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, André Salem Szklo, Ph.D Tobacco Control Unit, Coordination for Prevention and Surveillance, Brazilian National Cancer Institute (INCA). Rua Marquês de Pombal 125/7o andar. 20230-240 Centro , Rio de Janeiro- Brazil Corresponding author: aszklo@inca.gov.br Search for other works by this author on: Oxford Academic Graziele Grilo, MSc Institute for Global Tobacco Control, Department of Health, Behavior and Society , Johns Hopkins Bloomberg School of Public Health. 2213 McElderry Street, Fourth GFloor, Baltimore, MD, 21205, USA Search for other works by this author on: Oxford Academic Jeffrey Drope, Ph.D Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health. 615N. Wolfe St. , Baltimore, MD Search for other works by this author on: Oxford Academic
Nicotine & Tobacco Research, ntae157, https://doi.org/10.1093/ntr/ntae157
Published:
26 June 2024
Article history
Received:
20 June 2023
Published:
26 June 2024
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André Salem Szklo, Graziele Grilo, Jeffrey Drope, Maternal smoking prevalence in Brazil in 2013 and 2019: not what we expected when they were expecting!, Nicotine & Tobacco Research, 2024;, ntae157, https://doi.org/10.1093/ntr/ntae157
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Abstract
Introduction
Monitoring tobacco use during pregnancy is critical for achieving the United Nations Sustainable Development Goals. We examined changes between 2013 and 2019 in the relative differences in smoking prevalence rates between pregnant and non-pregnant women aged 18-49 years.
Methods
We used data from a nationally representative health survey conducted in Brazil in 2013 and 2019. A generalized linear model with binomial family and logarithmic link function was used to estimate, for each year of analysis, the crude and adjusted (by age-group, educational attainment, place of residence, and status of protection from passive smoking at home) relative differences.
Results
In 2013,the proportion point estimate of tobacco use among pregnant women was lower than that observed among non-pregnant women (4.7% vs. 9.6%). However, in 2019 proportion point estimates were virtually the same (8.5% vs. 8.4%). After adjustment for selected variables, in 2013, smoking prevalence among pregnant women was 42% (p-value≤0.05) lower than that observed among non-pregnant women. On the other hand, in 2019, maternal smoking prevalence was 13% (p-value>0.05) higher than that found among non-pregnant women.
Conclusions
Ongoing tobacco industry interference and the marketing of tobacco products to vulnerable populations pose serious threats to public health and likely contributed to increasing maternal smoking prevalence. The fact that women smoke in such an important phase of their and their unborn children’s lives reinforces the need to strengthen the implementation of concurrent tobacco control actions, including tobacco excise tax policy and pre-natal tobacco prevention and cessation interventions as part of health professionals’ routine consultation.
IMPLICATIONS
The decline in smoking prevalence among non-pregnant women between 2013 and 2019 was accompanied by an increase in maternal smoking prevalence. Monitoring tobacco use during pregnancy is critical for achieving the United Nations Sustainable Development Goals. Ongoing tobacco industry interference and the marketing of tobacco products to vulnerable populations in Brazil pose serious threats to public health. The fact that women smoke in such an important phase of their and their unborn children’s lives reinforces the need to strengthen the implementation of concurrent tobacco control actions, including tobacco excise tax policy and primary healthcare professionals´ tobacco-related assistance during interaction with their patients.
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© The Author(s) 2024. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.
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