title: Adolescent Pregnancy and Smoking in West Virginia: Pregnancy Risk Assessment Monitoring System (PRAMS) 2005-2010.
abstract: 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 sociodemographic and health-related factors. Methods Secondary data analysis was conducted using the 2005-2010 West Virginia Pregnancy Risk Assessment and Monitoring Systems 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 3 months of pregnancy was 67 %. Nearly a quarter (22.0 %) of the adolescents gave birth to SGA infants. Results from the logistic regression analysis showed that after controlling for sociodemographic and health-related variables, adolescents who smoked during the last 3 months of pregnancy were more likely to have SGA infants than those who did not smoke during the last 3 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.
authors.affiliation: Department of Social and Behavioral Sciences, Robert C. Byrd Health Sciences Center, West Virginia University School of Public Health, 1 Medical Center Drive, PO Box 9190, Morgantown, WV, 26505-9190, USA. haahmadi@mix.wvu.edu.
authors.forename: Halima
authors.initials: H
authors.lastname: Ahmadi-Montecalvo
authors.affiliation: Department of Social Medicine, Ohio University Heritage College of Osteopathic Medicine, Dublin, OH, 43016, USA.
authors.forename: Zelalem Teka
authors.initials: ZT
authors.lastname: Haile
authors.affiliation: Department of Pediatrics, West Virginia University School of Medicine, 1 Medical Center Drive, PO Box 9190, Morgantown, WV, 26505-9190, USA.
authors.forename: Amna
authors.initials: A
authors.lastname: Umer
authors.affiliation: Department of Nursing, College of Health Sciences and Professions, Ohio University, Athens, OH, 45701, USA.
authors.forename: Ilana R Azulay
authors.initials: IR
authors.lastname: Chertok
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006801:Humans; D007223:Infant; D007236:Infant, Small for Gestational Age; D011159:Population Surveillance / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D011253:Pregnancy in Adolescence; D015995:Prevalence; D018570:Risk Assessment; D012907:Smoking / Q000009:adverse effects / Q000453:epidemiology*; D014903:West Virginia / Q000453:epidemiology; D055815:Young Adult
keywords: Adolescent birth rate; Adolescent pregnancy; Appalachia; PRAMS; Prenatal smoking; Tobacco use