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Tobacco Use and Secondhand Smoke Exposure During Pregnancy: An Investigative Survey of Women in 9 Developing Nations

2008; American Public Health Association; Volume: 98; Issue: 10 Linguagem: Inglês

10.2105/ajph.2007.117887

1541-0048

Michele Bloch, Fernando Althabe, Marie Onyamboko, Christine Kaseba-Sata, Eduardo E. Castilla, Sálvio Freire, Ana L. Garcés, Sailajanandan Parida, Shivaprasad S. Goudar, Muhammad Masood Kadir, Norman Goco, Jutta Thornberry, Magdalena Daniels, Janet Bartz, Tyler Hartwell, Nancy Moss, Robert L. Goldenberg,

Breastfeeding Practices and Influences

We examined pregnant women's use of cigarettes and other tobacco products and the exposure of pregnant women and their young children to secondhand smoke (SHS) in 9 nations in Latin America, Asia, and Africa.Face-to-face surveys were administered to 7961 pregnant women (more than 700 per site) between October 2004 and September 2005.At all Latin American sites, pregnant women commonly reported that they had ever tried cigarette smoking (range: 78.3% [Uruguay] to 35.0% [Guatemala]). The highest levels of current smoking were found in Uruguay (18.3%), Argentina (10.3%), and Brazil (6.1%). Experimentation with smokeless tobacco occurred in the Democratic Republic of the Congo and India; one third of all respondents in Orissa, India, were current smokeless tobacco users. SHS exposure was common: between 91.6% (Pakistan) and 17.1% (Democratic Republic of the Congo) of pregnant women reported that smoking was permitted in their home.Pregnant women's tobacco use and SHS exposure are current or emerging problems in several low- and middle-income nations, jeopardizing ongoing efforts to improve maternal and child health.