
Pages: 144-154
ISSN: 1092-7875 (ISSN-L)
1573-6628
DOI: 10.1007/s10995-014-1505-0
PMC: PMC4594848
OpenAlex: W2036247990
Cited by: 16
References: 85
Citations by year: 2026: 1 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2016: 5 · 2015: 1 · 2014: 1
FWCI: 1.56
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Maternal and Child Health Journal (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (CC999999)
Topics: Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
Keywords: maternal smoking, smoking during pregnancy, smoking cessation, health knowledge, attitudes toward smoking, women of reproductive age, preterm birth, low birth weight, pregnancy outcomes, provider recommendation
MeSH terms: Adolescent, Adult, Female, Health Surveys, Humans, Health Knowledge, Attitudes, Practice, Male, Physician-Patient Relations, Pregnancy, Pregnancy Trimester, First, Prenatal Care, Surveys and Questionnaires, Smoking, United States, Smoking Cessation, Pregnant People, Pregnant Women, Young Adult

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Knowledge and Attitudes of Adults towards Smoking in Pregnancy: Results from the HealthStyles© 2008 Survey

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