Social Disparities in Maternal Smoking during Pregnancy

Kuntz, Benjamin; Lampert, Thomas

doi:10.1055/s-0042-100207

Cited by 18 publications

(10 citation statements)

References 65 publications

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“…Therefore we believe that this type of selection bias is rather unlikely. Furthermore, the percentage of mothers who smoked during pregnancy in our study (10.7%) was similar to the data presented by Kuntz and Lampert on the percentage of mothers who smoked during pregnancy (12.1%), which are based on the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) [31]. All mothers who delivered an SGA newborn in one of the three participating maternity units had an equal chance to participate in the study.…”

Section: Discussionsupporting

confidence: 89%

Care-Related and Maternal Risk Factors Associated with the Antenatal Nondetection of Intrauterine Growth Restriction: A Case-Control Study from Bremen, Germany

Ernst

Brand

Reeske

et al. 2017

BioMed Research International

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Objective. To identify care-related and maternal risk factors for the antenatal nondetection of IUGR. Methods. In this hospital-based case-control study we compared antenatally undetected IUGR neonates (cases) to detected IUGR neonates (controls). Data were collected using newborn documentation sheets and standardized personal interviews with the mothers. We calculated antenatal detection rates and used uni- and multivariable logistic regression models to assess the association of antenatal nondetection of IUGR and maternal and care-related factors. Results. A total of 161 neonates from three hospitals were included in the study. Suboptimal fetal growth was identified antenatally in n = 77 pregnancies while in n = 84 it was not detected antenatally (antenatal detection rate: 47.8%). Severity of IUGR, maternal complications, and a Doppler examination during the course of pregnancy were associated with IUGR detection. We did not find statistically significant differences regarding parental socioeconomic status and maternal migration background. Conclusions. In our study, about half of all pregnancies affected by suboptimal growth remained undetected. Future in-depth studies with larger study populations should further examine factors that could increase antenatal detection rates for IUGR.

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Section: Discussionsupporting

confidence: 89%

Care-Related and Maternal Risk Factors Associated with the Antenatal Nondetection of Intrauterine Growth Restriction: A Case-Control Study from Bremen, Germany

Ernst

Brand

Reeske

et al. 2017

BioMed Research International

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“…Most literature regarding trends of pregnancy smoking is from high-income countries, and in periods of less than 20 years, which are even shorter in studies published in Brazil. However, it is consistent across studies that the reduction is driven by women with higher socioeconomic status (Mohsin et al 2011;Ekblad et al 2014;Dias-Damé and Cesar 2015;Kuntz and Lampert 2016).…”

Section: Discussionsupporting

confidence: 54%

“…Sociodemographic characteristics have shown to be important variables when characterizing smoking trends worldwide. It seems that those less educated or living below the poverty line smoke more and have had a less pronounced decline during the last decades (Jamal et al 2015), something that has also been observed for pregnancy smoking (Ekblad et al 2014;Kuntz and Lampert 2016).…”

Section: Introductionmentioning

confidence: 74%

Maternal pregnancy smoking in three Brazilian cities: trends and differences according to education, income, and age

Mola

Cardoso

Batista

et al. 2020

Int J Public Health

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Objectives To estimate and assess pregnancy smoking trends since 1978, according to sociodemographic characteristics, in three Brazilian sites. Methods We used cross-sectional data from the perinatal studies of nine birth cohorts, located in the southeast (Ribeirão and 2010) regions of Brazil. We estimated the prevalence of pregnancy smoking at each time point according to age, education, and family income, in each cohort, and evaluated smoking trends. Results We analyzed data of 17,275 women in Ribeirão Preto, 19,819 in Pelotas, and 7753 in São Luís. Smoking decreased by 59% in Ribeirão Preto (p \ 0.001), 54% in Pelotas (p \ 0.001), and 32% in São Luís (p \ 0.001). However, among those with 0-4 years of education, smoking did not change in Ribeirão Preto (p-trend = 0.501) nor São Luís (p = 0.556) and increased in Pelotas (p-trend = 0.003).Conclusions Pregnancy smoking has been declining during the last decades. However, among less-educated women, pregnancy smoking did not change in two sites and increased in one of them.

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“…This number is much lower than prevalences of smoking during pregnancy as reported in other sources. Kuntz and Lampert (2016), for example, report a prevalence of 12.1% for children born in Germany in the years 2003-2012 based on survey data. As only severe cases of smoking during pregnancy may be apparent to the hospital staff at the time of delivery, it is likely that only severe cases of smoking are flagged in our data.…”

Section: Datamentioning

confidence: 99%

Is it good to be too light? Birth weight thresholds in hospital reimbursement systems

Reif¹,

Wichert

Wuppermann

2018

Journal of Health Economics

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Birth weight manipulation has been documented in per-case hospital reimbursement systems, in which hospitals receive more money for otherwise equal newborns with birth weight just below compared to just above specific birth weight thresholds. As hospitals receive more money for cases with weight below the thresholds, having a (reported) weight below a threshold could benefit the newborn. Also, these reimbursement thresholds overlap with diagnostic thresholds that have been shown to affect the quantity and quality of care that newborns receive. Based on the universe of hospital births in Germany from the years 2005-2011, we investigate whether weight below reimbursement relevant thresholds triggers different quantity and quality of care. We find that this is not the case, suggesting that hospitals' financial incentives with respect to birth weight do not directly impact the care that newborns receive.

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Social Disparities in Maternal Smoking during Pregnancy

Cited by 18 publications

References 65 publications

Care-Related and Maternal Risk Factors Associated with the Antenatal Nondetection of Intrauterine Growth Restriction: A Case-Control Study from Bremen, Germany

Care-Related and Maternal Risk Factors Associated with the Antenatal Nondetection of Intrauterine Growth Restriction: A Case-Control Study from Bremen, Germany

Maternal pregnancy smoking in three Brazilian cities: trends and differences according to education, income, and age

Is it good to be too light? Birth weight thresholds in hospital reimbursement systems

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