Ethnic differences in tobacco use during pregnancy: findings from a primary care sample in Sao Paulo, Brazil

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorTABB, Karen Margaret
dc.contributor.authorHUANG, Hsiang
dc.contributor.authorMENEZES, Paulo Rossi
dc.contributor.authorSILVA, Gulnar Azevedo e
dc.contributor.authorCHAN, Ya-Fen
dc.contributor.authorFAISAL-CURY, Alexandre
dc.date.accessioned2015-04-22T22:15:37Z
dc.date.available2015-04-22T22:15:37Z
dc.date.issued2015
dc.description.abstractObjectives. Tobacco use during pregnancy is a global health concern. To date the majority of research originates in developed countries, thus we have a need to better understand factors related to maternal health in developing countries. We examine the prevalence and correlates of smoking by ethnicity in a sample of pregnant primary care patients in Sao Paulo, Brazil. Design. Data were obtained from completed surveys during perinatal care visits in primary care clinics. We examine a sample of 811 pregnant women surveyed during 20-30 weeks of pregnancy. Multiple logistic regression was used to obtain odds ratios (OR) and 95% confidence intervals (95% CI). Results. We found significant ethnic differences in smoking during pregnancy. Compared to White women, Black women were more likely to use tobacco during pregnancy (OR: 1.95; 95% CI: 1.16-3.27). In the fully adjusted model, when accounting for common mental disorders, differences in smoking during pregnancy by ethnicity remained (OR: 1.96; 95% CI: 1.14-3.36). Conclusions. There are ethnic differences in tobacco use during pregnancy. Clinical implications including universal screening for tobacco use during pregnancy and culturally relevant approaches to smoking cessation are suggested.
dc.description.indexMEDLINE
dc.description.sponsorshipNIMH NIH HHS
dc.description.sponsorshipNICHD NIH HHS
dc.description.sponsorshipFIC NIH HHS
dc.identifier.citationETHNICITY & HEALTH, v.20, n.2, p.209-217, 2015
dc.identifier.doi10.1080/13557858.2014.907390
dc.identifier.eissn1465-3419
dc.identifier.issn1355-7858
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/9044
dc.language.isoeng
dc.publisherROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
dc.relation.ispartofEthnicity & Health
dc.rightsrestrictedAccess
dc.rights.holderCopyright ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
dc.subjectskin colour
dc.subjectpregnancy
dc.subjectdisparity
dc.subjecttobacco use
dc.subjectBrazil
dc.subjectcommon mental disorders
dc.subjectsmoking
dc.subject.othermaternal smoking
dc.subject.othermental-disorders
dc.subject.otherwomen
dc.subject.otherprevalence
dc.subject.otheralcohol
dc.subject.otherhealth
dc.subject.otherdepression
dc.subject.otheroutcomes
dc.subject.othercity
dc.subject.wosEthnic Studies
dc.subject.wosPublic, Environmental & Occupational Health
dc.subject.wosMedical Ethics
dc.titleEthnic differences in tobacco use during pregnancy: findings from a primary care sample in Sao Paulo, Brazil
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalTABB, Karen Margaret:Univ Illinois, Sch Social Work, Urbana, IL 61801 USA
hcfmusp.author.externalHUANG, Hsiang:Harvard Univ, Sch Med, Dept Psychiat, Cambridge Hlth Alliance, Cambridge, MA 02138 USA
hcfmusp.author.externalSILVA, Gulnar Azevedo e:Univ Estado Rio De Janeiro, Inst Social Med, Dept Epidemiol, Rio De Janeiro, Brazil
hcfmusp.author.externalCHAN, Ya-Fen:Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
hcfmusp.citation.scopus7
hcfmusp.contributor.author-fmusphcPAULO ROSSI MENEZES
hcfmusp.contributor.author-fmusphcALEXANDRE FAISAL CURY
hcfmusp.description.beginpage209
hcfmusp.description.endpage217
hcfmusp.description.issue2
hcfmusp.description.volume20
hcfmusp.origemWOS
hcfmusp.origem.pubmed24739058
hcfmusp.origem.scopus2-s2.0-84920880467
hcfmusp.origem.wosWOS:000347521200007
hcfmusp.publisher.cityABINGDON
hcfmusp.publisher.countryENGLAND
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