title: Understanding sociodemographic and sociocultural factors that characterize tobacco use and cessation during pregnancy among women in the Dominican Republic.
abstract: Tobacco use and exposure are serious public health problems that threaten to undermine improvements in maternal and child health, and add to already existing poor pregnancy outcomes in many low- and middle-income countries. The purpose of this study is to explore factors that characterize tobacco use and cessation during pregnancy among women in the Dominican Republic. This study was part of a larger trial and includes a sample of women who participated in baseline surveillance and community assessments (n = 613). Descriptive, bivariate, and multivariable analyses were conducted. Overall, 93.31 % (n = 572) of women experienced a past/current pregnancy and 22.44 % (n = 127) smoked during a past or current pregnancy. Among women who had smoked, 34.13 % (n = 43) stopped smoking due to a pregnancy, and 46.03 % (n = 58) were advised by a health care provider to quit smoking because of pregnancy. Women who were older, Catholic, and had a mother who used tobacco were three times more likely to smoke during a past or current pregnancy. Inability to read or write was also significantly associated with smoking during pregnancy. Women who were able to read and write and were from a tobacco growing community were three times more likely to quit smoking during pregnancy. This study provides a preliminary understanding of factors influencing tobacco use and cessation among pregnant women in the Dominican Republic. It also informs a critical area for public health research and intervention, indicating opportunities to engage the health care provider community in intervening with pregnant women and their families.
authors.affiliation: Department of Health Education and Promotion, East Carolina University, 3202 Belk Building, Greenville, NC, 27858, USA, Torrese@ecu.edu.
authors.forename: Essie T
authors.initials: ET
authors.lastname: Torres
authors.forename: Joseph
authors.initials: J
authors.lastname: Guido
authors.forename: Zahira Quiñones
authors.initials: ZQ
authors.lastname: de Monegro
authors.forename: Sergio
authors.initials: S
authors.lastname: Diaz
authors.forename: Ann M
authors.initials: AM
authors.lastname: Dozier
authors.forename: Scott
authors.initials: S
authors.lastname: McInstosh
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Ossip
mesh_terms: D000293:Adolescent; D000328:Adult; D003469:Culture; D004293:Dominican Republic / Q000453:epidemiology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D011203:Poverty; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000523:psychology; D011256:Pregnancy Outcome; D037841:Pregnant People / Q000523:psychology*; D012907:Smoking / Q000453:epidemiology / Q000208:ethnology* / Q000523:psychology; D016540:Smoking Cessation / Q000208:ethnology*; D012931:Social Environment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D064424:Tobacco Use / Q000208:ethnology*; D035862:Vulnerable Populations
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