TY - JOUR
T1 - Smoking cessation in pregnancy
T2 - a continuing challenge in the United States
AU - Scherman, Ashley
AU - Tolosa, Jorge E.
AU - McEvoy, Cindy
N1 - Publisher Copyright:
© The Author(s), 2018.
PY - 2018/8/1
Y1 - 2018/8/1
N2 - Despite significant population level declines, smoking during pregnancy remains a major public health issue in the United States (US). Approximately 360,000–500,000 smoke-exposed infants are born yearly, and prenatal smoking remains a leading modifiable cause of poor birth outcomes (e.g. birth < 37 gestational weeks, low birth weight, perinatal mortality). Women who smoke during pregnancy are more likely to be younger and from disadvantaged socioeconomic and racial and ethnic groups, with some US geographic regions reporting increased prenatal smoking rates since 2000. Such disparities in maternal prenatal smoking suggests some pregnant women face unique barriers to cessation. This paper reviews the current state and future direction of smoking cessation in pregnancy in the US. We briefly discuss the etiology of smoking addiction among women, the pathophysiology and effects of tobacco smoke exposure on pregnant women and their offspring, and the emerging issue of electronic nicotine delivery systems. Current population-based and individual smoking cessation interventions are reviewed in the context of pregnancy and barriers to cessation among US women. Finally, we consider interventions that are on the horizon and areas in need of further investigation.
AB - Despite significant population level declines, smoking during pregnancy remains a major public health issue in the United States (US). Approximately 360,000–500,000 smoke-exposed infants are born yearly, and prenatal smoking remains a leading modifiable cause of poor birth outcomes (e.g. birth < 37 gestational weeks, low birth weight, perinatal mortality). Women who smoke during pregnancy are more likely to be younger and from disadvantaged socioeconomic and racial and ethnic groups, with some US geographic regions reporting increased prenatal smoking rates since 2000. Such disparities in maternal prenatal smoking suggests some pregnant women face unique barriers to cessation. This paper reviews the current state and future direction of smoking cessation in pregnancy in the US. We briefly discuss the etiology of smoking addiction among women, the pathophysiology and effects of tobacco smoke exposure on pregnant women and their offspring, and the emerging issue of electronic nicotine delivery systems. Current population-based and individual smoking cessation interventions are reviewed in the context of pregnancy and barriers to cessation among US women. Finally, we consider interventions that are on the horizon and areas in need of further investigation.
KW - Cigarettes
KW - Electronic Nicotine Delivery System
KW - Narrative Review
KW - Nicotine
KW - Smoking Cessation
KW - Smoking in Pregnancy
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U2 - 10.1177/2042098618775366
DO - 10.1177/2042098618775366
M3 - Review article
AN - SCOPUS:85047821670
SN - 2042-0986
VL - 9
SP - 457
EP - 474
JO - Therapeutic Advances in Drug Safety
JF - Therapeutic Advances in Drug Safety
IS - 8
ER -