- 7.2% of women who gave start in 2016 smoked cigarettes while pregnant, CDC says
- West Virginia had the very best, California the bottom prevalence of smoking while pregnant
The prevalence of smoking was highest in West Virginia, the place 25.1% of women reported smoking at any time throughout being pregnant, and lowest in California, the place 1.6% reported smoking.
“Despite the well-understood risk to mother and child, still, about one of every 14 women in the United States smoked during pregnancy,” stated Patrick Drake, senior writer of the report and a demographer on the CDC’s National Center for Health Statistics.
“These levels do vary widely by state, maternal age, race and Hispanic origin, and education, but any amount of smoking during pregnancy is too much,” he stated.
A highlight turned on West Virginia
After analyzing the info, the researchers discovered that the prevalence of smoking throughout being pregnant was decrease than the general nationwide fee in 19 states, together with California, Utah, Texas, Hawaii, New Jersey, Nevada, Arizona, New York and Connecticut, and in the District of Columbia.
Those states and D.C. every had a prevalence of lower than 5%, a lot decrease than the nationwide 7.2%.
Thirty-one states had a prevalence larger than the nationwide price. West Virginia topped the listing, adopted by Kentucky, Montana, Vermont and Missouri.
“Women in West Virginia smoked during pregnancy more than five times as often as women in the states with the lowest prevalence,” Drake stated.
The researchers additionally discovered that prevalence of smoking throughout being pregnant different by age and race. The prevalence was highest amongst women 20 to 24 at 10.7%, adopted by women 15 to 19 at eight.5% and 25 to 29 at eight.2%.
The prevalence additionally was highest amongst non-Hispanic American Indian or Alaska Native women at 16.7%, adopted by non-Hispanic white women at 10.5%, non-Hispanic black women at 6%, Hispanic women at 1.eight% and non-Hispanic Asian women at zero.6%.
“Non-Hispanic white women were almost twice as likely to smoke during pregnancy as non-Hispanic black women and about six times as likely as Hispanic women,” Drake stated.
The prevalence of smoking additionally various by schooling. Women with a highschool diploma or GED had the very best prevalence at 12.2%, and the prevalence decreased with growing schooling, dropping to 7.9% amongst these with some school or an affiliate’s diploma.
Among these with lower than a highschool diploma, the prevalence was 11.7%.
The report had some limitations, one being that the info on smoking throughout being pregnant have been self-reported.
Since most women may be much less more likely to admit that they smoked cigarettes while pregnant, the prevalence of smoking could possibly be under-reported, stated Dr. Robyn Horsager-Boehrer, professor and chief of obstetrics and gynecology on the University of Texas Southwestern’s William P. Clements Jr. University Hospital.
“With the birth certificate data, it’s easy to use it for things like birth weights, potentially the presence of anomalies, things that are a little bit more objectively recorded during the course of a delivery,” stated Horsager-Boehrer, who was not concerned in the brand new report.
“But in this case, this is the mom being asked about her use of cigarettes during pregnancy, and I do worry a little bit about a bias toward under-reporting,” she stated. “In some cases, even though a patient may come and report that she is not smoking, you walk into a room, and you can smell the smoke on her clothes or on her hair. They may not be aware that their presence is kind of contrary to what they’re reporting.”
‘We still want very aggressive schooling campaigns’
The prevalence of cigarette smoking throughout being pregnant throughout the US got here as no shock to Dr. Haywood Brown, professor of obstetrics and gynecology at Duke University School of Medicine, who was not concerned in the brand new report.
“We still need very aggressive education campaigns in high-smoking-prevalence states, particularly in where there’s rural access-to-care issues,” stated Brown, who was not concerned in that research.
“We still have a serious issue with infant mortality — prematurity and infant mortality are clearly linked to cigarette smoking, as is low birth weight — and when you begin to explain these things to patients, it really does appear to make a difference to them,” he stated.
“The linkages between smoking and infant mortality and prematurity are real,” Brown stated.
“Pregnancy gives us an opportunity because people are frequently coming for multiple visits. So there’s a lot more support, I think, during pregnancy than at any other time that somebody might want to stop smoking, and there’s a lot of motivation,” she stated.