prevalence of smoking during pregnancy and associated risk factors among canadian women a national survey怀孕期间吸烟的发生率与相关风险因素在加拿大女性的全国性调查.pdfVIP

Al-Sahab et al. BMC Pregnancy and Childbirth 2010, 10:24 /1471-2393/10/24 R E S E A R C H A R T I C L E Open Access Research article Prevalence of smoking during pregnancy and associated risk factors among Canadian women: a national survey Ban Al-Sahab*, Masarat Saqib, Gabriel Hauser and Hala Tamim Abstract Background: Cigarette smoking carries a threat both to the expecting mother and her newborn. Data on the prevalence and predictors of smoking during pregnancy is limited in Canada. Canadian studies are mainly representative of specific cities and/or provinces. Therefore, the study aims to assess the prevalence of smoking during pregnancy and its associated risk factors throughout the Canadian provinces and territories. Methods: The analysis was based on the Maternity Experience Survey targeting women aged ≥15 years who had singleton live births during 2005/06 in the Canadian provinces and territories. The outcome was ever smoking during the thirst trimester of pregnancy. Socio-economic factors, demographic factors, maternal characteristics, and pregnancy related factors that proved to be significant at the bivariate level were considered for a logistic regression analysis. Bootstrapping was performed to account for the complex sampling design. Results: The sample size was 6,421 weighted to represent 76,508 Canadian women. The prevalence of smoking during pregnancy was 10.5%, whereby smoking mothers consumed on average 7 cigarettes a day (95% Confidence interval - CI: 6.5-7.4; SD = 5.7). Regression analysis revealed that mothers who smoked during pregnancy were more likely to be of low socio-economic status, non-immigrant, single and passive smokers during pregnancy. Not attending prenatal classes and experiencing stressful events before/during pregnancy also increased the mothers odds of smoking during pregnancy. Whil