Association of Cigarette Price Differentials With Infant Mortality in 23 European Union Countries

Filippidis, Filippos; Hone, Thomas; Been, Jasper V; Millett, Christopher

doi:10.1001/jamapediatrics.2017.2536

Cited by 25 publications

(43 citation statements)

References 36 publications

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“…Evidence from HICs has shown that smoke-free policies have led to reductions in adverse maternal and child health outcomes [61,62]. Additionally, a recent study in 23 European Union countries found that increases in the median price of cigarettes were associated with reductions in infant mortality between 2004 and 2014, probably because of reductions in smoking and secondhand smoke exposure [63]. However, more research is needed to develop and evaluate interventions to address SHS exposure during pregnancy in LMICs in the context of cultural and socioeconomic barriers [4].…”

Section: Discussionmentioning

confidence: 99%

Systematic review and meta-analysis of maternal secondhand smoke exposure and neonatal outcomes

Parascandola¹,

Klein²,

Bromberg³

2019

jhi

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Objectives: To determine the risk of adverse pregnancy and foetal outcomes among nonsmoking women exposed to secondhand smoke (SHS) while pregnant and compare the quality of studies in middle-and high-income countries (MIC and HIC). Material and methods: To assess the effect of maternal SHS exposure on preterm birth, low birth weight, stillbirth, and orofacial clefts, the authors searched three databases (2004-2015) and applied strict inclusion/exclusion criteria. Crude odds ratios (ORs), adjusted ORs, associated 95% confidence intervals, and raw data were used to estimate pooled ORs using random-effects models. Models were stratified by adjusted/unadjusted data, high study quality vs. low quality, and country income level. Results: The authors identified 39 studies that assessed the effect of maternal SHS exposure on the four outcomes. Of these studies, the 20 conducted in MICs were of lower quality on average than those conducted in HICs. Evidence of a statistically significant effect of SHS exposure was found using adjusted pooled ORs among the high-quality studies for low birth weight (pOR: 1.282 [95% CI: 1.103-1.490]), preterm birth (pOR: 1.290 [95% CI: 1.127-1.476]), and stillbirth (pOR: 1.230 [95% CI: 1.037-1.459]). Using the high-quality adjusted ORs, the effect of SHS exposure in nonsmoking pregnant women on cleft palate with or without cleft lip did not reach significance (pOR: 1.307 [95% CI: 0.893-1.9]). Conclusions: In all analyses, the odds of having negative outcomes were greater among studies conducted in MICs than in HICs. More research is needed in middle-income countries to inform policy and practice.

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Section: Discussionmentioning

confidence: 99%

Systematic review and meta-analysis of maternal secondhand smoke exposure and neonatal outcomes

Parascandola¹,

Klein²,

Bromberg³

2019

jhi

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“…Tobacco prices are most sensitive among younger and lower income people. Data from over 53 million births across 24 European countries showed that a price increase of $1.18 per pack of cigarettes was associated with a decline of 0.23 deaths per 1,000 live births in the same year and 0.16 deaths per 1,000 live births the following year (Filippidis, Laverty, Hone, Been, & Millett, ). Relief of stressful living conditions, directly linked to poverty and racism, would also be important to recognize.…”

Section: Discussionmentioning

confidence: 99%

Sudden infant death and social justice: A syndemics approach

Bartick

Tomori

2018

Maternal & Child Nutrition

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Sudden unexpected infant death (SUID) and sudden infant death syndrome (SIDS) prevention has focused on modifying individual behavioural risk factors, especially bedsharing. Yet these deaths are most common among poor and marginalized people in wealthy countries, including U.S. Blacks, American Indians/Alaskan Natives, New Zealand Māori, Australian Aborigines, indigenous Canadians, and low-income British people. The United States now has the world's highest prevalence of SUID/SIDS, where even Whites' SIDS prevalence now approaches that of the Māori. Using public databases and the literature, we examine SUID/SIDS prevalence and the following risk factors in selected world populations: maternal smoking, preterm birth, alcohol use, poor prenatal care, sleep position, bedsharing, and formula feeding. Our findings suggest that risk factors cluster in high-prevalence populations, many are linked to poverty and discrimination and have independent effects on perinatal outcomes. Moreover, populations with the world's lowest rates of SUID/SIDS have low-income inequality or high relative wealth, yet have high to moderate rates of bedsharing. Employing syndemics theory, we suggest that disproportionately high prevalence of SUID/SIDS is primarily the result of socially driven, co-occurring epidemics that may act synergistically to amplify risk. SUID must be examined through the lens of structural inequity and the legacy of historical trauma. Emphasis on bedsharing may divert attention from risk reduction from structural interventions, breastfeeding, prenatal care, and tobacco cessation. Medical organizations play an important role in advocating for policies that address the root causes of infant mortality via poverty and discrimination interventions, tobacco control, and culturally appropriate support to families.

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“…Increasing tobacco prices, a strategy associated with an immediate marked decrease in infant mortality in Europe (level 5). 37 2. Ending racial bias in the health care system that undermines breastfeeding and leads to poor maternal and infant outcomes(level 2) 38,39 (level 3).…”

Section: Place Infants To Sleep Away From Secondhand Smoke Andmentioning

confidence: 99%

Bedsharing and Breastfeeding: The Academy of Breastfeeding Medicine Protocol #6, Revision 2019

Blair

Ball

McKenna

et al. 2020

Breastfeeding Medicine

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A central goal of the Academy of Breastfeeding Medicine is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient. Purpose B edsharing promotes breastfeeding initiation, 1 duration, 2-7 and exclusivity. 7,8 Medical and public health organizations in some countries recommend against bedsharing, citing concerns over increased risk of sleeprelated infant death. 9,10 However, bedsharing may only be a risk in hazardous circumstances as demonstrated by epidemiological study (Table 1). 11 We aim to clarify the currently available evidence regarding the benefits and risks of bedsharing, and offer evidence-based recommendations that promote infant and maternal health through increased breastfeeding duration. 12 The recommendations in this protocol apply to mother-infant dyads who have initiated breastfeeding and are in home settings, and are not intended for use in hospitals or birth centers.

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Association of Cigarette Price Differentials With Infant Mortality in 23 European Union Countries

Cited by 25 publications

References 36 publications

Systematic review and meta-analysis of maternal secondhand smoke exposure and neonatal outcomes

Systematic review and meta-analysis of maternal secondhand smoke exposure and neonatal outcomes

Sudden infant death and social justice: A syndemics approach

Bedsharing and Breastfeeding: The Academy of Breastfeeding Medicine Protocol #6, Revision 2019

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