Prenatal tobacco prevention and cessation interventions for women in low- and middle-income countries.

Cheryl A. Oncken, Patricia M. Dietz, Van T. Tong, José M. Belizán, Jorge Tolosa, Vincenzo Berghella, Robert L. Goldenberg, Harry A. Lando, Jonathan M. Samet, Michele H. Bloch

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Although the prevalence of tobacco use is decreasing in many high-income countries, it is increasing in many low- and middle-income countries. The health and economic burden of increasing tobacco use and dependence is predictable and will have devastating effects in countries with limited resources, particularly for vulnerable populations such as pregnant women. We sought to review effective tobacco prevention and intervention strategies for decreasing tobacco use and secondhand smoke exposure before and during pregnancy in high-, middle-, and low-income countries. We reviewed several types of interventions, including population-level efforts (increasing tobacco prices, implementing tobacco control policies), community interventions, clinical interventions, and pharmacological treatments. A second purpose of this report is to present findings of an international expert working group that was convened to review the evidence and to establish research priorities in the following areas: (a) preventing the uptake and reducing tobacco use among girls and women of reproductive age; and (b) reducing tobacco use and secondhand smoke exposure among pregnant women. The working group considered the evidence on existing interventions in terms of burden of disease, intervention impact, intervention costs, feasibility of integration into existing services, uniqueness of the contribution, and overall feasibility. Finally, we present the working group's recommendations for intervention research priorities.

Original languageEnglish (US)
Pages (from-to)442-453
Number of pages12
JournalActa Obstetricia et Gynecologica Scandinavica
Volume89
Issue number4
StatePublished - 2010
Externally publishedYes

Fingerprint

Tobacco Use Cessation
Tobacco Use
Tobacco
Tobacco Smoke Pollution
Pregnant Women
Tobacco Use Disorder
Vulnerable Populations
Research
Economics
Pharmacology
Costs and Cost Analysis
Pregnancy
Health
Population

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Oncken, C. A., Dietz, P. M., Tong, V. T., Belizán, J. M., Tolosa, J., Berghella, V., ... Bloch, M. H. (2010). Prenatal tobacco prevention and cessation interventions for women in low- and middle-income countries. Acta Obstetricia et Gynecologica Scandinavica, 89(4), 442-453.

Prenatal tobacco prevention and cessation interventions for women in low- and middle-income countries. / Oncken, Cheryl A.; Dietz, Patricia M.; Tong, Van T.; Belizán, José M.; Tolosa, Jorge; Berghella, Vincenzo; Goldenberg, Robert L.; Lando, Harry A.; Samet, Jonathan M.; Bloch, Michele H.

In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 89, No. 4, 2010, p. 442-453.

Research output: Contribution to journalArticle

Oncken, CA, Dietz, PM, Tong, VT, Belizán, JM, Tolosa, J, Berghella, V, Goldenberg, RL, Lando, HA, Samet, JM & Bloch, MH 2010, 'Prenatal tobacco prevention and cessation interventions for women in low- and middle-income countries.', Acta Obstetricia et Gynecologica Scandinavica, vol. 89, no. 4, pp. 442-453.
Oncken, Cheryl A. ; Dietz, Patricia M. ; Tong, Van T. ; Belizán, José M. ; Tolosa, Jorge ; Berghella, Vincenzo ; Goldenberg, Robert L. ; Lando, Harry A. ; Samet, Jonathan M. ; Bloch, Michele H. / Prenatal tobacco prevention and cessation interventions for women in low- and middle-income countries. In: Acta Obstetricia et Gynecologica Scandinavica. 2010 ; Vol. 89, No. 4. pp. 442-453.
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