Prenatal Cigarette Smoking and Smokeless Tobacco Use Among Alaska Native and White Women in Alaska, 1996–2003
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Objective To examine trends in prenatal cigarette smoking and smokeless tobacco use among Alaska Native (AN) and white women in Alaska. Methods Using 1996–2003 data from the population-based Pregnancy Risk Assessment Monitoring System, we determined trends in self-reported prenatal tobacco use among AN and white women and used chi-square tests and multiple variable logistic regression analysis to identify maternal factors associated with prenatal tobacco use. Results Over the study period, prevalence of any tobacco use during pregnancy declined by 27% among AN women (from 55.8 to 40.9%) (P < 0.0001) and by 17% among white women (from 18.8 to 15.6%) (P < 0.0001). In 2003, among AN women the prevalence of self-reported smokeless tobacco use was 16.9%, cigarette smoking was 25.7%, and any tobacco use was 40.9%; corresponding values for white women were 0.4, 15.0, and 15.6%, respectively. Western Alaska had the highest prevalence of tobacco use. Conclusion The prevalence of tobacco use decreased between 1996 and 2003, but remained higher among AN women than white women, especially for smokeless tobacco. Support for cessation interventions targeting pregnant women should be made a public health priority in Alaska.
- Andres, R. L., & Day, M. C. (2000). Perinatal complications associated with maternal tobacco use. Seminars in Neonatology, 5(3), 231–241. doi:10.1053/siny.2000.0025. CrossRef
- Rodu, B., & Godshall, W. T. (2006). Tobacco harm reduction: An alternative cessation strategy for inveterate smokers. Harm Reduction Journal, 3, 37. doi:10.1186/1477-7517-3-37. CrossRef
- Asplund, K. (2001). Snuff—how dangerous is it? The controversy continues. Journal of Internal Medicine, 250(6), 457–461. doi:10.1046/j.1365-2796.2001.00918.x. CrossRef
- Foulds, J., Ramstrom, L., Burke, M., & Fagerstrom, K. (2003). Effect of smokeless tobacco (snus) on smoking and public health in Sweden. Tobacco Control, 12(4), 349–359. doi:10.1136/tc.12.4.349. CrossRef
- Critchley, J. A., & Unal, B. (2003). Health effects associated with smokeless tobacco: A systematic review. Thorax, 58(5), 435–443. doi:10.1136/thorax.58.5.435. CrossRef
- England, L. J., Levine, R. J., Mills, J. L., Klebanoff, M. A., Yu, K. F., & Cnattingius, S. (2003). Adverse pregnancy outcomes in snuff users. American Journal of Obstetrics and Gynecology, 189(4), 939–943. doi:10.1067/S0002-9378(03)00661-6. CrossRef
- Steyn, K., de Wet, T., Saloojee, Y., Nel, H., & Yach, D. (2006). The influence of maternal cigarette smoking, snuff use, and passive smoking on pregnancy outcomes: The birth to ten study. Paediatric and Perinatal Epidemiology, 20(2), 90–99. doi:10.1111/j.1365-3016.2006.00707.x CrossRef
- Gupta, P. C., & Subramoney, S. (2006). Smokeless tobacco use and risk of stillbirth: A cohort study in Mumbai, India. Epidemiology, 17(1), 47–51. doi:10.1097/01.ede.0000190545.19168.c4. CrossRef
- Slotkin, T. A. (2008). If nicotine is a developmental neurotoxicant in animal studies, dare we recommend nicotine replacement therapy in pregnant women and adolescents? Neurotoxicology and Teratology, 30(1), 1–19. doi:10.1016/j.ntt.2007.09.002. CrossRef
- Nelson, D. E., Mowery, P., Tomar, S., Marcus, S., Giovino, G., & Zhao, L. (2006). Trends in smokeless tobacco use among adults and adolescents in the United States. American Journal of Public Health, 96(5), 897–905. doi:10.2105/AJPH.2004.061580. CrossRef
- Centers for Disease Control and Prevention (CDC). (2006). Tobacco use among adults—United States, 2005. MMWR. Morbidity and Mortality Weekly Report, 55(42), 1145–1148.
- Centers for Disease Control and Prevention (CDC). (2004). Prevalence of cigarette use among 14 racial/ethnic populations—United States, 1999–2001. MMWR. Morbidity and Mortality Weekly Report, 53(3), 49–52
- Martin, J. A., Hamilton, B. E., Sutton, P. D., Ventura, S. J., Menacker, F., & Kirmeyer, S. (2006). Births: Final data for 2004. National Vital Statistics Reports, 55(1), 1–101.
- Perham-Hester, K. A., Wiens, H. N., & Schoellhorn, J. Alaska maternal and child health data book 2004: PRAMS Edition (pp. 56–59). Anchorage, AK: Maternal and Child Health Epidemiology Unit, Section of Women’s, Children’s, and Family Health, Division of Public Health, Alaska Department of Health and Human Service; Sept 2005
- Renner, C. C., Patten, C. A., Day, G. E., et al. (2005). Tobacco use during pregnancy among Alaska Natives in western Alaska. Alaska Medicine, 47(1), 12–16.
- Alaska Department of Health and Social Services. What State Surveys Tell Us About Tobacco Use Among Alaska Natives: Implications for Program Planning. Anchorage, AK: Section of Chronic Disease Prevention and Health Promotion, Division of Public Health, Alaska Department of Health and Social Services; 2007.
- Centers for Disease Control and Prevention (CDC). (2004). Smoking during pregnancy—United States, 1990–2002. MMWR. Morbidity and Mortality Weekly Report, 53(39), 911–915.
- U.S. Department of Health and Human Services. Women and Smoking: A Report of the Surgeon General, editor. 2001. Atlanta, GA, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2001.
- Alaska Department of Labor and Workforce Development, Research and Analysis Section. Alaska State Estimates, 2005. Available at: http://www.labor.state.ak.us/research/pop/estimates/AkAS0105.xlsAccessed September 26, 2006.
- Lu, M. C., & Chen, B. (2004). Racial and ethnic disparities in preterm birth: The role of stressful life events. American Journal of Obstetrics and Gynecology, 191(3), 691–699. doi:10.1016/j.ajog.2004.04.018. CrossRef
- Alaska Division of Public Health Bureau of Vital Statistics. Annual Report 2003. Juneau, AK: Alaska Division of Public Health Bureau of Vital Statistics; 2003. Available at: www.vitalrecords.alaska.gov.
- SAS callable SUDAAN. (2002). Release 9.1 [Computer Software]. Research Triangle Institute: Research Triangle Park, NC.
- Falk, D. E., Yi, H. Y., & Hiller-Sturmhofel, S. (2006). An epidemiologic analysis of co-occurring alcohol and tobacco use and disorders: Findings from the National Epidemiologic Survey on Alcohol and Related Conditions. Alcohol Research & Health, 29(3), 162–171.
- Gupta, P. C., & Sreevidya, S. (2004). Smokeless tobacco use, birth weight, and gestational age: Population-based, prospective cohort study of 1217 women in Mumbai India. BMJ (Clinical Research Ed.), 328(7455), 1538. CrossRef
- Slotkin, T. A. (1998). Fetal nicotine or cocaine exposure: Which one is worse? The Journal of Pharmacology and Experimental Therapeutics, 285(3), 931–945.
- Hurt, R. D., Renner, C. C., Patten, C. A., Ebbert, J. O., Offord, K. P., Schroeder, D. R., et al. (2005). Iqmik––a form of smokeless tobacco used by pregnant Alaska natives: Nicotine exposure in their neonates. The Journal of Maternal-Fetal & Neonatal Medicine, 17(4), 281–289. doi:10.1080/14767050500123731. CrossRef
- Blanchette, R. A., Renner, C. C., Held, B. W., Enoch, C., & Angstman, S. (2002). The current use of Phellinus igniarius by the Eskimos of Western Alaska. Mycologist, 16(4), 142–145.
- Prenatal Cigarette Smoking and Smokeless Tobacco Use Among Alaska Native and White Women in Alaska, 1996–2003
Maternal and Child Health Journal
Volume 13, Issue 5 , pp 652-659
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Smokeless tobacco
- Cigarette smoking
- Alaska Natives
- Industry Sectors
- Author Affiliations
- 1. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, MS K-23, Atlanta, GA, 30341, USA
- 2. State of Alaska, Department of Health and Social Services, Division of Public Health, Section of Women’s, Children’s & Family Health, 3601 C St., Ste. 424, PO Box 240249, Anchorage, AK, 99524-0249, USA