title: Prevalence and predictors of smoking and quitting during pregnancy in Serbia: results of a nationally representative survey.
abstract: OBJECTIVE
  Middle- and low-income countries rarely have national surveillance data on smoking in pregnancy. This nationwide population-representative survey investigated pre- and post-partum smoking and their predictors in Serbia.
  
  
  METHODS
  Using stratified two-stage random cluster sampling, 2,721 women in 66 health care centres were interviewed at 3 and 6 months post-partum.
  
  
  RESULTS
  37.2% of women smoked at some point in pregnancy (average 8.8 cigarettes/per day). Smoking at pregnancy onset and during pregnancy was associated with smoking by others in the home and lower education and family socio-economic status. Almost a quarter of women (23.2%) who quit smoking during pregnancy did not relapse 6 months post-partum. Older women, primiparae, university students and white-collar workers were more likely to successfully quit smoking. More than a half of women were exposed to SHS in their homes (57.6%) and 84.6% allowed smoking in their homes.
  
  
  CONCLUSIONS
  Smoking during pregnancy in Serbia was two- to threefold higher than in the most affluent western countries. Target groups for action are women with lower education and socio-economic status, as well as health professionals and family members who smoke.
authors.affiliation: Serbian Institute of Occupational Health Dr. Dragomir Karajovic, Deligradska 29, 11000 Belgrade, Serbia. srmena@sbb.rs
authors.forename: Srmena
authors.initials: S
authors.lastname: Krstev
authors.forename: Jelena
authors.initials: J
authors.lastname: Marinković
authors.forename: Snežana
authors.initials: S
authors.lastname: Simić
authors.forename: Nikola
authors.initials: N
authors.lastname: Kocev
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Bondy
mesh_terms: D000328:Adult; D016000:Cluster Analysis; D005260:Female; D006306:Health Surveys; D006801:Humans; D058725:Peripartum Period; D049590:Postpartum Period; D011247:Pregnancy; D015995:Prevalence; D015203:Reproducibility of Results; D012189:Retrospective Studies; D057566:Self Report; D055771:Serbia / Q000453:epidemiology; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D012923:Social Class