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AJPH First Look, published online ahead of print Jun 28, 2007
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American Journal of Public Health, 10.2105/AJPH.2006.102772

Research and Practice

Social Factors, Psychopathology, and Maternal Smoking During Pregnancy

Stephen E. Gilman 1*, Joshua Breslau 2, S.V. Subramanian 1, Brian Hitsman 3, Karestan C. Koenen 1

1 Harvard School of Public Health
2 Harvard Medical School
3 Brown University

* To whom correspondence should be addressed. E-mail: sgilman{at}hsph.harvard.edu.


  Abstract

We investigated the relative importance of sociodemographic factors and psychiatric disorders for smoking among 453 pregnant women in the National Epidemiological Survey on Alcohol and Related Conditions. Women with less than a high school education and those with current-year nicotine dependence had the highest risk of smoking (90.5%), compared with women with a college degree and without nicotine dependence (3.9%). More effective and accessible interventions for nicotine dependence among pregnant smokers are needed.

Key Words: Epidemiology, Maternal and Infant Health, Mental Health, Race/Ethnicity, Socioeconomic Factors, Tobacco




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