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Patterns of Cigarette and Smokeless Tobacco Use Before, During, and After Pregnancy Among Alaska Native and White Women in Alaska, 2000–2003

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Abstract

Objective To examine patterns of cigarette and smokeless tobacco use before, during, and after pregnancy among Alaska Native (AN) and white women living in Alaska. Methods We used data from the 2000–2003 population-based Pregnancy Risk Assessment Monitoring System to describe patterns of self-reported prenatal tobacco use among AN and white women. We used multiple variable logistic regression analysis to identify maternal factors associated with quitting and relapse. The final sample included 5,458 women. Results During 2000–2003, the prevalence of any tobacco use before pregnancy was twofold higher among AN women than among white women (60.0 vs. 27.5%), and the prevalence of any tobacco use during pregnancy and after pregnancy were each nearly threefold higher. Of the 25.8% (SE 0.9) of white women who smoked before pregnancy, 49.0% (SE 2.1) reported that they quit during pregnancy and of those, 41.1% (SE 2.9) relapsed postpartum. Of the 38.5% (SE 0.9) of AN women who smoked before pregnancy, 35.7% (SE 1.4) quit, and of those 57.0% (SE 2.4) relapsed. Of the 14.2% of AN women who chewed tobacco before pregnancy, 15.7% (SE 1.7) quit, and of those, 52.9% (SE 5.9) relapsed. Conclusion During 2000–2003, the prevalence of tobacco use was two to three times higher among AN women than among white women before, during, and after pregnancy. In addition, AN women had lower quit rates and higher relapse rates than white women. Comprehensive, culturally appropriate tobacco control approaches targeting AN women are needed to increase cessation during pregnancy and to decrease relapse.

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Acknowledgements

Data from the Pregnancy Risk Assessment Monitoring System (PRAMS) included in this study were collected by the State of Alaska’s PRAMS Project. This manuscript was made possible with funding from the State of Alaska and CDC PRAMS, Applied Sciences Branch, Division of Reproductive Health.

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Authors and 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

    Shin Y. Kim, Lucinda England, Patricia M. Dietz & Brian Morrow

  2. Division of Public Health, Department of Health and Social Services, State of Alaska, Section of Women’s, Children’s, and Family Health, Anchorage, AK, USA

    Katherine A. Perham-Hester

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  1. Shin Y. Kim
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  2. Lucinda England
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  3. Patricia M. Dietz
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Correspondence to Shin Y. Kim.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

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Kim, S.Y., England, L., Dietz, P.M. et al. Patterns of Cigarette and Smokeless Tobacco Use Before, During, and After Pregnancy Among Alaska Native and White Women in Alaska, 2000–2003. Matern Child Health J 14, 365–372 (2010). https://doi.org/10.1007/s10995-009-0444-7

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  • DOI: https://doi.org/10.1007/s10995-009-0444-7

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