Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPTABB, Karen MargaretHUANG, HsiangMENEZES, Paulo RossiSILVA, Gulnar Azevedo eCHAN, Ya-FenFAISAL-CURY, Alexandre2015-04-222015-04-222015ETHNICITY & HEALTH, v.20, n.2, p.209-217, 20151355-7858https://observatorio.fm.usp.br/handle/OPI/9044Objectives. 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.engrestrictedAccessskin colourpregnancydisparitytobacco useBrazilcommon mental disorderssmokingmaternal smokingmental-disorderswomenprevalencealcoholhealthdepressionoutcomescityarticleCopyright ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD10.1080/13557858.2014.907390Ethnic StudiesPublic, Environmental & Occupational HealthMedical Ethics1465-3419