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Cited by 363Prenatal Substance Exposure EffectsSmoking Behavior and CessationMaternal and Neonatal Healthcare

Infant Morbidity and Mortality Attributable to Prenatal Smoking in the U.S.

Dietz, Patricia M., England, Lucinda J., Shapiro-Mendoza, Carrie K., Tong, Van T., Farr, Sherry L., Callaghan, William M.·2010·American Journal of Preventive Medicine
DOI 10.1016/j.amepre.2010.03.009
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Abstract

Background Although prenatal smoking continues to decline, it remains one of the most prevalent preventable causes of infant morbidity and mortality in the U.S. Purpose The aim of this study was to estimate the proportion of preterm deliveries, term low birth weight deliveries, and infant deaths attributable to prenatal smoking. Methods Associations were estimated for prenatal smoking and preterm deliveries, term low birth weight (<2500 g) deliveries, sudden infant death syndrome (SIDS), and preterm-related deaths among 3,352,756 singleton, live births using the U.S. Linked Birth/Infant Death Data Set, 2002 birth cohort. The 2002 data set is the most recent, in which 49 states used the same standardized smoking-related question on the birth certificate. Logistic regression models estimated ORs of prenatal smoking for each outcome, and the prenatal smoking population attributable fraction was calculated for each outcome. Results Prenatal smoking (11.5% of all births) was significantly associated with very (AOR=1.5, 95% CI=1.4, 1.6); moderate (AOR=1.4, 95% CI=1.4, 1.4); and late (AOR=1.2, 95% CI=1.2, 1.3) preterm deliveries; term low birth weight deliveries (AOR=2.3, 95% CI=2.3, 2.5); SIDS (AOR=2.7, 95% CI=2.4, 3.0); and preterm-related deaths (AOR=1.5, 95% CI=1.4, 1.6). It was estimated that 5.3%-7.7% of preterm deliveries, 13.1%-19.0% of term low birth weight deliveries, 23.2%-33.6% of SIDS, and 5.0%-7.3% of preterm-related deaths were attributable to prenatal smoking. Assuming prenatal smoking rates continued to decline after 2002, these PAFs would be slightly lower for 2009 (4.4%-6.3% for preterm-related deaths, 20.2%-29.3% for SIDS deaths). Conclusions Despite recent declines in the prenatal smoking prevalence, prenatal smoking continues to cause a substantial number of infant deaths in the U.S.

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Authors
Dietz, P. M., England, L. J., Shapiro-Mendoza, C. K., Tong, V. T., Farr, S. L., & Callaghan, W. M.
Affiliations
Centers for Disease Control and Prevention (US)
Corresponding author
Dietz, Patricia M.
ORCID
Venue
American Journal of Preventive Medicine
Publisher
Elsevier BV
Published
2010-07
Volume
39
Issue
1
Pages
45-52
ISSN
0749-3797 (ISSN-L)
DOI
10.1016/j.amepre.2010.03.009
OpenAlex
W2023401861
Cited by
363
References
25
Citations by year
2026: 4 · 2025: 13 · 2024: 17 · 2023: 14 · 2022: 28 · 2021: 17 · 2020: 35 · 2019: 21 · 2018: 35 · 2017: 29 · 2016: 33 · 2015: 28 · 2014: 19 · 2013: 26 · 2012: 19
FWCI
19.53
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
maternal smoking, infant mortality, preterm birth, low birth weight, sudden infant death syndrome, population attributable fraction, smoking prevalence trends, tobacco control policy evaluation
MeSH terms
Adult, Female, Gestational Age, Humans, Infant Mortality, Infant, Low Birth Weight, Infant, Newborn, Male, Pregnancy, Pregnancy Outcome, Smoking, Sudden Infant Death, United States, Logistic Models, Premature Birth, Young Adult

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