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Smoking during pregnancy in Finland - Trends in the MATEX cohort.
Rumrich, Isabell K; Vähäkangas, Kirsi; Viluksela, Matti; Gissler, Mika; Surcel, Heljä-Marja; Korhonen, Antti; De Ruyter, Hanna; Hänninen, Otto.
Afiliación
  • Rumrich IK; University of Eastern Finland (UEF), Department of Environmental and Biological Sciences, Kuopio, Finland.
  • Vähäkangas K; National Institute for Health and Welfare (THL), Department of Public Health Solutions, Kuopio, Finland.
  • Viluksela M; University of Eastern Finland (UEF), School of Pharmacy/Toxicology, Kuopio, Finland.
  • Gissler M; University of Eastern Finland (UEF), Department of Environmental and Biological Sciences, Kuopio, Finland.
  • Surcel HM; University of Eastern Finland (UEF), School of Pharmacy/Toxicology, Kuopio, Finland.
  • Korhonen A; National Institute for Health and Welfare, Department of Information Services, Helsinki, Finland.
  • De Ruyter H; Karolinska Institute, Department of Neurobiology, Care Sciences and Society, Division of Family Medicine, Huddinge, Sweden.
  • Hänninen O; University of Oulu, Faculty of Medicine, Finland.
Scand J Public Health ; 47(8): 890-898, 2019 Dec.
Article en En | MEDLINE | ID: mdl-30328381
Aims: In Finland, smoking rates in the general population are decreasing due to increased awareness of the adverse effects and tightened tobacco legislation. However, previous studies have shown that smoking in pregnant Finnish women remained as high as in the general Finnish female population at around 15% in 2010. Our aim was to describe temporal and spatial trends in smoking behaviour, and determinants of changes in smoking behaviour between first and second pregnancy. Methods: Self-reported smoking from the Finnish Medical Birth Register covered the years 1991-2015 (N=1,435,009). The association of maternal age and socioeconomic status with smoking rate was analysed. Spatial trends were assessed at municipality level. Results: The overall smoking rate during early pregnancy remained fairly stable at around 15% from 1991 to 2015, but increased in teenage and young women below 25 years of age. The mean smoking rate (36%) was higher in these age groups than in older pregnant women (11%). Through the study period the smoking rate remained higher in blue collar workers compared with higher socioeconomic groups. Between the first and second child, on average only 4% of women started to smoke and 41% quitted. Smoking rates developed less favourably in Eastern Finland. Conclusions: The observed increase in smoking rate during pregnancy in teenage and young women is concerning. Pregnancy is a trigger point for smoking cessation in a big fraction of pregnant women. More studies are needed to explain the opposite trends of smoking rates in Northern and Western Finland compared with Eastern Finland.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fumar / Mujeres Embarazadas Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Scand J Public Health Asunto de la revista: MEDICINA SOCIAL / SAUDE PUBLICA Año: 2019 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Suecia
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fumar / Mujeres Embarazadas Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Scand J Public Health Asunto de la revista: MEDICINA SOCIAL / SAUDE PUBLICA Año: 2019 Tipo del documento: Article País de afiliación: Finlandia Pais de publicación: Suecia