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. 2008 Mar;98(3):448–453. doi: 10.2105/AJPH.2006.102772

TABLE 1—

Risk Factors for Maternal Smoking During Pregnancy: National Epidemiologic Survey on Alcohol and Related Conditions, 2001–2002

Regression Analyses of Smoking During Pregnancya
Sample Distribution,b % (No.)c Prevalence of Smoking DuringPregnancy, % (No.)c Model 1, PR (95% CI) Model 2, PR (95% CI) Model 3,d PR (95% CI) Model 4,e PR (95% CI)
Demographic factors
Age, y
    18–23 28.1 (131) 16.7 (20) 0.86 (0.31, 2.38) 0.80 (0.28, 2.30) 1.16 (0.63, 2.16) 1.14 (0.62, 2.11)
    24–30 39.6 (172) 15.1 (20) 1.64 (0.74, 3.66) 1.47 (0.66, 3.30) 1.64 (0.98, 2.75) 1.54 (0.92, 2.57)
    ≥ 31 (Reference) 32.2 (150) 5.2 (10) 1.00 1.00 1.00 1.00
Race/ethnicity
    Black 14.3 (93) 15.6 (13) 0.52 (0.28, 0.96) 0.58 (0.32, 1.05) 1.26 (0.82, 1.95) 1.27 (0.86, 1.89)
    Other 26.3 (154) 2.4 (4) 0.11 (0.03, 0.38) 0.12 (0.03, 0.42) 0.46 (0.14, 1.52) 0.48 (0.15, 1.55)
    White (Reference) 59.4 (206) 16.0 (33) 1.00 1.00 1.00 1.00
Educational attainment
    Less than high school 15.4 (82) 36.0 (18) 7.87 (3.20, 19.38) 8.67 (3.45, 21.81) 2.16 (1.25, 3.73) 1.99 (1.22, 3.25)
    GED or high school degree 29.1 (139) 15.2 (22) 2.80 (1.07, 7.36) 2.93 (1.14, 7.52) 1.17 (0.69, 1.96) 1.13 (0.68, 1.90)
    Some college or more (Reference) 55.5 (232) 4.3 (10) 1.00 1.00 1.00 1.00
Marital status
    Not married 18.8 (117) 29.8 (27) 2.52 (1.43, 4.45) 2.28 (1.32, 3.95) 1.46 (0.95, 2.24) 1.36 (0.94, 1.96)
    Married (Reference) 81.2 (336) 8.3 (23) 1.00 1.00 1.00 1.00
Employment status
    Unemployed, student, not in labor force 5.1 (22) 39.3 (7) 0.95 (0.55, 1.65) 0.93 (0.52, 1.67) 0.77 (0.51, 1.16) 0.79 (0.54, 1.15)
    Employed (Reference) 94.9 (431) 10.9 (43) 1.00 1.00 1.00 1.00
Household income
    < 150% of the US poverty level 31.6 (153) 18.7 (28) 1.91 (0.92, 3.93) 1.84 (0.93, 3.65) 1.28 (0.90, 1.83) 1.27 (0.92, 1.76)
    < Median income ($40 000) 23.3 (117) 13.4 (12) 1.45 (0.61, 3.42) 1.27 (0.52, 3.11) 1.11 (0.66, 1.87) 1.11 (0.67, 1.85)
    ≥ Median income ($40 000) (Reference) 45.2 (183) 7.4 (10) 1.00 1.00 1.00 1.00
Psychiatric and substance disorders
Mood or anxiety disorder (current year)
    Yes 18.0 (89) 22.1 (16) 1.18 (0.67, 2.06) 0.67 (0.41, 1.07) 0.69 (0.43, 1.10)
    No (Reference) 82.0 (364) 10.2 (34) 1.00 1.00 1.00
Alcohol or substance disorder (current year)
    Yes 3.7 (17) 42.1 (7) 2.74 (1.32, 5.69) 0.98 (0.65, 1.47) 0.98 (0.66, 1.46)
    No (Reference) 96.3 (436) 11.2 (43) 1.00 1.00 1.00
Nicotine dependence (current year)
    Yes 4.68 (1.96, 11.16) 2.63 (1.25, 5.54)
    No (Reference) 1.00 1.00
Smoking history (among lifetime daily smokers)
Onset of daily smoking by age 14 years
    Yes NA 71.0 (17) 1.51 (0.99, 2.30) 1.62 (1.06, 2.46)
    No (Reference) NA 40.0 (32) 1.00 1.00
Smoke ≥ 1 pack/day (current year)
    Yes NA 64.3 (21) 1.00 (0.65, 1.52) 0.93 (0.63, 1.37)
    No (Reference) NA 32.2 (28) 1.00 1.00

Notes. PR =prevalence ratio; CI = confidence interval; GED = general equivalency diploma; NA = not applicable.

aResults from Poisson regression models. Regression coefficients, when exponentiated, are interpreted as prevalence ratios.

bSample of 453 pregnant women; number who smoked today = 50 (weighted percent = 12.3).

cWeighted percentages and actual sample sizes are given.

dEstimated among the sample of 122 lifetime daily smokers.

eEstimated among the sample of 92 current-year smokers.