Trends in smoking before, during, and after pregnancy--Pregnancy Risk Assessment Monitoring System, United States, 40 sites, 2000-2010.

摘要: Problem Smoking among nonpregnant women contributes to reduced fertility, and smoking during pregnancy is associated with delivery of preterm infants, low infant birthweight, increased mortality. After delivery, exposure secondhand smoke can increase an infant's risk for respiratory tract infections dying sudden death syndrome. During 2000-2004, estimated 174,000 in the United States died annually from smoking-attributable causes, 776 infants causes attributed maternal pregnancy. Reporting period covered 2000-2005. Description system The Pregnancy Risk Assessment Monitoring System (PRAMS) was initiated 1987 ongoing state- population-based surveillance designed monitor selected behaviors experiences that occur before, during, after who deliver live-born States. Self-reported questionnaire data are linked birth certificate weighted represent all delivering live state. were obtained PRAMS certificates. This report provides on trends (aggregated site-specific estimates) describes characteristics female smokers these periods. Results For study 2000-2005, 31 sites (Alabama, Alaska, Arkansas, Colorado, Florida, Georgia, Hawaii, Illinois, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Montana, Nebraska, New Jersey, Mexico, York, York City, North Carolina, Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Utah, Vermont, Washington, West Virginia) included this report. All have met Healthy People 2010 (HP 2010) objective increasing percentage pregnant stop 30%; quit rates 2005 ranged 30.2% 61.0%. However, none achieved HP reducing prevalence prenatal 1%; 5.2% 35.7%. 2000--2005, two (New Mexico Utah) experienced decreasing pregnancy, (Illinois Jersey) only. Three (Louisiana, had increases Arkansas before majority sites, did not change over time or 16 (Alaska, [excluding City], which available entire 6-year period, remained unchanged, approximately one five (from 22.3% 2000 21.5% 2005) reporting declined (p = 0.01) 15.2% 13.8% 2005, 0.04) 18.1% 16.4% 2005. Interpretation results indicate efforts reduce been effective; however, targeting some success as delivery. Current tobacco-control smoking-cessation sufficient reach Public health action provided important developing, monitoring, evaluating state policies programs smokers. through sustained comprehensive (e.g., smoke-free tobacco excise taxes). Health-care providers should assess status their patients offer effective interventions every smoker whom they provide health-care services.