title: Predictors of prenatal smoking and attempted smoking cessation during pregnancy: a community-based study of Romani women in Southeastern Europe.
abstract: The objective of this study was to examine predictors of prenatal smoking, and attempted smoking cessation during pregnancy among Romani women.
  
  
  
  A community-based, cross-sectional study (November 2012 to February 2013) of 410 Romani women in Roma settlements in Serbia and Macedonia was conducted. Logistic regression was used to identify predictors of prenatal smoking and attempted smoking cessation during pregnancy.
  
  
  
  Romani women older than 30 years and those who were living with a man were over twice as likely (adjusted odds ratio (aOR) 2.48, 95% confidence interval (CI) 1.12-5.46; aOR 2.09, 95% CI 1.27-3.43) to smoke during pregnancy, compared to women <20 and married women, respectively. An inverse relationship between education and prenatal smoking was observed (for primary education versus no education, aOR 0.56, 95% CI 0.32-0.98; for secondary or higher education versus no education, aOR 0.38, 95% CI 0.16-0.90). Having a husband/partner who smokes was associated with significantly increased likelihood of prenatal smoking (aOR 3.71, 95% CI 2.20-6.25) and decreased likelihood of attempting to quit (aOR 0.51, 95% CI 0.24-1.06).
  
  
  
  Culturally sensitive and comprehensive prevention strategies and intervention programs are needed to reduce smoking during pregnancy among Romani women, including interventions targeting male partners.
authors.affiliation: Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Dr Subotica 15, 11000 Belgrade, Serbia.
authors.forename: Janko
authors.initials: J
authors.lastname: Jankovic
authors.affiliation: Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Dr Subotica 15, 11000 Belgrade, Serbia.
authors.forename: Zeljka
authors.initials: Z
authors.lastname: Stamenkovic
authors.affiliation: Center for Regional Policy Research and Cooperation, Studiorum, Nikola Parapunov br. 41, PO Box 24, 1020 Skopje, Macedonia.
authors.forename: Kristefer
authors.initials: K
authors.lastname: Stojanovski
authors.affiliation: Department of Psychology, Queens College and The Graduate Center, City University of New York (CUNY), 65-30 Kissena Boulevard, Queens, NY 11367, USA.|Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
authors.forename: Renee D
authors.initials: RD
authors.lastname: Goodwin
authors.affiliation: Department of Population Health Science and Health Policy, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, New York, NY 10029, USA.
authors.forename: Teresa
authors.initials: T
authors.lastname: Janevic
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000523:psychology; D018843:Republic of North Macedonia / Q000453:epidemiology; D006178:Romani People / Q000523:psychology* / Q000706:statistics & numerical data; D055771:Serbia / Q000453:epidemiology; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Roma minority; pregnancy; smoking cessation; smoking prevalence; socioeconomic inequalities