Gaceta Sanitaria
Volume 26, Issue 2, 2012, Pages 138-144

Prevalence of smoking and second-hand smoke exposure: Differences between Spanish and immigrant pregnant women [Prevalencia de tabaquismo y exposición al humo ambiental de tabaco en las mujeres embarazadas: Diferencias entre españolas e inmigrantes] (Article) (Open Access)

Jiménez-Muro A.* , Samper M.P. , Marqueta A. , Rodríguez G. , Nerín I.
  • a Unidad de Tabaquismo FMZ, Facultad de Medicina, Universidad de Zaragoza, Spain
  • b Departamento de Pediatría, Radiología y Medicina Física, Facultad de Medicina, Universidad de Zaragoza, Spain
  • c Unidad de Tabaquismo FMZ, Facultad de Medicina, Universidad de Zaragoza, Spain
  • d Departamento de Pediatría, Radiología y Medicina Física, Facultad de Medicina, Universidad de Zaragoza, Spain, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain, Instituto Aragonés de Ciencias de la Salud, Zaragoza, Spain
  • e Unidad de Tabaquismo FMZ, Facultad de Medicina, Universidad de Zaragoza, Spain, Departamento de Medicina, Psiquiatría y Dermatología, Facultad de Medicina, Universidad de Zaragoza, Spain

Abstract

Objectives: To identify differences in the prevalence of smoking and second-hand smoke exposure between Spanish and immigrant pregnant women, as well as the factors associated with continued smoking during pregnancy. Methods: An epidemiologic cross-sectional study was carried out in women attended at delivery in Zaragoza (Spain). A smoking questionnaire was used to collect the following variables: the women's and partners' sociodemographic factors and smoking behavior, second-hand smoke exposure and perception of the risks of this exposure. Results: We included 2440 women (35% immigrants). A total of 31.1% smoked before becoming pregnant and 18.2% during pregnancy, with significant differences between Spanish and immigrant women (21.9% versus 8.7%; p. <. 0.001). Immigrant women lived with a greater number of smokers, smoked more inside the home, were exposed to second-hand smoke for a greater number of hours per day, avoided public places with second-hand smoke less, and more often worked in bars and restaurants. The following factors were associated with smoking during pregnancy: being Spanish, smoking a greater number of cigarettes before pregnancy, being exposed to second-hand smoke at home for a greater number of hours, having a low perception of risks and having a partner with lower educational attainment. Conclusions: The prevalence of smoking is higher among Spanish pregnant women than immigrant women, although the immigrant population is more exposed to second-hand smoke at home and at work. There are socio-cultural differences that should be taken into account when carrying out interventions in women of reproductive age. © 2011 SESPAS.

Author Keywords

Pregnant Women Immigrant smoking Second-hand smoke

Index Keywords

cultural anthropology educational status multicenter study Hospitals, Public clinical trial university hospital pregnancy complication Pregnancy Complications human statistics comparative study ethnology Cross-Sectional Studies Young Adult cross-sectional study Humans Hospitals, University smoking Emigrants and Immigrants Spain female Socioeconomic Factors tobacco dependence Tobacco Use Disorder socioeconomics questionnaire pregnancy public hospital Health Knowledge, Attitudes, Practice Tobacco Smoke Pollution Article passive smoking Questionnaires adult migration attitude to health Culture
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84859439316&doi=10.1016%2fj.gaceta.2011.07.015&partnerID=40&md5=7b9262027d0fce77763eee8fffe3e331
DOI: 10.1016/j.gaceta.2011.07.015
ISSN: 02139111
Cited by: 18
Original Language: Spanish