Social Factors Affect Smoke Avoidance in Pregnant Women-- Rick Ansorge
Thursday, February 12, 2009
THURSDAY, Feb. 12 (HealthDay News) -- In pregnant non-smoking black women, social factors play a significant role in the avoidance of environmental tobacco smoke, according to an article published in the March issue of the American Journal of Preventive Medicine.
Susan M. Blake, Ph.D., of George Washington University in Washington, D.C., and colleagues studied 450 low-income, pregnant black women who were cotinine-confirmed non-smokers and had partners, household/family members or friends who smoked.
The investigators found that 27 percent of the women were environmental tobacco smoke avoiders. They found that avoidance was more likely among women who reported household smoking bans, had a partner who wanted the baby, and had no or few family members or friends who smoked (odds ratios, 2.96, 2.70 and 3.15, respectively). Avoidance was less likely among women who had a current partner, who had reported intimate partner violence during pregnancy, and who had little social support to avoid environmental tobacco smoke (odds ratios, 0.42, 0.43 and 0.50, respectively), the report indicates.
"Results highlight the importance of comprehensive prenatal screening to identify a woman's psychosocial and behavioral risks," the authors conclude. "Before addressing environmental tobacco smoke exposure, it is important to gain a complete understanding of the social context of a woman's pregnancy. While providing behavioral counseling and skills-based interventions, it is important to consider other factors that could exacerbate risks for intimate partner violence and poor pregnancy outcomes."
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