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] |