(TDHS-2008) were used. A total of 423 pregnant women, accounting for 6% of married women aged 15-49 years in 2008, were interviewed in the study. Data use approval was obtained from the Hacettepe University Institute of Population Studies.
resULTs:The prevalence of smoking among pregnant women was 11.4%. The frequency was higher (12.7%) among educated women than in those who were less educated (7.5%). Logistic regression analysis showed that the educational status of the pregnant women (OR=2.72; 95% CI=1.14-6.50) and smoking inside the home (OR=20.83; 95% CI=4.23-102.49) were statistically significantly associated with smoking status during pregnancy. Women at high risk age for pregnancy (below 18 years and above 35 years of age) smoked less frequently compared with the other age groups (OR=0.32; 95% CI=0.16-0.65).CoNCLUsIoN: Despite the health risks for both the baby and the mother, the prevalence of smoking during pregnancy was 11.4% in Turkey during 2008. Long term awareness and educational studies are needed to prevent pregnant women from this global risk.
Key words: Smoking, pregnancy, prevalence
INTrodUCTIoNSmoking is an important risk factor for morbidity and mortality in every individual irrespective of age. When an individual starts smoking, dependency develops due to nicotine [1]. Smoking during pregnancy carries many risks for both the women and the baby [2][3][4]. Low birth weight, preterm labour, neonatal mortality, and a decrease in breast milk production all show an increased risk associated with smoking [5,6]. Smoking during pregnancy is responsible for 5% of infant mortality, 10% of preterm labour and 30% of low birth weight cases [7].Data on smoking during pregnancy has shown that in previous years, the prevalence of smoking in pregnant women was about 20-45% worldwide [8]. In the United States of America (USA) the prevalence of smoking during pregnancy is reported to be about 22-34% [7,9,10].Recent research has revealed a decrease in smoking prevalence suggesting the necessity to continue research in this area in the future. For example, in a study conducted in Holland, smoking prevalence among pregnant women in 2001 and 2010 were evaluated and a 50% decrease by 2010 was detected. In the same study, smoking prevalence was higher among pregnant women with a low level of education than those with a higher level of education [11]. Ingall and Cropley stated that although pregnant women were aware of the health risks of smoking to the foetus, this knowledge did not provide sufficient motivation to quit smoking [12].In Turkey, actions on legislation about tobacco control has accelerated since 2008 [13]. "Smoke-free Turkey" efforts which started in 2009 have resulted in a decrease in smoking prevalence in recent years [14]. Turkish data from the Global Adult Tobacco Survey (GATS) indicates that smoking prevalence among individuals aged 15 years and over is 27% [15]. In countries where GATS is conducted, smoking prevalence in women of reproductive age varies between 0.4% (Egypt) and 30.8% (Russia) [...