Social Support and Smoking during Pregnancy

Masho, Saba W.; Elizabeth, K.; Adekoya, Sulola

doi:10.4172/2167-0420.1000179

Cited by 13 publications

(9 citation statements)

References 45 publications

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“…Interestingly, we found women who smoked during early pregnancy were less likely to have low-attendance. Among previous study conducted either outside of the US or within the US, smoking during early pregnancy were found to be either positively associated with lower IPC attendance or inadequacy of prenatal care (Raatikainen et al 2007;Ribeiro et al 2009) or no association (Masho et al 2014). Multiple factors should be considered when comparing the results from current study to previous studies.…”

Section: Individual Prenatal Carementioning

confidence: 77%

Group Prenatal Care Attendance and Women’s Characteristics Associated with Low Attendance: Results from Centering and Racial Disparities (CRADLE Study)

Francis

Johnstone

Convington-Kolb

et al. 2019

Matern Child Health J

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Objectives Group prenatal care (GPC), an alternative to individual prenatal care (IPC), is becoming more prevalent. This study aimed to describe the attendance and reasons of low attendance among pregnant women who were randomly assigned to receive GPC or IPC and explore the maternal characteristics associated with low-attendance. Methods This study was a descriptive study among Medically low risk pregnant women (N = 992) who were enrolled in an ongoing prospective study. Women were randomly assigned to receive CenteringPregnany GPC (N = 498) or IPC (N = 994) in a single clinical site The attendance frequency and reason for low-attendance (i.e. ≤ 5/10 sessions in GPC or ≤ 5 visits in IPC) were described separately in GPC and IPC. Multivariable logistic regressions were performed to explore the associations between maternal characteristics and low-attendance. Results On average, women in GPC attended 5.32 (3.50) sessions, with only 6.67% attending all 10 sessions. Low-attendance rate was 34.25% in GPC and 10.09% in IPC. The primary reasons for low-attendance were scheduling barriers (23.19%) and not liking GPC (16.43%) in GPC but leaving the practice (34.04%) in IPC. In multivariable analysis, lower perceived family support (P = 0.01) was positively associated with low-attendance in GPC, while smoking in early pregnancy was negatively associated low-attendance (P = 0.02) in IPC. Conclusions for Practice Scheduling challenges and preference for non-group settings were the top reasons for low-attendance in GPC. Changes may need to be made to the current GPC model in order to add flexibility to accommodate women's schedules and ensure adequate participation. Trial registration NCT02640638 Date Registered: 12/20/2015.

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Section: Individual Prenatal Carementioning

confidence: 77%

Group Prenatal Care Attendance and Women’s Characteristics Associated with Low Attendance: Results from Centering and Racial Disparities (CRADLE Study)

Francis

Johnstone

Convington-Kolb

et al. 2019

Matern Child Health J

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“…One study of the influence of social support on smoking during pregnancy found that tangible social support had much more of an impact for black women, while the more emotional, perceived availability of others with which to share experiences was more consequential for white women. [31] Given that our exposure aimed to measure emotional social support (although participants may have responded based on perceptions of broader social support), these findings may partially explain why we see a relationship among non-black, primarily white women, but not among black women. Other studies have found similar results where an interaction between race and social support reveals a strong association between whites and the outcome of interest, but not among blacks.…”

Section: Discussionmentioning

confidence: 99%

No one to turn to: low social support and the incidence of undesired pregnancy in the United States

et al. 2018

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“…Some studies have investigated individual factors associated with MSP, including older age of mother’s first pregnancy [ 21 , 22 ], low socioeconomic status [ 21 , 22 ], being unmarried [ 23 ], lower educational attainment [ 24 – 26 ], mental health problems [ 27 – 29 ], irregular doctor checkup [ 21 , 22 ], limited or no religious participation [ 26 , 30 ], and limited social support [ 31 ]. Area-level studies have reported that MSP was associated with higher neighborhood social capital [ 33 ], lower area-level education [ 34 ], more residential segregation [ 35 ], absence of local indoor smoking ordinance [ 44 ], and lower state-level cigarette tax rates [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have reported individual-level risk factors for MSP [ 21 – 31 ]. While some studies reported that MSP was associated with area-level characteristics [ 32 – 35 ], no previous study has assessed the extent of geographic variation in this behavior.…”

Section: Introductionmentioning

confidence: 99%

Geographic Variation in Maternal Smoking during Pregnancy in the Missouri Adolescent Female Twin Study (MOAFTS)

et al. 2016

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ObjectiveDespite well-known adverse health effects of maternal smoking during pregnancy (MSP), it is still unclear if MSP varies geographically and if neighborhood socioeconomic deprivation (SED) plays an important role in MSP. This study aims to investigate small-area geographic variation in MSP and examine the association of SED with MSP.MethodsThe Missouri Adolescent Female Twin Study (MOAFTS) is a cohort study of female like-sex twins born in Missouri to Missouri-resident parents during 1975–1985. Biological mothers completed a baseline interview in 1995–1998 and reported MSP with the twins. Residential address of the mother at birth was geocoded. We developed a census tract-level SED index using a common factor approach based on 21 area-level socioeconomic variables from the 1980 Census data. Multilevel logistic regressions estimated geographic heterogeneity (random effect) in MSP and the odds ratios (ORs, fixed effects) of neighborhood SED associated with MSP.ResultsOf 1658 MOAFTS mothers, 35.2% reported any MSP and 21.9% reported MSP beyond the first trimester. Neighborhood SED was associated with any MSP (the highest vs. the lowest quartile: OR = 1.90, 95% confidence interval [CI] = 1.40–2.57, Ptrend<0.001) and MSP beyond the first trimester (OR = 1.98, 95% CI = 1.38–2.85, Ptrend = 0.002) in unadjusted analyses. After adjusting for individual covariates (demographics, socioeconomic conditions, alcohol use, and parents’ cohabitation), neighborhood SED was not associated with MSP, but geographic variation still persisted in MSP (variance = 0.41, P = 0.003) and in MSP beyond the first trimester (variance = 0.82, P<0.001).ConclusionsNeighborhood SED was associated with MSP in unadjusted analyses but this association could be explained by individual socioeconomic conditions. Nonetheless, significant geographic variation in MSP persisted and was not accounted for by differences in neighborhood SED. To develop effective interventions to reduce MSP, further studies are necessary to explore underlying reasons for its geographic variation.

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Social Support and Smoking during Pregnancy

Cited by 13 publications

References 45 publications

Group Prenatal Care Attendance and Women’s Characteristics Associated with Low Attendance: Results from Centering and Racial Disparities (CRADLE Study)

Group Prenatal Care Attendance and Women’s Characteristics Associated with Low Attendance: Results from Centering and Racial Disparities (CRADLE Study)

No one to turn to: low social support and the incidence of undesired pregnancy in the United States

Geographic Variation in Maternal Smoking during Pregnancy in the Missouri Adolescent Female Twin Study (MOAFTS)

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