Examining the relationship between pregnancy and quitting use of tobacco products in a U.S. national sample of women of reproductive age

Kurti, Allison N.; Redner, Ryan; Bunn, Janice Y.; Tang, Katherine; Nighbor, Tyler D.; Lopez, Alexa A.; Keith, Diana R.; Villanti, Andrea C.; Stanton, Cassandra A.; Gaalema, Diann E.; Doogan, Nathan J.; Cepeda-Benito, Antonio; Roberts, Megan E.; Phillips, Julie; Parker, Maria A.; Quisenberry, Amanda J.; Higgins, Stephen T.

doi:10.1016/j.ypmed.2018.08.019

Cited by 16 publications

(28 citation statements)

References 46 publications

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“…According to a CDC study using U.S. birth certificates, 10.9% of women who gave birth smoked before pregnancy with approximately 45% discontinuing smoking by late pregnancy (Curtin & Mathews, 2016). We know of no published reports that can be used to estimate quit rates for non-cigarette tobacco and nicotine products during pregnancy, meaning that the present results and those in our parallel studies with pregnant women will provide unique opportunities to address those knowledge gaps (Kurti et al, 2017; Kurti et al, under review).…”

Section: Discussionmentioning

confidence: 93%

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Tobacco and nicotine delivery product use in a U.S. national sample of women of reproductive age

Lopez

Redner

Kurti

et al. 2018

Preventive Medicine

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This study examined prevalence and correlates of using cigarettes, e-cigarettes, and other tobacco/nicotine delivery products in a U.S. national sample of women of reproductive age. Weighted data were obtained from women aged 15-44 years who were not currently pregnant in the first wave of the Population Assessment of Health and Tobacco (PATH, 2013-2014) study (N = 12,848). 20.1% of women were current cigarette smokers, 5.9% current e-cigarette users, 4.9% current cigar smokers, and 6.5% current hookah users. Prevalence of current use of other tobacco products was <1.0%. Current cigarette smoking was the strongest correlate of current e-cigarette use (OR = 65.7, 95% CI = 44.8-96.5), cigar smoking (OR = 19.2, 95% CI = 14.1-26.1), and hookah use (OR = 6.6, 95% CI = 5.1-8.5). Among former cigarette smokers, 3.8%, 6.9%, and 3.2% were also currently using e-cigarettes, hookah, and cigars, respectively. Use of other tobacco and nicotine delivery products was low among those who never smoked tobacco cigarettes: 2.5% used hookah and <1.0% used other products. Cigarette smoking prevalence remains relatively high among women of reproductive age and strongly correlated with use of other tobacco products. Monitoring tobacco and nicotine use in this population is important due to the additional risk of adverse health impacts should they become pregnant. Clinicians working with cigarette smokers should assess for use of other tobacco products. Among women of reproductive age, use of emerging tobacco and nicotine products appears to be largely, although not exclusively, restricted to current cigarette smokers.

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Section: Discussionmentioning

confidence: 93%

“…This study focuses on women who were not pregnant at the time of survey completion. Our group is conducting parallel studies of use of these same tobacco/nicotine products during pregnancy using the Population Assessment of Tobacco and Health (PATH) survey (Kurti et al, 2017; Kurti et al, under review).…”

Section: Introductionmentioning

confidence: 99%

Tobacco and nicotine delivery product use in a U.S. national sample of women of reproductive age

Lopez

Redner

Kurti

et al. 2018

Preventive Medicine

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“…Other studies were conducted in prenatal clinics and failed to specify a case-definition of current use or excluded persons unfamiliar with ENDS 28-30 . We also found 10 reports on studies on determinants of ENDS use (including beliefs), trajectories of ENDS use during pregnancy 30-38 , and 3 publications on screening practices of practitioners 39-41 . We will examine each of these subtopics separately.…”

Section: Resultsmentioning

confidence: 63%

“…dual ENDS users) 27 . Subsequent waves of the PATH study provided estimates for the odds of quitting ENDS or cigarettes related to pregnancy that were higher for ENDS and hookahs than cigarette smoking 38 . In addition, the study has depicted the trajectories of use among ENDS dual users before pregnancy (Wave 1) and once they become pregnant (Wave 2); more than half (52.5%) stopped using ENDS once they became pregnant but continued to smoke cigarettes 37 .…”

Section: Resultsmentioning

confidence: 99%

The use of electronic nicotine delivery systems during pregnancy and the reproductive outcomes: A systematic review of the literature

Cárdenas¹,

Fischbach²,

Chowdhury³

2019

Tob. Induc. Dis.

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INTRODUCTIONUse of electronic nicotine delivery systems (ENDS) among pregnant women is of great concern. To our knowledge the current literature provides conflicting views regarding the uncertainties of the effects of ENDS use during pregnancy on the health of the fetus.METHODSWe searched PubMed, CINAHL, and EMBASE, for the period 2007 to October 2017 for terms to identify publications on ENDS use during pregnancy and the reproductive outcomes. We updated the search for the period November 2017 to November 2018 using Ovid Medline. We obtained full text of articles and present a summary of the contents.RESULTSWe found no studies of pregnant women exposed to ENDS use and its effect on their fetus or neonates. However, there is a growing body of experimental studies in animals that suggest that nicotine in ENDS alters DNA methylation, induces birth defects, reduces the birth weight, and affects the development of the heart and lungs of their offspring. A large population-based cohort study in the United States estimated that 5% of pregnant women were current ENDS users in 2014; most of them also smoked cigarettes. Surveys conducted among practitioners indicate that there is a need to screen and counsel pregnant women. Systematic reviews and meta-analysis of studies of women who used smokeless tobacco during pregnancy suggest that prenatal nicotine alone is a risk factor for low birth weight, premature delivery, and stillbirth.CONCLUSIONSThere were no previous studies assessing the reproductive effects of ENDS use during pregnancy. However, prenatal exposure to nicotine is known to be harmful to the fetus and the pregnancy.

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“…Additionally, the number and variety of tobacco and nicotine-delivering products being used in vulnerable populations has increased rapidly over the last decade, introducing novel use patterns and raising important research questions and regulatory challenges. Kurti et al (2018, this issue) and Lopez et al (2018, this issue) provide sorely needed data from U.S. national samples of women of reproductive age, with Kurti et al providing seminal, longitudinal data on quit rates of conventional cigarettes, e-cigarettes, and other tobacco products during pregnancy, and Lopez et al providing valuable new information on prevalence of use of these same products among non-pregnant women of reproductive age. Cepeda-Benito et al (2018, this issue) reports a study further delineating the growing influence of rural residence as an independent risk factor for cigarette smoking in U.S. adults, with this study underscoring a disproportionate impact among rural women.…”

Section: Selected Topics In Tobacco Regulatory Sciencementioning

confidence: 99%

Editorial: 5th Special Issue on behavior change, health, and health disparities

Higgins

2018

Preventive Medicine

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This Special Issue of Preventive Medicine (PM) is the 5th in a series on behavior change, health, and health disparities. Unhealthy behavior patterns (i.e., lifestyle choices) including cigarette smoking and other substance abuse, physical inactivity, unhealthy food choices, and non-adherence with recommended medical regimens, undermine U.S. population health by increasing risk for chronic disease and premature death. This Special Issue brings together scholarly contributions from the emerging area of tobacco regulatory science to examine current topics of critical importance to reducing the burden of cigarette smoking on U.S. population health. More specifically, three related topics are examined including (a) the potential for reducing smoking by adopting a national policy that would cap the nicotine content of cigarettes at minimally-addictive levels; (b) increasing scientific understanding of cigarette smoking and other tobacco use among populations that are especially vulnerable to initiating smoking, tobacco addiction, and its adverse health consequences; and (c) the potential of a harm-reduction strategy for reducing the burden of smoking by advocating that those who are unwilling or unable to quit nicotine use substitute electronic cigarettes or other non-combusted sources of nicotine for cigarettes in order to avoid exposure to the other toxins in tobacco smoke that are most responsible for smoking morbidity and mortality. While tremendous progress has been made in reducing overall U.S. smoking prevalence and its adverse health impacts, more needs to be done. This Special Issue offers some ideas that have the potential to make a substantive contribution towards that goal.

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Examining the relationship between pregnancy and quitting use of tobacco products in a U.S. national sample of women of reproductive age

Cited by 16 publications

References 46 publications

Tobacco and nicotine delivery product use in a U.S. national sample of women of reproductive age

Tobacco and nicotine delivery product use in a U.S. national sample of women of reproductive age

The use of electronic nicotine delivery systems during pregnancy and the reproductive outcomes: A systematic review of the literature

Editorial: 5th Special Issue on behavior change, health, and health disparities

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