Predictors of smoking cessation during pregnancy: a systematic review and meta‐analysis

Riaz, Muhammad; Lewis, Sarah; Naughton, Felix; Ussher, Michael

doi:10.1111/add.14135

Cited by 134 publications

(145 citation statements)

References 91 publications

(318 reference statements)

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“…Similarly, a previous study reported that women with less than a high school degree have the highest prevalence of smoking during pregnancy, followed by those with a high school diploma or GED [7]. Prior findings also indicate that women with the lowest levels of education are most likely to smoke before pregnancy and continue smoking during pregnancy [15][16][17]. In our study, the prevalence increased significantly among women with less than a high school degree, despite decreasing in all other groups.…”

Section: Discussionmentioning

confidence: 94%

Trends in smoking during pregnancy by socioeconomic characteristics in the United States, 2010–2017

Azagba

Manzione

Shan

et al. 2020

BMC Pregnancy Childbirth

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Background: Maternal smoking during pregnancy remains a public health concern in the United States (US). We examined whether the prevalence of smoking during pregnancy decreased between 2010 and 2017 and how trends differed by demographic subgroups. Methods: We used 2010-2017 data from the National Center for Health Statistics. Rao-Scott Chi-Square tests were performed to compare characteristics between smoking and nonsmoking groups. Cochran-Armitage tests and logistic regression were used to assess overall changes in the prevalence of smoking during pregnancy over time and changes for age, race, and educational attainment subgroups. Results: The prevalence of smoking during pregnancy decreased from 9.2% in 2010 to 6.9% in 2017. In 2017, the prevalence was highest among women aged 20-24 (9.9%), American Indian/Alaskan Natives (15%), and those with a high school diploma or General Educational Development (GED) (12.2%). The prevalence was lowest among women younger than 15 (1.7%), Asian/Pacific Islanders (1%), and those who had a master's degree and higher (0.3%). Prevalence did not decrease significantly over time in the 35-39 age group (4.5 to 4.4%; p = 0.08), and increased dramatically for women with less than a high school diploma from 10.2 to 11.8%; p < 0.0001. Conclusions: Smoking prevalence during pregnancy in the US is declining, but is highest among younger women (20-24), American Indian/Alaska Natives, and women with a high school diploma or GED. In addition, the prevalence has increased for women with the least education. Targeted research and tobacco control interventions could help address the specific needs of these high-risk subpopulations.

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Section: Discussionmentioning

confidence: 94%

Trends in smoking during pregnancy by socioeconomic characteristics in the United States, 2010–2017

Azagba

Manzione

Shan

et al. 2020

BMC Pregnancy Childbirth

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“…49 Preterm birth and low birth weight have been consistently shown to be risk factors for neuropsychiatric disorders, [50][51][52][53][54] and in sibling comparisons. 51,52 Evidence from a meta-analysis and from large population-based studies suggests that depressed mothers are more likely to smoke throughout pregnancy, 41,55 and prenatal smoking has been repeatedly associated with the risk of neuropsychiatric disorders in the offspring. 21,56,57 Also in the PREDO, prenatal smoking was associated with increased internalizing, externalizing total psychiatric and ADHD problems in children.…”

Section: Discussionmentioning

confidence: 99%

Fetal programming of neuropsychiatric disorders by maternal pregnancy depression: a systematic mini review

et al. 2018

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BACKGROUND: Maternal depression complicates a large proportion of pregnancies. Current evidence shows numerous harmful effects on the offspring. Reviews, which include depression, concluded that stress has harmful effects on the offspring's outcomes neuro-cognitive development, temperament traits, and mental disorders. OBJECTIVE: This mini review of recent studies, sought to narrow the scope of exposure and identify studies specifically assessing prenatal depression and offspring neuropsychiatric outcomes. STUDY ELIGIBILITY CRITERIA: The review included longitudinal, cohort, cross-sectional, clinical, quasi-experimental, epidemiological, or intervention study designs published in English from 2014 to 2018. PARTICIPANTS: Study populations included mother-child dyads, mother-father-child triads, mother-alternative caregiver-child triads, and family studies utilizing sibling comparisons. METHODS: We searched PubMED and Web of Science. Study inclusion and data extraction were based on standardized templates. The quality of evidence was assessed using the Newcastle-Ottawa Scale (NOS). RESULTS: Thirteen studies examining neuropsychiatric outcomes were included. We judged the evidence to be moderate to high quality. CONCLUSIONS: Our review supports that maternal prenatal depression is associated with neuropsychiatric adversities in children. IMPLICATIONS: Future investigations should unravel the biological underpinnings and target timely interventions as early in pregnancy as possible to prevent offspring neuropsychiatric harms.

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“…Fifteen papers (Table 5) were included on predictors of smoking or barriers to cessation for women [68][69][70][71][72][73][74][75][76][77][78][79][80][81][82]. Barriers and predictors of smoking cessation during pregnancy can be broadly divided into factors operating at the health provider (HP) level, social level and individual level.…”

Section: Predictors Of Smoking and Barriers To Cessationmentioning

confidence: 99%

Exposure to Tobacco, Environmental Tobacco Smoke and Nicotine in Pregnancy: A Pragmatic Overview of Reviews of Maternal and Child Outcomes, Effectiveness of Interventions and Barriers and Facilitators to Quitting

Gould

Havard

Lim

et al. 2020

IJERPH

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The aim of this review of reviews was to collate the latest evidence from systematic reviews about the maternal and child health outcomes of being exposed to tobacco and nicotine during pregnancy; the effectiveness of interventions designed to reduce these exposures, and barriers to and facilitators of smoking cessation during pregnancy. Two databases were searched to obtain systematic reviews published from 2010 to 2019. Pertinent data from 76 articles were summarized using a narrative synthesis (PROSPERO reference: CRD42018085896). Exposure to smoke or tobacco in other forms during pregnancy is associated with an increased risk of obstetric complications and adverse health outcomes for children exposed in-utero. Counselling interventions are modestly effective, while incentive-based interventions appear to substantially increase smoking cessation. Nicotine replacement therapy is effective during pregnancy but the evidence is not conclusive. Predictors and barriers to smoking cessation in pregnancy are also discussed. Smoking during pregnancy poses substantial risk to mother’s and child’s health. Psychosocial interventions and nicotine replacement therapy (NRT) appear to be effective in helping pregnant women quit smoking. Barriers to smoking cessation must be identified and steps taken to eradicate them in order to reduce smoking among pregnant women. More research is needed on smoking cessation medications and e-cigarettes.

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Predictors of smoking cessation during pregnancy: a systematic review and meta‐analysis

Abstract: A wide range of socio-demographics, relationship, social, smoking-related, pregnancy-related, health and psychological factors have been found to predict smoking cessation in pregnancy.

Cited by 134 publications

References 91 publications

Trends in smoking during pregnancy by socioeconomic characteristics in the United States, 2010–2017

Trends in smoking during pregnancy by socioeconomic characteristics in the United States, 2010–2017

Fetal programming of neuropsychiatric disorders by maternal pregnancy depression: a systematic mini review

Exposure to Tobacco, Environmental Tobacco Smoke and Nicotine in Pregnancy: A Pragmatic Overview of Reviews of Maternal and Child Outcomes, Effectiveness of Interventions and Barriers and Facilitators to Quitting

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