Tobacco Use and Exposure to Secondhand Smoke Among Pregnant Women in the Dominican Republic: An Exploratory Look into Attitudes, Beliefs, Perceptions, and Practices

Torres, Essie; Monegro, Zahíra Quiñones de; French, Lucia; Swanson, Dena Phillips; Guido, Joseph J.; Ossip, Deborah J.

doi:10.1093/ntr/ntr193

Cited by 11 publications

(21 citation statements)

References 16 publications

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“…In this study, about 83% of the sample reported that they were exposed to tobacco smoke from both cigarette and waterpipe (passive smoking). Reports from several countries indicated that rates of secondhand smoke exposure during pregnancy ranged between 17% and 94% ( Bloch et al, 2008 ;Franchini et al, 2008 ;Kelly et al, 2011 ;Torres et al, 2011 ;Yang, Tong, Mao, & Hu, 2010 ). In previous studies from Jordan, exposure to secondhand cigarette smoke among Jordanian women was about 70% in a sample of patients admitted to a local hospital, using a survey that was developed by the researchers ( Zmeili, 1992 ) while another study indicated that 60% of mothers were exposed to secondhand smoke from other family members at home using both survey instrument and biomarkers of exposure to cigarettes (nicotine and cotinine plasma levels [ n = 220, Badran, Salhab, & Al-Jaghbir, 2009 ] ).…”

Section: Discussionmentioning

confidence: 99%

Exposure of Pregnant Women to Waterpipe and Cigarette Smoke

Azab

Khabour

Alzoubi

et al. 2012

Nicotine & Tobacco Research

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Section: Discussionmentioning

confidence: 99%

Exposure of Pregnant Women to Waterpipe and Cigarette Smoke

Azab

Khabour

Alzoubi

et al. 2012

Nicotine & Tobacco Research

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“…Overall, one fifth of women who had ever been pregnant reported smoking during a past or current pregnancy. The prevalence reported in this study is relatively high compared to most recent national and regional rates of 3%[11, 21]. This discrepancy could be attributed to the retrospective nature of this study, which could have reduced the social stigma associated with tobacco use during pregnancy and allowed for more accurate self-report data.…”

Section: Discussionmentioning

confidence: 56%

“…Secondhand smoke exposure was also high, ranging from 13% in Ecuador and Guatemala to 27% in Uruguay, and 30% in Argentina and Brazil[10]. Our recent study from one city in the Dominican Republic estimated tobacco use prevalence among pregnant women to be 3%, with exposure to secondhand smoke estimated at 16%[11]. This study also reported that 7% of pregnant women stated an intention to resume or begin smoking within the next year[11].…”

Section: Introductionmentioning

confidence: 99%

Understanding Sociodemographic and Sociocultural Factors that Characterize Tobacco Use and Cessation During Pregnancy Among Women in the Dominican Republic

Torres

Guido

Monegro

et al. 2013

Matern Child Health J

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Background Tobacco use and exposure are serious public health problems that threaten to undermine improvements in maternal and child health, and add to already existing poor pregnancy outcomes in many low- and middle-income countries. The purpose of this study is to explore factors that characterize tobacco use and cessation during pregnancy among women in the Dominican Republic. Methods This study was part of a larger trial and includes a sample of women who participated in baseline surveillance and community assessments (N=613). Descriptive, bivariate, and multivariable analyses were conducted. Results Overall, 93.31% (n=572) of women experienced a past/current pregnancy and 22.44% (n=127) smoked during a past or current pregnancy. Among women who had smoked, 34.13% (n=43) stopped smoking due to a pregnancy, and 46.03% (n=58) were advised by a health care provider to quit smoking because of pregnancy. Women who were older, Catholic, and had a mother who used tobacco were three times more likely to smoke during a past or current pregnancy. Inability to read or write was also significantly associated with smoking during pregnancy. Women who were able to read and write and were from a tobacco growing community were three times more likely to quit smoking during pregnancy. Conclusion This study provides a preliminary understanding of factors influencing tobacco use and cessation among pregnant women in the Dominican Republic. It also informs a critical area for public health research and intervention, indicating opportunities to engage the health care provider community in intervening with pregnant women and their families.

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“…We continue to report findings from PDT studies elsewhere (e.g., Chin, et al in press; Dozier et al, 2006, 2009, 2014; Lando et al 2010; McIntosh, et al, 2008; Ossip-Klein, et al 2008; Ossip, et al; 2013, 2015; Prucha, et al 2015; Torres, et al 2011, 2014; Wipfli, et al 2008). The current paper will report on lessons learned from implementing this US-DR partnered research.…”

Section: Research Rationale/descriptionmentioning

confidence: 87%

“…This set the basis for advancing tobacco research in the DR through supervision of over 25 theses from medical and dentistry students on tobacco use (by both DR co-investigators), submitting locally and nationally funded grants, and implementing the first DR national surveillance of tobacco use based on the Global Adult Tobacco Survey (GATS). In addition, PDT provided pre-doctoral research experience to a US team member, leading to a doctoral dissertation on tobacco use and exposure among pregnant women in the DR (Torres, et al 2011), and MPH training to a medical student, leading to a thesis on tobacco knowledge and practices among DR healthcare providers (Prucha, et al, 2015). …”

Section: Establishing An Infrastructure For Tobacco Cessation Researcmentioning

confidence: 99%

Lessons Learned from Twelve Years of Partnered Tobacco Cessation Research in the Dominican Republic

et al. 2016

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Engaging partners for tobacco control within low and middle income countries (LMICs) at early stages of tobacco control presents both challenges and opportunities in the global effort to avert the one billion premature tobacco caused deaths projected for this century. The Dominican Republic (DR) is one such early stage country. The current paper reports on lessons learned from 12 years of partnered United States (US)-DR tobacco cessation research conducted through two NIH trials (Proyecto Doble T, PDT1 and 2). The projects began with a grassroots approach of working with interested communities to develop and test interventions for cessation and secondhand smoke reduction that could benefit the communities, while concurrently building local capacity and providing resources, data, and models of implementation that could be used to ripple upward to expand partnerships and tobacco intervention efforts nationally. Lessons learned are discussed in four key areas: partnering for research, logistical issues in setting up the research project, disseminating and national networking, and mentoring. Effectively addressing the global tobacco epidemic will require sustained focus on supporting LMIC infrastructures for tobacco control, drawing on lessons learned across partnered trials such as those reported here, to provide feasible and innovative approaches for addressing this modifiable public health crisis.

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Tobacco Use and Exposure to Secondhand Smoke Among Pregnant Women in the Dominican Republic: An Exploratory Look into Attitudes, Beliefs, Perceptions, and Practices

Cited by 11 publications

References 16 publications

Exposure of Pregnant Women to Waterpipe and Cigarette Smoke

Exposure of Pregnant Women to Waterpipe and Cigarette Smoke

Understanding Sociodemographic and Sociocultural Factors that Characterize Tobacco Use and Cessation During Pregnancy Among Women in the Dominican Republic

Lessons Learned from Twelve Years of Partnered Tobacco Cessation Research in the Dominican Republic

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