Patterns of combustible and electronic cigarette use during pregnancy and associated pregnancy outcomes

Abstract Although pregnant smokers may perceive electronic cigarettes (e-cigarettes) as safe alternatives to smoking combustible cigarettes, few studies have evaluated perinatal e-cigarette use and its associated health effects. We analyzed data from the Pregnancy Risk Assessment Monitoring System (...

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Autores principales:	Annette K. Regan, Gavin Pereira
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c7e122f628d34a00a33c1830c946702e
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spelling	oai:doaj.org-article:c7e122f628d34a00a33c1830c946702e2021-12-02T18:18:33ZPatterns of combustible and electronic cigarette use during pregnancy and associated pregnancy outcomes10.1038/s41598-021-92930-52045-2322https://doaj.org/article/c7e122f628d34a00a33c1830c946702e2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92930-5https://doaj.org/toc/2045-2322Abstract Although pregnant smokers may perceive electronic cigarettes (e-cigarettes) as safe alternatives to smoking combustible cigarettes, few studies have evaluated perinatal e-cigarette use and its associated health effects. We analyzed data from the Pregnancy Risk Assessment Monitoring System (PRAMS, 2016–2018) for 16,022 women who recently gave birth and reported smoking combustible cigarettes prior to pregnancy. Using average marginal predictive values from multivariable logistic regression to produce adjusted prevalence ratios (aPRs), we estimated the prevalence of combustible cigarette smoking during pregnancy and adverse birth outcomes associated with e-cigarette use. In total, 14.8% of smoking women reported using e-cigarettes prior to pregnancy. There was no association between e-cigarette use prior to pregnancy and combustible cigarette smoking during pregnancy (aPR 0.95; 95% CI 0.88, 1.02); however, e-cigarette use during pregnancy was associated with higher prevalence of combustible cigarette smoking during pregnancy (aPR 1.65; 95% CI 1.52, 1.80). In this sample, we did not observe evidence to support reduced risk of preterm birth, small-for-gestational age and low birthweight compared to combustible cigarette smoking during pregnancy. The prevalence of LBW was higher for those who used e-cigarettes, even exclusively, compared to women who quit smoking cigarettes entirely. These results suggest that e-cigarettes should not be considered a safe alternative to combustible cigarette smoking during pregnancy.Annette K. ReganGavin PereiraNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Annette K. Regan Gavin Pereira Patterns of combustible and electronic cigarette use during pregnancy and associated pregnancy outcomes
description	Abstract Although pregnant smokers may perceive electronic cigarettes (e-cigarettes) as safe alternatives to smoking combustible cigarettes, few studies have evaluated perinatal e-cigarette use and its associated health effects. We analyzed data from the Pregnancy Risk Assessment Monitoring System (PRAMS, 2016–2018) for 16,022 women who recently gave birth and reported smoking combustible cigarettes prior to pregnancy. Using average marginal predictive values from multivariable logistic regression to produce adjusted prevalence ratios (aPRs), we estimated the prevalence of combustible cigarette smoking during pregnancy and adverse birth outcomes associated with e-cigarette use. In total, 14.8% of smoking women reported using e-cigarettes prior to pregnancy. There was no association between e-cigarette use prior to pregnancy and combustible cigarette smoking during pregnancy (aPR 0.95; 95% CI 0.88, 1.02); however, e-cigarette use during pregnancy was associated with higher prevalence of combustible cigarette smoking during pregnancy (aPR 1.65; 95% CI 1.52, 1.80). In this sample, we did not observe evidence to support reduced risk of preterm birth, small-for-gestational age and low birthweight compared to combustible cigarette smoking during pregnancy. The prevalence of LBW was higher for those who used e-cigarettes, even exclusively, compared to women who quit smoking cigarettes entirely. These results suggest that e-cigarettes should not be considered a safe alternative to combustible cigarette smoking during pregnancy.
format	article
author	Annette K. Regan Gavin Pereira
author_facet	Annette K. Regan Gavin Pereira
author_sort	Annette K. Regan
title	Patterns of combustible and electronic cigarette use during pregnancy and associated pregnancy outcomes
title_short	Patterns of combustible and electronic cigarette use during pregnancy and associated pregnancy outcomes
title_full	Patterns of combustible and electronic cigarette use during pregnancy and associated pregnancy outcomes
title_fullStr	Patterns of combustible and electronic cigarette use during pregnancy and associated pregnancy outcomes
title_full_unstemmed	Patterns of combustible and electronic cigarette use during pregnancy and associated pregnancy outcomes
title_sort	patterns of combustible and electronic cigarette use during pregnancy and associated pregnancy outcomes
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/c7e122f628d34a00a33c1830c946702e
work_keys_str_mv	AT annettekregan patternsofcombustibleandelectroniccigaretteuseduringpregnancyandassociatedpregnancyoutcomes AT gavinpereira patternsofcombustibleandelectroniccigaretteuseduringpregnancyandassociatedpregnancyoutcomes
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Patterns of combustible and electronic cigarette use during pregnancy and associated pregnancy outcomes

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