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Schedule:
Thursday, May 30, 2013
Pacific D-O (Hyatt Regency San Francisco)
* noted as presenting author
Introduction: In our 2009-2011 sample of pregnant women (N=11,725), the overall prevalence of tobacco smoking was 42.1% in Hungary’s most underdeveloped north-eastern regions. Controlling for deep poverty, Roma women’s proportion of tobacco use was even higher and the overwhelming majority continued smoking during the pregnancy. In our research, we aimed to estimate the socio-cultural factors contributing to smoking during pregnancy separately for Roma and non-Roma women in order to tailor cessation programs.
Methods: In a retrospective cohort study of 11,725 pregnant women with known smoking status, 5,050 women (43.1%) were living in deep poverty, of which 2,560 self-identified as Roma and 1,857 as non-Roma ethnicity. Logistic regression was used to assess factors associated with continued smoking stratified by Roma status (significance level, α ≤.05).
Results: Among women living in deep poverty who smoked prior to pregnancy, continued use during pregnancy was 89.2% and 67.6% among Roma and non-Roma women, respectively. Factors associated with discontinued smoking among women living in deep poverty (regardless of ethnicity) included age ≤17 years (Roma: OR=0.22, 95%CI=0.13 – 0.38; Non-Roma: OR=0.25, 95%CI=0.12 – 0.53) and consuming d fresh fruits at least every other day (Roma: OR=0.50, 95%CI=0.29 – 0.87; Non-Roma (OR=0.50, 95%CI=0.30 – 0.83). Factors associated with continued smoking, regardless of ethnicity, included routine exposure to secondhand smoke by the husband/partner (Roma: OR=1.83, 95%CI=1.24 – 2.71; Non-Roma: OR=2.44, 95%CI=1.68 – 3.53). Unique to Roma women was the role that unexpected pregnancy (OR=1.50, 95%CI=1.02 – 2.22) played on continued smoking during pregnancy. Unique to non-Roma women, being married (OR=0.63, 95%CI=0.45 – 0.88) and consuming meat products at least every other day were protective (OR=0.6, 95%CI=0.37 – 0.97) while low education (OR=2.45, 95%CI=1.66 – 3.60) and living in overcrowded houses (OR=1.58, 95%CI=1.05 – 2.39) were associated with continued use.
Conclusions: Roma and non-Roma communities share some common features related to continued smoking during pregnancy, but unique socio-cultural factors also emerged. Thus, it is important to tailor cessation programs among Roma and non-Roma women to their unique needs.
Methods: In a retrospective cohort study of 11,725 pregnant women with known smoking status, 5,050 women (43.1%) were living in deep poverty, of which 2,560 self-identified as Roma and 1,857 as non-Roma ethnicity. Logistic regression was used to assess factors associated with continued smoking stratified by Roma status (significance level, α ≤.05).
Results: Among women living in deep poverty who smoked prior to pregnancy, continued use during pregnancy was 89.2% and 67.6% among Roma and non-Roma women, respectively. Factors associated with discontinued smoking among women living in deep poverty (regardless of ethnicity) included age ≤17 years (Roma: OR=0.22, 95%CI=0.13 – 0.38; Non-Roma: OR=0.25, 95%CI=0.12 – 0.53) and consuming d fresh fruits at least every other day (Roma: OR=0.50, 95%CI=0.29 – 0.87; Non-Roma (OR=0.50, 95%CI=0.30 – 0.83). Factors associated with continued smoking, regardless of ethnicity, included routine exposure to secondhand smoke by the husband/partner (Roma: OR=1.83, 95%CI=1.24 – 2.71; Non-Roma: OR=2.44, 95%CI=1.68 – 3.53). Unique to Roma women was the role that unexpected pregnancy (OR=1.50, 95%CI=1.02 – 2.22) played on continued smoking during pregnancy. Unique to non-Roma women, being married (OR=0.63, 95%CI=0.45 – 0.88) and consuming meat products at least every other day were protective (OR=0.6, 95%CI=0.37 – 0.97) while low education (OR=2.45, 95%CI=1.66 – 3.60) and living in overcrowded houses (OR=1.58, 95%CI=1.05 – 2.39) were associated with continued use.
Conclusions: Roma and non-Roma communities share some common features related to continued smoking during pregnancy, but unique socio-cultural factors also emerged. Thus, it is important to tailor cessation programs among Roma and non-Roma women to their unique needs.