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    Stressful life events are associated with perinatal cigarette smoking

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    PRAMS R&R Manuscript for PM ...
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    Final Accepted Manuscript
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    Author
    Allen, Alicia M
    Jung, Alesia M
    Lemieux, Andrine M
    Alexander, Adam C
    Allen, Sharon S
    Ward, Kenneth D
    al'Absi, Mustafa
    Affiliation
    Univ Arizona, Coll Med, Dept Family & Community Med
    Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Dept Epidemiol & Biostat
    Issue Date
    2019-01-01
    Keywords
    Cigarette smoking
    PRAMS
    Postpartum
    Pregnancy
    Stress
    
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    Show full item record
    Publisher
    ACADEMIC PRESS INC ELSEVIER SCIENCE
    Citation
    Allen, 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.
    Journal
    PREVENTIVE MEDICINE
    Rights
    © 2018 Elsevier Inc. All rights reserved.
    Collection Information
    This 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 repository@u.library.arizona.edu.
    Abstract
    Perinatal 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.
    Note
    12 month embargo; Available online 20 November 2018.
    ISSN
    1096-0260
    PubMed ID
    30468790
    DOI
    10.1016/j.ypmed.2018.11.012
    Version
    Final accepted manuscript
    Sponsors
    National Institutes of Health [R01DA016351, R01DA027232]
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ypmed.2018.11.012
    Scopus Count
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    UA Faculty Publications

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