Table 2.
Demographic and Pregnancy-Related Characteristics of Women Who Relapsed to Smoking Following Delivery After Quitting Smoking During Pregnancy—PRAMS, United States, 32 Sites, 2009–2011
Relapsed to smoking after deliverya |
Relapsed to smoking after deliverya |
|||
---|---|---|---|---|
Maternal characteristics | % (95% CI) | pb | aPRd (95% CI) | pc |
| ||||
Total | 43.7 (42.2–45.1) | |||
Maternal age group (years) | <0.001 | <0.001 | ||
<20 | 54.8 (50.4–59.1) | 1.51 (1.24–1.84) | ||
20–24 | 48.9 (46.3–51.6) | 1.39 (1.17–1.65) | ||
25–34 | 39.5 (37.6–41.5) | 1.26 (1.07–1.48) | ||
≥35 | 29.5 (25.1–34.2) | 1.00 | ||
Maternal race/ethnicity | <0.001 | <0.001 | ||
White, non-Hispanic | 41.1 (39.4–42.8) | 1.00 | ||
Black, non-Hispanic | 64.7 (60.9–68.3) | 1.25 (1.14–1.38) | ||
Hispanic | 39.1 (34.3–44.0) | 0.90 (0.79–1.03) | ||
American Indian/Alaska Native | 53.6 (46.4–60.6) | 1.16 (0.96–1.39) | ||
Asian/Pacific Islander | 30.8 (24.6–37.8) | 0.88 (0.68–1.13) | ||
Other | 46.0 (38.1–54.1) | 1.02 (0.84–1.23) | ||
Maternal education (years) | <0.001 | 0.067 | ||
<12 | 55.1 (51.2–58.9) | 1.10 (0.99–1.22) | ||
12 | 49.8 (47.2–52.4) | 1.09 (1.01–1.17) | ||
>12 | 36.2 (34.4–38.1) | 1.00 | ||
Marital status | <0.001 | 0.387 | ||
Not married | 50.1 (48.1–52.2) | 1.04 (0.96–1.12) | ||
Married | 36.0 (34.0–38.0) | 1.00 | ||
Pregnancy intention | <0.001 | 0.004 | ||
Intended | 37.8 (35.8–39.8) | 1.00 | ||
Unintended | 48.8 (46.7–50.8) | 1.11 (1.03–1.19) | ||
Parity | <0.001 | <0.001 | ||
First birth | 40.6 (38.6–42.6) | 1.00 | ||
Second or later birth | 46.8 (44.7–48.9) | 1.20 (1.11–1.28) | ||
WIC enrollment during pregnancye | <0.001 | 0.254 | ||
Yes | 50.6 (48.5–52.6) | 1.04 (0.97–1.13) | ||
No | 35.6 (33.7–37.6) | 1.00 | ||
Breastfeeding initiation | <0.001 | <0.001 | ||
Never breastfed | 60.7 (57.5–63.7) | 1.34 (1.24–1.44) | ||
Ever breastfed | 38.8 (37.2–40.4) | 1.00 | ||
Prepregnancy smoking statusf | <0.001 | <0.001 | ||
Nondaily smoker | 22.2 (19.5–25.1) | 1.00 | ||
Daily smoker | 48.6 (47.0–50.2) | 1.80 (1.59–2.04) | ||
Number of stressors experienced in 12 months before infant’s birthg | <0.001 | 0.111 | ||
None | 37.9 (34.7–41.2) | |||
1–2 | 40.3 (38.1–42.6) | 1.05 (0.96–1.16) | ||
3–5 | 49.4 (46.8–52.0) | 1.12 (1.01–1.24) | ||
≥6 | 49.7 (44.9–54.5) | 1.03 (0.89–1.19) | ||
Smoking ban in home | <0.001 | <0.001 | ||
Complete Ban | 42.2 (40.7–43.7) | 1.00 | ||
Partial Ban or None | 60.6 (55.3–65.7) | 1.27 (1.14–1.42) | ||
Preterm/low birth weight infant | <0.001 | 0.108 | ||
Yes | 49.5 (46.8–52.2) | 1.06 (0.99–1.14) | ||
No | 41.7 (40.0–43.4) | 1.00 |
Data aggregated for 32 PRAMS sites (Alaska, Arkansas, Colorado, Delaware, Georgia, Hawaii, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Jersey, New Mexico, New York, New York City, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Vermont, Washington, West Virginia, Wisconsin, and Wyoming) with data available for 2009–2011.
Relapsed to smoking after delivery = smoking after delivery among women who quit smoking by the last 3 months of pregnancy on the basis of the PRAMS survey. Average = 124 days, Range = 64–269 days. Quit smoking = no smoking during the last 3 months of pregnancy among women who smoked 3 months before pregnancy on the basis of the PRAMS survey.
Chi-square test.
Wald test.
aPRs were calculated using logistic regression, adjusting for site, infant year of birth, maternal age, maternal race/ethnicity, maternal education, marital status, pregnancy intention, parity, WIC enrollment during pregnancy, breastfeeding duration, prepregnancy daily number of cigarettes, number of stressors experienced during pregnancy, smoking ban in home, and preterm/low birth weight infant (n = 13,076).
Special Supplemental Nutrition Program for WIC.
Nondaily smokers were women who reported smoking <1 cigarette/day; daily smokers were woman who reported smoking ≥1 cigarette/ day in the 3 months before pregnancy
Stressors included family member illness/death, moving, divorce, homelessness, job loss, financial troubles, jail time, and physical abuse.
PRAMS, Pregnancy Risk Assessment Monitoring System; CI, confidence interval; aPR, adjusted prevalence ratio; WlC, Women, Infants, and Children.