Smoking during pregnancy in the United States, 2005–2014: The role of depression

•The relationship between depression and cigarette smoking in pregnancy is estimated.•Logistic regression models in the National Survey on Drug Use and Health were used.•Smoking during pregnancy has increased in women with depression from 2005 to 2014.•Smoking is four times more common in pregnant w...

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Published inDrug and alcohol dependence Vol. 179; pp. 159 - 166
Main Authors Goodwin, Renee D., Cheslack-Postava, Keely, Nelson, Deborah B., Smith, Philip H., Wall, Melanie M., Hasin, Deborah S., Nomura, Yoko, Galea, Sandro
Format Journal Article
LanguageEnglish
Published Ireland Elsevier B.V 01.10.2017
Elsevier Science Ltd
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Abstract •The relationship between depression and cigarette smoking in pregnancy is estimated.•Logistic regression models in the National Survey on Drug Use and Health were used.•Smoking during pregnancy has increased in women with depression from 2005 to 2014.•Smoking is four times more common in pregnant women with than without depression.•Public health tobacco control programs must better target this demographic. Despite success of public health-oriented tobacco control programs in lowering the smoking prevalence over the past several decades, it is unclear whether similar reductions in smoking have been experienced among pregnant women, especially in vulnerable groups such as those with major depression and/or lower socioeconomic status. The purpose of this study is to examine the relationship between major depressive episode (MDE) and smoking among pregnant women overall, and by demographics and to estimate changes in the prevalence of cigarette smoking among pregnant women with and without MDE from 2005 to 2014. Cigarette use among pregnant women with and without MDE was examined using logistic regression models in the National Survey on Drug Use and Health. Prenatal smoking is more common among pregnant women with, compared to without, MDE (32.5% vs. 13.0%; (adjusted OR=2.50 (1.85, 3.40)), and greater disparities were revealed when also considering income, education and race. Over time, smoking during pregnancy increased significantly among women with MDE (35.9% to 38.4%; p=0.02)) and showed a decreasing trend among women without MDE (12.5% to 9.1%; p=0.07) from 2005 to 2014. Over the past decade, smoking during pregnancy has increased among women experiencing a major depressive episode and is over four times more common among pregnant women with, than without, MDE. Disparities in smoking during pregnancy by MDE status and socioeconomic subgroups appear substantial. Given the multitude of risks associated with both MDE and smoking during the prenatal period, more work targeting this vulnerable and high-risk group is needed.
AbstractList Background: Despite success of public health-oriented tobacco control programs in lowering the smoking prevalence over the past several decades, it is unclear whether similar reductions in smoking have been experienced among pregnant women, especially in vulnerable groups such as those with major depression and/or lower socioeconomic status. Objectives: The purpose of this study is to examine the relationship between major depressive episode (MDE) and smoking among pregnant women overall, and by demographics and to estimate changes in the prevalence of cigarette smoking among pregnant women with and without MDE from 2005 to 2014. Study design: Cigarette use among pregnant women with and without MDE was examined using logistic regression models in the National Survey on Drug Use and Health. Results: Prenatal smoking is more common among pregnant women with, compared to without, MDE (32.5% vs. 13.0%; (adjusted OR = 2.50 (1.85, 3.40)), and greater disparities were revealed when also considering income, education and race. Over time, smoking during pregnancy increased significantly among women with MDE (35.9% to 38.4%; p = 0.02)) and showed a decreasing trend among women without MDE (12.5% to 9.1%; p = 0.07) from 2005 to 2014. Conclusions: Over the past decade, smoking during pregnancy has increased among women experiencing a major depressive episode and is over four times more common among pregnant women with, than without, MDE. Disparities in smoking during pregnancy by MDE status and socioeconomic subgroups appear substantial. Given the multitude of risks associated with both MDE and smoking during the prenatal period, more work targeting this vulnerable and high-risk group is needed.
•The relationship between depression and cigarette smoking in pregnancy is estimated.•Logistic regression models in the National Survey on Drug Use and Health were used.•Smoking during pregnancy has increased in women with depression from 2005 to 2014.•Smoking is four times more common in pregnant women with than without depression.•Public health tobacco control programs must better target this demographic. Despite success of public health-oriented tobacco control programs in lowering the smoking prevalence over the past several decades, it is unclear whether similar reductions in smoking have been experienced among pregnant women, especially in vulnerable groups such as those with major depression and/or lower socioeconomic status. The purpose of this study is to examine the relationship between major depressive episode (MDE) and smoking among pregnant women overall, and by demographics and to estimate changes in the prevalence of cigarette smoking among pregnant women with and without MDE from 2005 to 2014. Cigarette use among pregnant women with and without MDE was examined using logistic regression models in the National Survey on Drug Use and Health. Prenatal smoking is more common among pregnant women with, compared to without, MDE (32.5% vs. 13.0%; (adjusted OR=2.50 (1.85, 3.40)), and greater disparities were revealed when also considering income, education and race. Over time, smoking during pregnancy increased significantly among women with MDE (35.9% to 38.4%; p=0.02)) and showed a decreasing trend among women without MDE (12.5% to 9.1%; p=0.07) from 2005 to 2014. Over the past decade, smoking during pregnancy has increased among women experiencing a major depressive episode and is over four times more common among pregnant women with, than without, MDE. Disparities in smoking during pregnancy by MDE status and socioeconomic subgroups appear substantial. Given the multitude of risks associated with both MDE and smoking during the prenatal period, more work targeting this vulnerable and high-risk group is needed.
BACKGROUNDDespite success of public health-oriented tobacco control programs in lowering the smoking prevalence over the past several decades, it is unclear whether similar reductions in smoking have been experienced among pregnant women, especially in vulnerable groups such as those with major depression and/or lower socioeconomic status. OBJECTIVESThe purpose of this study is to examine the relationship between major depressive episode (MDE) and smoking among pregnant women overall, and by demographics and to estimate changes in the prevalence of cigarette smoking among pregnant women with and without MDE from 2005 to 2014. STUDY DESIGNCigarette use among pregnant women with and without MDE was examined using logistic regression models in the National Survey on Drug Use and Health. RESULTSPrenatal smoking is more common among pregnant women with, compared to without, MDE (32.5% vs. 13.0%; (adjusted OR=2.50 (1.85, 3.40)), and greater disparities were revealed when also considering income, education and race. Over time, smoking during pregnancy increased significantly among women with MDE (35.9% to 38.4%; p=0.02)) and showed a decreasing trend among women without MDE (12.5% to 9.1%; p=0.07) from 2005 to 2014. CONCLUSIONSOver the past decade, smoking during pregnancy has increased among women experiencing a major depressive episode and is over four times more common among pregnant women with, than without, MDE. Disparities in smoking during pregnancy by MDE status and socioeconomic subgroups appear substantial. Given the multitude of risks associated with both MDE and smoking during the prenatal period, more work targeting this vulnerable and high-risk group is needed.
Despite success of public health-oriented tobacco control programs in lowering the smoking prevalence over the past several decades, it is unclear whether similar reductions in smoking have been experienced among pregnant women, especially in vulnerable groups such as those with major depression and/or lower socioeconomic status. The purpose of this study is to examine the relationship between major depressive episode (MDE) and smoking among pregnant women overall, and by demographics and to estimate changes in the prevalence of cigarette smoking among pregnant women with and without MDE from 2005 to 2014. Cigarette use among pregnant women with and without MDE was examined using logistic regression models in the National Survey on Drug Use and Health. Prenatal smoking is more common among pregnant women with, compared to without, MDE (32.5% vs. 13.0%; (adjusted OR=2.50 (1.85, 3.40)), and greater disparities were revealed when also considering income, education and race. Over time, smoking during pregnancy increased significantly among women with MDE (35.9% to 38.4%; p=0.02)) and showed a decreasing trend among women without MDE (12.5% to 9.1%; p=0.07) from 2005 to 2014. Over the past decade, smoking during pregnancy has increased among women experiencing a major depressive episode and is over four times more common among pregnant women with, than without, MDE. Disparities in smoking during pregnancy by MDE status and socioeconomic subgroups appear substantial. Given the multitude of risks associated with both MDE and smoking during the prenatal period, more work targeting this vulnerable and high-risk group is needed.
Author Galea, Sandro
Goodwin, Renee D.
Hasin, Deborah S.
Smith, Philip H.
Wall, Melanie M.
Cheslack-Postava, Keely
Nomura, Yoko
Nelson, Deborah B.
AuthorAffiliation 2 Institute for Implementation Science in Population Health, City University of New York (CUNY), New York, New York
11 Department of Psychiatry, Icahn School of Medicine, New York, New York
7 Department of Obstetrics and Gynecology, Temple University School of Medicine, Philadelphia, PA
8 Department of Community Health and Social Medicine, Sophie Davis School of Biomedical Education/CUNY School of Medicine, New York, New York
4 Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York
12 Department of Epidemiology, School of Public Health, Boston University, Boston, Massachusetts
6 Department of Clinical Sciences, Lewis Katz School of Medicine, Temple University, Philadelphia, PA
9 Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, New York
3 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York
10 Department of Psychology, Queens College and The Graduate Center,
AuthorAffiliation_xml – name: 5 New York State Psychiatric Institute, New York, New York
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Keywords Pregnancy
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Snippet •The relationship between depression and cigarette smoking in pregnancy is estimated.•Logistic regression models in the National Survey on Drug Use and Health...
Despite success of public health-oriented tobacco control programs in lowering the smoking prevalence over the past several decades, it is unclear whether...
Background: Despite success of public health-oriented tobacco control programs in lowering the smoking prevalence over the past several decades, it is unclear...
BACKGROUNDDespite success of public health-oriented tobacco control programs in lowering the smoking prevalence over the past several decades, it is unclear...
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SubjectTerms Cigarette smoking
Cigarettes
Control programs
Demographics
Demography
Depression
Depressive Disorder, Major - epidemiology
Disparities
Drug abuse
Epidemiology
Female
Health disparities
High risk
Humans
Income
Logistic Models
Mental depression
Polls & surveys
Pregnancy
Prenatal care
Prenatal tobacco use
Prevalence
Public health
Race
Regression analysis
Regression models
Risk factors
Risk groups
Smoking
Smoking - epidemiology
Social Class
Socioeconomic status
Socioeconomics
Subgroups
Substance-Related Disorders - epidemiology
Tobacco
United States
Title Smoking during pregnancy in the United States, 2005–2014: The role of depression
URI https://dx.doi.org/10.1016/j.drugalcdep.2017.06.021
https://www.ncbi.nlm.nih.gov/pubmed/28783546
https://www.proquest.com/docview/1963429982
https://search.proquest.com/docview/1927305964
https://pubmed.ncbi.nlm.nih.gov/PMC5635833
Volume 179
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