European Addiction Research
Volume 23, Issue 4, 2017, Pages 194-203

Smoking trajectories during the perinatal period and their risk factors: The nationally representative French ELFE (Etude Longitudinale Française Depuis l'Enfance) birth cohort study (Article)

El-Khoury F.* , Sutter-Dallay A.-L. , Van Der Waerden J. , Surkan P. , Martins S. , Keyes K. , De Lauzon-Guillain B. , Charles M.-A. , Melchior M.
  • a Department of Social Epidemiology, INSERM UMR-S 1136, Pierre Louis Institute of Epidemiology and Public Health, Paris, France, Sorbonne Universités, UPMC University of Paris, Paris, France
  • b Bordeaux University, Bordeaux, France, INSERM U657, Bordeaux, France, Department of Adult Psychiatry, University of Bordeaux, Charles Perrens Hospital, Bordeaux, France
  • c Department of Social Epidemiology, INSERM UMR-S 1136, Pierre Louis Institute of Epidemiology and Public Health, Paris, France, Sorbonne Universités, UPMC University of Paris, Paris, France
  • d Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
  • e Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, United States
  • f Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, United States
  • g INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), Paris Descartes University, Paris, France
  • h INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), Paris Descartes University, Paris, France
  • i Department of Social Epidemiology, INSERM UMR-S 1136, Pierre Louis Institute of Epidemiology and Public Health, Paris, France, Sorbonne Universités, UPMC University of Paris, Paris, France

Abstract

Background: In France, rates of perinatal smoking are among the highest worldwide; however, perinatal smoking trajectories and associated factors have still not been adequately researched. Methods: Among women participating in the French nationally representative etude longitudinale française depuis l'enfance birth cohort (n = 15,540), perinatal smoking trajectories were estimated using group-based modelling. Associated characteristics were studied using multinomial logistic regression. Results: Four trajectories were identified: non-smokers (59%), quitters (20%), persistent moderate (12%) and persistent heavy (9%) smokers. Older age, being native French, low socioeconomic position, persistent psychological difficulties and alcohol use in pregnancy, lack of social support, partner's smoking, mistimed pregnancy, and child formula feeding at birth were associated with persistent heavy smoking. Most of these factors were also associated, but to a lesser extent, with persistent moderate smoking, except for age and migrant status, which had opposite effects. Women who successfully lost weight prior to pregnancy had higher levels of quitting smoking. Conclusion: Women's long-term smoking trajectories vary in terms of initial tobacco consumption level but also in relation to socio-demographic, psychological, behavioral and partner characteristics. Health professionals in contact with pregnant smokers should address perceived risks and benefits of smoking, including partner's smoking and weight-gain concerns. © 2017 S. Karger AG, Basel.

Author Keywords

Smoking determinants Maternal smoking Smoking trajectories

Index Keywords

educational status longitudinal study prenatal care psychological aspect alcohol consumption Spouses France follow up human Longitudinal Studies illness trajectory child nutrition perinatal period Cohort Studies statistics and numerical data controlled study priority journal social support Surveys and Questionnaires smoking cessation social status Humans psychology smoking persistent moderate smoker persistent heavy smoker maternal smoking female residential area spouse risk factor Risk Factors artificial milk questionnaire pregnancy Article employment status adult major clinical study age cohort analysis gestational age
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85029001802&doi=10.1159%2f000479022&partnerID=40&md5=2427b5725377aae36af0b48487676aa0
DOI: 10.1159/000479022
ISSN: 10226877
Original Language: English