Maternal and Child Health Journal

, Volume 14, Issue 3, pp 365–372

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

  • Shin Y. Kim
  • Lucinda England
  • Patricia M. Dietz
  • Brian Morrow
  • Katherine A. Perham-Hester
Article

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.

Keywords

Smokeless tobacco Cigarette smoking Pregnancy Quit Relapse 

References

  1. 1.
    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.CrossRefPubMedGoogle Scholar
  2. 2.
    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.CrossRefPubMedGoogle Scholar
  3. 3.
    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.CrossRefPubMedGoogle Scholar
  4. 4.
    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.CrossRefPubMedGoogle Scholar
  5. 5.
    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.CrossRefPubMedGoogle Scholar
  6. 6.
    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.CrossRefPubMedGoogle Scholar
  7. 7.
    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.CrossRefPubMedGoogle Scholar
  8. 8.
    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.CrossRefPubMedGoogle Scholar
  9. 9.
    Centers for Disease Control and Prevention. (2007). Cigarette smoking among adults—United States, 2006. MMWR Morbidity and Mortality Weekly Report, 56(44), 1157–1161.Google Scholar
  10. 10.
    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.CrossRefPubMedGoogle Scholar
  11. 11.
    Patten, C. A., Renner, C. C., Decker, P. A., O’Campo, E., Larsen, K., Enoch, C., et al. (2008). Tobacco use and cessation among pregnant Alaska Natives from Western Alaska enrolled in the WIC Program, 2001–2002. Maternal and Child Health Journal, 12(Suppl 1), S30–S36.CrossRefGoogle Scholar
  12. 12.
    Kim, S. Y., England, L., Dietz, P. M., Morrow, B., & Perham-Hester, K. A. (2008). Prenatal cigarette smoking and smokeless tobacco use among Alaska Native and White Women in Alaska, 1996–2003. Maternal and Child Health Journal. [Epub ahead of print].Google Scholar
  13. 13.
    Solomon, L., & Quinn, V. (2004). Spontaneous quitting: Self-initiated smoking cessation in early pregnancy. Nicotine and Tobacco Research, 6(Suppl 2), S203–S216. doi:10.1080/14622200410001669132.CrossRefPubMedGoogle Scholar
  14. 14.
    Lumley, J., Oliver, S. S., Chamberlain, C., & Oakley, L. (2004). Interventions for promoting smoking cessation during pregnancy. Cochrane Database of Systematic Reviews (Online: Update Software), 4, CD001055.Google Scholar
  15. 15.
    Fingerhut, L. A., Kleinman, J. C., & Kendrick, J. S. (1990). Smoking before, during, and after pregnancy. American Journal of Public Health, 80(5), 541–544. doi:10.2105/AJPH.80.5.541.CrossRefPubMedGoogle Scholar
  16. 16.
    Fang, W. L., Goldstein, A. O., Butzen, A. Y., Hartsock, S. A., Hartmann, K. E., Helton, M., et al. (2004). Smoking cessation in pregnancy: A review of postpartum relapse prevention strategies. The Journal of the American Board of Family Practice, 17(4), 264–275.CrossRefPubMedGoogle Scholar
  17. 17.
    D’Angelo, D., Williams, L., Morrow, B., Cox, S., Harris, N., Harrison, L., et al. (2007). Preconception, interconception health status of women who recently gave birth to a live-born infant—Pregnancy Risk Assessment Monitoring System (PRAMS), United States, 26 reporting areas, 2004. MMWR Surveillance Summaries, 56(10), 1–35.Google Scholar
  18. 18.
    Shulman, H. B., Gilbert, B. C., Msphbrenda, C. G., & Lansky, A. (2006). The Pregnancy Risk Assessment Monitoring System (PRAMS): Current methods and evaluation of 2001 response rates. Public Health Reports, 121(1), 74–83.PubMedGoogle Scholar
  19. 19.
    Kim, S. Y., Tucker, M., Danielson, M., Johnson, C. H., Snesrud, P., & Shulman, H. (2008). How can PRAMS survey response rates be improved among American Indian mothers? Data from 10 States. Maternal and Child Health Journal, 12(Suppl 1), S119–S125.CrossRefGoogle Scholar
  20. 20.
    Institute of Medicine. (1990). Nutrition during pregnancy: Part 1, weight gain: Part 2, nutrient supplements. United States. Washington, DC: National Academy Press.Google Scholar
  21. 21.
    Lelong, N., Kaminski, M., Saurel-Cubizolles, M. J., & Bouvier-Colle, M. H. (2001). Postpartum return to smoking among usual smokers who quit during pregnancy. European Journal of Public Health, 11(3), 334–339. doi:10.1093/eurpub/11.3.334.CrossRefPubMedGoogle Scholar
  22. 22.
    Severson, H. H., Andrews, J. A., Lichtenstein, E., Wall, M., & Zoref, L. (1995). Predictors of smoking during and after pregnancy: A survey of mothers of newborns. Preventive Medicine, 24(1), 23–28. doi:10.1006/pmed.1995.1004.CrossRefPubMedGoogle Scholar
  23. 23.
    Ma, Y., Goins, K. V., Pbert, L., & Ockene, J. K. (2005). Predictors of smoking cessation in pregnancy and maintenance postpartum in low-income women. Maternal and Child Health Journal, 9(4), 393–402. doi:10.1007/s10995-005-0020-8.CrossRefPubMedGoogle Scholar
  24. 24.
    Colman, G. J., & Joyce, T. (2003). Trends in smoking before, during, and after pregnancy in ten states. American Journal of Preventive Medicine, 24(1), 29–35. doi:10.1016/S0749-3797(02)00574-3.CrossRefPubMedGoogle Scholar
  25. 25.
    Olsen, J. (1993). Predictors of smoking cessation in pregnancy. Scandinavian Journal of Social Medicine, 21(3), 197–202.PubMedGoogle Scholar
  26. 26.
    Yu, S. M., Park, C. H., & Schwalberg, R. H. (2002). Factors associated with smoking cessation among US pregnant women. Maternal and Child Health Journal, 6(2), 89–97. doi:10.1023/A:1015412223670.CrossRefPubMedGoogle Scholar
  27. 27.
    Renner, C. C., Patten, C. A., Enoch, C., Petraitis, J., Offord, K. P., Angstman, S., et al. (2004). Focus groups of Y-K Delta Alaska Natives: Attitudes toward tobacco use and tobacco dependence interventions. Preventive Medicine, 38(4), 421–431. doi:10.1016/j.ypmed.2003.11.005.CrossRefPubMedGoogle Scholar
  28. 28.
    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. The Mycologist, 16(4), 142–145. doi:10.1017/S0269915X0200410X.Google Scholar
  29. 29.
    Hannover, W., Thyrian, J. R., Ebner, A., Roske, K., Grempler, J., Kuhl, R., et al. (2008). Smoking during pregnancy and postpartum: Smoking rates and intention to quit smoking or resume after pregnancy. Journal of Women’s Health, 17(4), 631–640. doi:10.1089/jwh.2007.0419.CrossRefPubMedGoogle Scholar
  30. 30.
    Levitt, C., Shaw, E., Wong, S., & Kaczorowski, J. (2007). Systematic review of the literature on postpartum care: Effectiveness of interventions for smoking relapse prevention, cessation, and reduction in postpartum women. Birth, 34(4), 341–347. doi:10.1111/j.1523-536X.2007.00194.x.CrossRefPubMedGoogle Scholar
  31. 31.
    Hajek, P., Stead, L. F., West, R., & Jarvis, M. (2005). Relapse prevention interventions for smoking cessation. Cochrane Database of Systematic Reviews (Online: Update Software), 1, CD003999.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Shin Y. Kim
    • 1
  • Lucinda England
    • 1
  • Patricia M. Dietz
    • 1
  • Brian Morrow
    • 1
  • Katherine A. Perham-Hester
    • 2
  1. 1.Division of Reproductive Health, National Center for Chronic Disease Prevention and Health PromotionCenters for Disease Control and PreventionAtlantaUSA
  2. 2.Division of Public Health, Department of Health and Social ServicesState of Alaska, Section of Women’s, Children’s, and Family HealthAnchorage USA

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