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  • Title: Smoking among mothers of a Pacific Island birth cohort in New Zealand: associated factors.
    Author: Butler S, Williams M, Paterson J, Tukuitonga C.
    Journal: N Z Med J; 2004 Nov 26; 117(1206):U1171. PubMed ID: 15570340.
    Abstract:
    AIMS: The present study investigated (among mothers of a Pacific Island birth cohort) the rates of smoking before, during, and after pregnancy as well as factors predictive of smoking during pregnancy. METHODS: Data were gathered as part of the Pacific Islands Families (PIF) Study. In this study, mothers of a cohort of 1398 Pacific infants born in Middlemore Hospital, Auckland during 2000 were interviewed when their infants were 6 weeks old. Mothers were questioned about their maternal health, and lifestyle behaviours such as cigarette smoking. Additional data were obtained from hospital records. Analyses focused on 1365 biological mothers. RESULTS: Overall, 339 (approximately one-quarter) of the mothers reported smoking during pregnancy. 331 (76.1%) of the 435 smokers (before pregnancy) continued to smoke during pregnancy, and eight mothers commenced smoking once pregnant. Smoking rates for each trimester were 23.7% in the first, 21.0% in the second, and 20.4% in the third trimester of pregnancy, respectively. Multivariate analyses showed that smoking was significantly associated with several factors, including indicators of disadvantage and degree of westernisation. CONCLUSIONS: Greater efforts are needed to reduce smoking during pregnancy among Pacific women. Findings can be used to inform public health policy and smoking cessation programmes for Pacific families.
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