142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Adolescent Pregnancy and Smoking in West Virginia: Pregnancy Risk Assessment Monitoring System (PRAMS) 2005-2010

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Halima Ahmadi-Montecalvo, MPH , Social and Behavioral Health Sciences, West Virginia University, School of Public Health, Morgantown, WV
Zelalem Haile, MPH , Department of Epidemiology, West Virginia University, Morgantown, WV
Amna Umer, BDS MPH , Department of Epidemiology West Virginia University School of Public Health, West Virginia University School of Public Health, morgantown, WV
Ilana R A Chertok, PhD, MSN, RN, IBCLC , School of Nursing, West Virginia University, Morgantown, WV
Background: Smoking during pregnancy is associated with deleterious pregnancy and infant birth outcomes including small for gestational age and low birth weight. While national prenatal smoking rates have declined, West Virginia remains a state with the highest rate of prenatal smoking in the nation. Smoking rates are even higher among pregnant adolescents in the state.

Objective: The purpose of this study was to examine the association between prenatal smoking and small for gestational age (SGA) infants among adolescent women in West Virginia, taking into account socio-demographic and health-related factors.

Methods: Secondary data analysis was conducted using the 2005-2010 West Virginia Pregnancy Risk Assessment and Monitoring Systems (WV PRAMS) weighted dataset. The study population using complete case analysis procedure consisted of 886 adolescent women ages 19 and younger who delivered a live singleton infant in West Virginia.

Results: The prevalence of smoking among adolescents during the last three months of pregnancy was 67%. Nearly a quarter (22.0%) of the adolescents had small for gestational age (SGA) infants. Results from the logistic regression analysis showed that after controlling for socio-demographic and health-related variables, adolescents who smoked during the last three months of pregnancy were more likely to have SGA infants than those who did not smoke during the last three months of pregnancy (OR=1.86, 95% CI: 1.06-3.27, p=0.0307).

Conclusion: This study highlights the importance of recognizing that prenatal smoking is an issue among West Virginia adolescents and the need for evidence-based, culturally, and developmentally appropriate interventions for this Appalachian population.

Learning Areas:

Public health or related research
Social and behavioral sciences

Learning Objectives:
Discuss scientific evidence on the adverse effects of prenatal smoking among adolescents in West Virginia. Discuss the association of prenatal smoking and SGA babies born to West Virginia adolescents Discuss the need for culturally appropriate interventions for this Appalachian population.

Keyword(s): Teen Pregnancy, Tobacco Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My MPH is in epidemiology and I am currently working on my PhD in Social and Behavioral Sciences with an emphasis in adolescent health.
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.