Smoking and pregnancy

A comparison of Mexican-American and non-hispanic white women

Anthony E. Camilli, Lauren F. McElroy, Kathryn L Reed

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: To describe ethnic differences in tobacco use during pregnancy in a clinical population of Mexican-American and non-Hispanic white women. Methods: Subjects were randomly selected from all patients attending a university-based obstetrics clinic in Tucson, Arizona. Of 555 subjects selected, 367 were interviewed and had their urinary cotinine levels measured. The 37 subjects who refused an interview and the 136 who were selected but not interviewed did not differ from other subjects regarding ethnicity, education, obstetric history, or smoking status. The interviewer gathered standard demographic and obstetric information as well as data on smoking behavior. Subjects were interviewed in Spanish or English by a bilingual interviewer using a standardized questionnaire. Statistical techniques included χ<sup>2</sup> test, t test, and logistic regression. Results: The odds for Mexican-American women to have been smokers were 3.39 times lower than for non-Hispanic white women. The odds of quitting during pregnancy were 4.71 times higher for Mexican-Americans (95% confidence interval 1.66-13.38). Urinary cotinine values verified the latter rates. Mexican-American smokers reported smoking significantly fewer cigarettes than non-Hispanic white women (t = 2.34, P <.05). Conclusions: In comparing Mexican-American and non-Hispanic white women, we found marked differences in smoking behavior during pregnancy. Mexican-Americans were nearly three times more likely to quit than non-Hispanic whites, and those who continued to smoke showed greater reductions in cigarettes per day. These results show behavioral changes in Mexican-Americans during pregnancy that meaningfully alter the risk profile for the fetus. Understanding the basis for this behavioral change may facilitate the development of preventive measures for other ethnic groups. (Obstet Gynecol 1994;84:1033-7).

Original languageEnglish (US)
Pages (from-to)1033-1037
Number of pages5
JournalObstetrics and Gynecology
Volume84
Issue number6
StatePublished - 1994

Fingerprint

Smoking
Pregnancy
Obstetrics
Cotinine
Interviews
Tobacco Products
Tobacco Use
Ethnic Groups
Smoke
Fetus
Logistic Models
History
Demography
Confidence Intervals
Education
Population

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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Smoking and pregnancy : A comparison of Mexican-American and non-hispanic white women. / Camilli, Anthony E.; McElroy, Lauren F.; Reed, Kathryn L.

In: Obstetrics and Gynecology, Vol. 84, No. 6, 1994, p. 1033-1037.

Research output: Contribution to journalArticle

Camilli, Anthony E. ; McElroy, Lauren F. ; Reed, Kathryn L. / Smoking and pregnancy : A comparison of Mexican-American and non-hispanic white women. In: Obstetrics and Gynecology. 1994 ; Vol. 84, No. 6. pp. 1033-1037.
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abstract = "Objective: To describe ethnic differences in tobacco use during pregnancy in a clinical population of Mexican-American and non-Hispanic white women. Methods: Subjects were randomly selected from all patients attending a university-based obstetrics clinic in Tucson, Arizona. Of 555 subjects selected, 367 were interviewed and had their urinary cotinine levels measured. The 37 subjects who refused an interview and the 136 who were selected but not interviewed did not differ from other subjects regarding ethnicity, education, obstetric history, or smoking status. The interviewer gathered standard demographic and obstetric information as well as data on smoking behavior. Subjects were interviewed in Spanish or English by a bilingual interviewer using a standardized questionnaire. Statistical techniques included χ2 test, t test, and logistic regression. Results: The odds for Mexican-American women to have been smokers were 3.39 times lower than for non-Hispanic white women. The odds of quitting during pregnancy were 4.71 times higher for Mexican-Americans (95{\%} confidence interval 1.66-13.38). Urinary cotinine values verified the latter rates. Mexican-American smokers reported smoking significantly fewer cigarettes than non-Hispanic white women (t = 2.34, P <.05). Conclusions: In comparing Mexican-American and non-Hispanic white women, we found marked differences in smoking behavior during pregnancy. Mexican-Americans were nearly three times more likely to quit than non-Hispanic whites, and those who continued to smoke showed greater reductions in cigarettes per day. These results show behavioral changes in Mexican-Americans during pregnancy that meaningfully alter the risk profile for the fetus. Understanding the basis for this behavioral change may facilitate the development of preventive measures for other ethnic groups. (Obstet Gynecol 1994;84:1033-7).",
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