Stressful life events are associated with perinatal cigarette smoking
AuthorAllen, Alicia M
Jung, Alesia M
Lemieux, Andrine M
Alexander, Adam C
Allen, Sharon S
Ward, Kenneth D
AffiliationUniv Arizona, Coll Med, Dept Family & Community Med
Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Dept Epidemiol & Biostat
MetadataShow full item record
PublisherACADEMIC PRESS INC ELSEVIER SCIENCE
CitationAllen, A. M., Jung, A. M., Lemieux, A. M., Alexander, A. C., Allen, S. S., Ward, K. D., & al'Absi, M. (2019). Stressful life events are associated with perinatal cigarette smoking. Preventive medicine, 118, 264-271.
Rights© 2018 Elsevier Inc. All rights reserved.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at email@example.com.
AbstractPerinatal smoking, including smoking during pregnancy and postpartum smoking relapse, is a persistent public health problem. While childhood trauma has been linked to perinatal smoking, less is known about the association with more proximal stressful life events (SLEs). The objective of this study was to examine the association between SLEs that occurred during the year prior to childbirth with perinatal smoking. Using the Pregnancy Risk Assessment Monitoring System 2009-2011, perinatal smoking was assessed at three time points: (1) three months prior to pregnancy, (2) the last three months of pregnancy, and (3) two to six months postpartum. Survey respondents endorsed up to 13 SLEs (i.e., death of someone close). SLEs were analyzed individually, as well as using a cumulative score (range 0-13). Weighted analyses included unadjusted and adjusted logistic regression. Among those who smoked prior to pregnancy (n = 15,316), 48% (n = 7308) reported quitting smoking during pregnancy. Of those, 44% (n = 3126) reported postpartum smoking relapse. A total of 11 SLEs were associated with smoking during pregnancy and 2 SLEs were associated with postpartum smoking relapse. The odds of continued smoking during pregnancy was 12% higher for each SLE endorsed (adjusted odds ratio [aOR] = 1.12, 95% confidence interval [CI]: 1.09, 1.15) and this association was attenuated in relation to the odds of postpartum smoking relapse (aOR = 1.03, 95% CI: 0.99, 1.08). SLEs are associated with perinatal smoking. Additional research is needed to elucidate the mechanisms of action and to develop interventions specific to the needs of women who experience SLEs.
Note12 month embargo; Available online 20 November 2018.
VersionFinal accepted manuscript
SponsorsNational Institutes of Health [R01DA016351, R01DA027232]
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