title: Pregnant women's secondhand smoke exposure and receipt of screening and brief advice by prenatal care providers in Argentina and Uruguay.
abstract: Secondhand smoke (SHS) exposure has negative effects on maternal and infant health. SHS exposure among pregnant women in Argentina and Uruguay has not been previously described, nor has the proportion of those who have received screening and advice to avoid SHS during prenatal care. Women who attended one of 21 clusters of publicly-funded prenatal care clinics were interviewed regarding SHS exposure during pregnancy at their delivery hospitalization during 2011-2012. Analyses were conducted using SURVEYFREQ procedure in SAS version 9.3 to account for prenatal clinic clusters. Of 3,427 pregnant women, 43.4 % had a partner who smoked, 52.3 % lived with household members who smoked cigarettes, and 34.4 % had no or partial smoke-free home rule. Of 528 pregnant women who worked outside of the home, 21.6 % reported past month SHS exposure at work and 38.1 % reported no or partial smoke-free work policy. Overall, 35.9 % of women were exposed to SHS at home or work. In at least one prenatal care visit, 67.2 % of women were screened for SHS exposure, and 56.6 % received advice to avoid SHS. Also, 52.6 % of women always avoided SHS for their unborn baby's health. In summary, a third of pregnant women attending publicly-funded prenatal clinics were exposed to SHS, and only half of pregnant women always avoided SHS for their unborn baby's health. Provider screening and advice rates can be improved in these prenatal care settings, as all pregnant women should be screened and advised of the harms of SHS and how to avoid it.
authors.affiliation: Division of Reproductive Health/NCCDPHP, Centers for Disease Control and Prevention, 4770 Buford Hwy, NE, MS-F74, Atlanta, GA, 30341, USA, vtong@cdc.gov.
authors.forename: Van T
authors.initials: VT
authors.lastname: Tong
authors.forename: Paola
authors.initials: P
authors.lastname: Morello
authors.forename: Alicia
authors.initials: A
authors.lastname: Alemán
authors.forename: Carolyn
authors.initials: C
authors.lastname: Johnson
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Dietz
authors.forename: Sherry L
authors.initials: SL
authors.lastname: Farr
authors.forename: Agustina
authors.initials: A
authors.lastname: Mazzoni
authors.forename: Mabel
authors.initials: M
authors.lastname: Berrueta
authors.forename: Mercedes
authors.initials: M
authors.lastname: Colomar
authors.forename: Alvaro
authors.initials: A
authors.lastname: Ciganda
authors.forename: Ana
authors.initials: A
authors.lastname: Becú
authors.forename: Maria G
authors.initials: MG
authors.lastname: Bittar Gonzalez
authors.forename: Laura
authors.initials: L
authors.lastname: Llambi
authors.forename: Luz
authors.initials: L
authors.lastname: Gibbons
authors.forename: Ruben A
authors.initials: RA
authors.lastname: Smith
authors.forename: Pierre
authors.initials: P
authors.lastname: Buekens
authors.forename: José M
authors.initials: JM
authors.lastname: Belizán
authors.forename: Fernando
authors.initials: F
authors.lastname: Althabe
mesh_terms: D000293:Adolescent; D000328:Adult; D001118:Argentina / Q000453:epidemiology; D004522:Educational Status; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D012907:Smoking / Q000453:epidemiology; D000074606:Smoking Prevention; D014028:Tobacco Smoke Pollution / Q000517:prevention & control / Q000706:statistics & numerical data*; D014583:Uruguay / Q000453:epidemiology; D055815:Young Adult
chemical_list: D014028:Tobacco Smoke Pollution