Maternal and Child Health Journal

, Volume 19, Issue 1, pp 144–154

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

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

DOI: 10.1007/s10995-014-1505-0

Cite this article as:
Polen, K.N.D., Sandhu, P.K., Honein, M.A. et al. Matern Child Health J (2015) 19: 144. doi:10.1007/s10995-014-1505-0

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.

Keywords

PregnancyKnowledgeAttitudesSmokingAdverse outcomes

Copyright information

© Springer Science+Business Media New York (outside the USA) 2014

Authors and Affiliations

  • Kara N. D. Polen
    • 1
    • 4
  • Paramjit K. Sandhu
    • 2
    • 4
  • Margaret A. Honein
    • 1
    • 4
  • Katie K. Green
    • 1
    • 4
  • Judy M. Berkowitz
    • 3
    • 4
  • Jill Pace
    • 4
    • 5
  • Sonja A. Rasmussen
    • 4
    • 5
  1. 1.National Center on Birth Defects and Developmental DisabilitiesCenters for Disease Control and PreventionAtlantaUSA
  2. 2.National Center for Chronic Disease Prevention and Health PromotionCenters for Disease Control and PreventionAtlantaUSA
  3. 3.Battelle Memorial InstituteAtlantaUSA
  4. 4.Mailman School of Public HealthColumbia UniversityNew YorkUSA
  5. 5.Office of Infectious DiseasesCenters for Disease Control and PreventionAtlantaUSA