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. Author manuscript; available in PMC: 2018 Jul 17.
Published in final edited form as: Chem Res Toxicol. 2017 Jun 20;30(7):1376–1383. doi: 10.1021/acs.chemrestox.7b00054

Table 2.

Summary of Maternal ETS Exposure and Preterm Birth Studies

First Author Year Cohort Size Location of Study Exposure Assessment Method ETS Exposure Definition Association? Odds Ratio
Martin12 1986 3891 USA: MA In-person interview Exposed more Than 2 hours per week No NO OR given: ETS exposed preterm birth rate: 4.64%; ETS non-exposed preterm birth rate: 4.66%
Mathai28 1992 994 India In-person questionnaire 1 Household member smokes No NO OR; ETS exposure: 5–8% preterm birth rate; non-ETS exposed 3–8% preterm birth rate
Fortier14 1994 4644 Canada Phone interview-Post pregnancy (up to 6 weeks) Exposed more Than 1 hour per week No ETS exposed at work: 0.92 [CI: 0.64–1.31]
No ETS exposed at home: 0.93 [CI: 0.58–1.51]
No ETS exposed at home and work: 0.98 [CI: 0.56–1.73]
Windham17 2000 4454 USA: CA Phone interview-Early pregnancy Exposed more Than 1/2 hour per day Yes (not significant) Low ETS (05–6.5hrs/day) & Very Preterm (<35wks): 1.5 [CI: 0.90–2.5];
Yes (not significant) Low ETS (05–6.5hrs/day) & Preterm (<37wks): 1.1 [CI: 0.79–1.6];
Yes (not significant) High ETS (>7hrs/day) & Very Preterm (<35wks): 2.4 [CI: 1.0–5.3];
Yes (not significant) High ETS (>7hrs/day) & Preterm (<35wks): 1.6 [CI: 0.87–2.9]
Jaakkola26 2001 389 Finland Questionnaire at Clinic - Post pregnancy & Maternal Hair nicotine-post pregnancy <0.75ug/g Hair Nicotine concentration Yes (not significant) Hair Nicotine: (0.75-<4.00 ug/g): 1.30 [CI: 0.30–5.58]
Yes Hair Nicotine: (>4.00 ug/g): 6.12 [CI: 1.31–28.7]
No ETS at home: 0.65 [CI: 0.06–6.81]
Yes (not significant) ETS at work: 2.35 [CI: 0.50–11.1]
Yes ETS exposure home/work: 8.89 [CI: 1.05–75.3]
Kharazzi27 2004 3669 USA:CA Questionnaire at Clinic - Post pregnancy & Maternal serum cotinine (15–19 Weeks pregnant) <0.026 ng/ml Serum Cotinine concentration No Serum Cotinine: (0.026–0.053 ng/ml): 0.90 [CI: 0.48–1.66];
No (0.054–0.0096 ng/ml): 0.76 [CI: 0.40–1.42]
No (0.097–0.235 ng/ml): 0.68[CI: 0.35–1.30]
Yes (>0.235 ng/ml): 1.78 [CI: 1.01–3.13]
Ashford29 2010 210 USA: KY Questionnaire and Hair maternal cotinine Answered Yes to any exposure question Yes (not significant) ETS exposure: 2.3 [CI: 0.96–5.96]
Crane13 2011 11,852 Canada Questions asked by physician at first prenatal visit Any exposure-Cutoff not defined Very Preterm (<34 Wks): Yes (not significant) ; Preterm (<37 Wks): Not reported Very Preterm (<34 Wks): 1.87[CI: 1.00–3.53]
Qiu16 2013 10,094 China In-person interview-Post pregnancy (1–3 days post-delivery) Exposed more Than 1/2 hours per month Yes ETS During Whole Pregnancy: Very Preterm (<32Wks): 1.98 [CI: 1.41–2.27];
No Moderate Preterm (32–36wks): 0.98 [CI: 0.81–1.19]
Yes (not significant) Preterm (32–36wks): 1.12 [CI: 0.95–1.32]
Miyake15 2013 1565 Japan 2 questionnaires (1 during pregnancy, 1 post pregnancy) At least 1 person in home or at work smoked during 1 st questionnaire No ETS at home: 0.91 [CI: 0.48–1.65]
No ETS at work: 0.97 [CI: 0.36–2.23]