224593 An epidemiological survey to identify at risk groups of Polish women who smoked before and during pregnancy

Sunday, November 7, 2010

Przemyslaw Bilinski, MD, PhD , Chief Sanitary Inspectorate, Institute of Haematology and Transfusion Medicine, Warsaw, Poland
Andrzej Wojtyla, MD PhD , Director, Institute of Agricultural Medicine Lublin, Lublin, Poland
Piotr Holownia, PhD , Advisor, Chief Sanitary Inspectorate, Warsaw, Poland
Witold Zatonski, Prof , Marie Curie Cancer Institute, Warsaw, Poland
Peter Boyle, BSc PhD DSc(Med) DSc(hc) FRSE FFPH FRCPS(Glas) FRCP(Edin) FMedSci , International Prevention Research Institute, Lyon, France
  
An extensive lifestyle survey was conducted on post-partum mothers throughout Poland in 382 maternity hospitals before and during pregnancy regarding smoking. The study being part of the EU's ‘Warsaw Declaration' policy of removing health disparities in Europe undertaken by the Polish State Sanitary Inspectorate. Questionnaires were based on the PRAMS-CDC model and completed by 2280 women during 24 hours. Clinical data on the pregnancy was also included. Results were evaluated by Chi-squared (P<0.05) and Cramer's V. Overall, half the women studied had smoked sometime in life, 62% smoked in the last 2 years with 60% smoking daily. Findings showed that women smokers (41%) did not limit smoking when pregnancy was confirmed late (>10 weeks) compared to confirmation at 1-4 weeks (19%); the former group showing the highest non-awareness that smoking is harmful (7.3%) compared to others (<3%). The smallest number of women in their 1st pregnancy that smoked daily in last 2 years were also observed (56%) compared to 2nd (62%), 3rd (60%) & >3 (79%) pregnancies; the former also showing the greatest tendency to limit their smoking during pregnancy (28%) compared to others at 14-16%. Women smoking daily or those exposed to passive home smoking, more frequently admitted to; a) continuing smoking during pregnancy (14%) than those not smoking daily (<5%) and; b) attempting cessation (50%) compared to 25% where nobody smoked at home. In the latter case the highest number (88%) claimed to have limited their smoking. Pin-pointed areas will be duly targeted in a major educational campaign.

Learning Areas:
Epidemiology
Public health or related research

Learning Objectives:
Identify problem groups of post-partum women and discuss results from a comprehensive national survey in Poland on smoking behaviour before and during pregnancy. Thus allowing the now defined areas of concern to be educationally targeted.

Keywords: Maternal and Child Health, Smoking

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because of the following: Education 1976 -1980 W. Broniewski High School, Belchatow, passed final exams, 1980-1986 Medical University of Lodz, M.D. medical diploma, 1987-1988 Medical University of Lodz – Training Centre for Academic Personnel 1990 II Clinic of Internal Medicine at the Medical University of Lodz; 1st degree specialization in internal medicine, 1995 Institute of Endocrinology, Lodz Medical University; 2nd degree specialization in internal medicine; PhD in Endocrinology, 1995 European Federation of Endocrine Societies, Switzerland, Geneva 2nd EFES Postgraduate Clinical Endocrinology Course, 1996 European Federation of Endocrine Societies, Italy, Turin 3rd EFES Postgraduate Clinical Endocrinology Course, 1997 European Federation of Endocrine Societies, Poland, Pultusk 4th EFES Postgraduate Clinical Endocrinology Course, 1998- Project HOPE Poland, Cracow 1999 Managerial Personnel for Health Protection in Poland, 1999 Institute of Endocrinology at the Medical University of Lodz; 2nd degree specialization in endocrinology, 2001 National School of Public Administration in Warsaw; Strategic Management, Negotiations, Macroeconomics, 2002 National Defence University, Warsaw Advanced Defence Course, 2004 National Institute of Hygiene – National Centre for Disease Prevention and Control, Warsaw; 2nd degree specialization in public health. Professional experience; 2006 Deputy Chief Sanitary Inspector, 1997-2006 Ministry of Health, Warsaw Deputy Director and Director of the Department of Science and Higher Education, 2004-2005 Institute of Hemathology and Transfusiology in Warsaw, Head of Daycare Unit and Consultant in Endocrinology, 2002-2004 National Institute of Hygiene, Warsaw Deputy Director of National Centre for Disease Prevention and Control, 1997-2003 Teaching Hospital N°3 of Medical University of Lodz, Deputy Head of Regional Centre for Osteoporosis and Menopause, 1990-1997 Teaching Hospital N°3 of Medical University of Lodz, Assistant in the Department of Thyroidology in the Institute of Endocrinology at the Medical University of Lodz, 1992-2001 Teaching Hospital N°3 of Medical University of Lodz, Director of the Prof. T. Pawlikowski Endocrine Research Foundation, 1986-1990 M. Kopernik Regional Specialist Hospital in Lodz Assistant in the II Clinic of Internal Medicine at the Medical University of Lodz. Membership in professional organisations; Polish Society for Endocrinology, Polish Society of Haematology and Transfusion Medicine, Polish Society of Internal Medicine, International Menopause Society. Awards Polish Silver Cross of Merit, Award for “Exemplary involvement in the area of Health Services”, Bronze Medal for Merit for Country Defence, An order of merit awarded by Medical University of Lodz, Jagiellonian University Medal issued at the occasion of 600 anniversary of the University. Golden Award of the Student’s Scientific Society.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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