Accuracy of self-reported smoking cessation during pregnancy
- PMID: 25350478
- PMCID: PMC4301572
- DOI: 10.1111/aogs.12532
Accuracy of self-reported smoking cessation during pregnancy
Abstract
Evidence of bias of self-reported smoking cessation during pregnancy is reported in high-income countries but not elsewhere. We sought to evaluate self-reported smoking cessation during pregnancy using biochemical verification and to compare characteristics of women with and without biochemically confirmed cessation in Argentina and Uruguay. In a cross-sectional study from October 2011 to May 2012, women who attended one of 21 prenatal clinics and delivered at selected hospitals in Buenos Aires, Argentina and Montevideo, Uruguay, were surveyed about their smoking cessation during pregnancy. We tested saliva collected from women <12 h after delivery for cotinine to evaluate self-reported smoking cessation during pregnancy. Overall, 10.0% (44/441) of women who self-reported smoking cessation during pregnancy had biochemical evidence of continued smoking. Women who reported quitting later in pregnancy had a higher percentage of nondisclosure (17.2%) than women who reported quitting when learning of their pregnancy (6.4%).
Keywords: Argentina; Smoking; Uruguay; biochemical verification; cotinine; pregnancy; reproductive health.
© 2014 Nordic Federation of Societies of Obstetrics and Gynecology.
References
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- CDC . The health consequences of smoking: 50 years of progress: a report of the surgeon general. CDC; Atlanta: 2014.
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- Dietz PM, Homa D, England LJ, Burley K, Tong VT, Dube SR, et al. Estimates of nondisclosure of cigarette smoking among pregnant and nonpregnant women of reproductive age in the United States. Am J Epidemiol. 2011;173:355–9. - PubMed
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