Are time-trends of smoking among pregnant immigrant women in Sweden determined by cultural or socioeconomic factors?

Moussa, Kontie M.; Ostergren, P.-O.; Eek, Frida; Kunst, Anton E.
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p374
Academic Journal
Background: The widening socioeconomic gap in smoking during pregnancy remains a challenge to the Swedish antenatal care services. However, the influence of cultural factors in explaining the socioeconomic differences in smoking during pregnancy is not clear among the immigrant women. The aim of this study was to investigate whether the development of smoking prevalence among pregnant immigrant women in Sweden followed the trajectory which could be expected from the stages of the global smoking epidemic model in the women's countries of origin, or not. Methods: Delivery data on pregnancies in Sweden from 1982 to 2001 was collected from the Swedish Medical Birth Registry. From a total of 2,224,469 pregnant women during this period, all immigrant pregnant women (n = 234,731) were selected to this study. A logistic regression analysis and attributable fraction were used to investigate the association between smoking during pregnancy and the socioeconomic differences among immigrant women. Results: Overall, the prevalence of smoking among pregnant immigrant women decreased from 30.3% in 1982 to 11.0% in 2001, albeit with remarkable differences between educational levels and country of origin. The greatest decline of absolute prevalence was recorded among low educated women (27,9%) and among other Nordic countries (17,9%). In relative terms, smoking inequalities increased between educational levels regardless of country of origin. The odds ratios for low educational level for women from other Nordic countries increased from 4.9 (95% CI 4.4-5.4) in 1982 to 13.4 (95% CI 11.2-16.2) in 2001, as compared to women with high education in the same group. Further, the total attributable fraction for educational difference increased from 55% in 1982 to 62% in 2001, demonstrating the strong effect of educational attainment. Conclusions: Our hypothesis that the socioeconomic time trend of smoking based on the stage of the world wide tobacco epidemic model related to country of origin of the immigrant women was not supported by our analyses. Our findings does not support a call for specific "culture sensitive" antismoking policies or interventions in Sweden or similar countries, but reinforce the existing evidence with a focus on women with a low educational level, regardless of cultural background.


Related Articles

  • Economic status of mothers key to infants' survival chances.  // Nursing Standard;11/11/2009, Vol. 24 Issue 10, p14 

    The article discusses research conducted by researchers in Great Britain showing that socioeconomic inequalities and smoking play a role in increasing the incidence of stillbirth and infant death. The researchers noted that while encouraging smoking cessation is an important health intervention,...

  • Angelic helpers. Hughes, Mariann // Our Sunday Visitor; 

    The article focuses on the ministry of the Gabriel Network of Maryland and Washington, D.C. that provides material, physical, spiritual and emotional support to women facing a crisis pregnancy.

  • Smoking During Pregnancy Among Turkish Immigrants in Germany--Are There Associations With Acculturation? Reiss, Katharina; Breckenkamp, J├╝rgen; Borde, Theda; Brenne, Silke; David, Matthias; Razum, Oliver // Nicotine & Tobacco Research;Jun2015, Vol. 17 Issue 6, p643 

    Introduction: We analyzed the association between different acculturation measures and smoking among pregnant immigrant women from Turkey and compared smoking rates between Turkish and German women. Methods: Perinatal data from a project on the influence of migration and acculturation on...

  • Baby boom continues while Indigenous women mother earlier.  // Queensland Nurse;Feb2010, Vol. 29 Issue 1, p7 

    The article focuses on the "Australia's Mothers and Babies Report 2007" which shows data on pregnancy and birth in Australia. According to the report, the baby boom continues to grow with 12, 000 recorded births in 2007 which is higher compared to 2006 and 2004. It also mentions that the average...

  • Sociodemographic Characteristics of Pregnant Women Exposed to Domestic Violence During Pregnancy in an Iranian Setting. Hajikhani Golchin, Nayereh Azam; Hamzehgardeshi, Zeinab; Hamzehgardeshi, Leila; Ahoodashti, Mahboobeh Shirzad // Iranian Red Crescent Medical Journal;Apr2014, Vol. 16 Issue 4, p1 

    Background: Domestic violence refers to any type of physical, sexual, and psychological abuse enforced in the setting of familial relationships. Domestic violence has a significant relationship with poor outcome among pregnant women. Success in resolving this social phenomenon rests on accurate...

  • A teacher and her students.  // National Catholic Reporter;7/9/2010, Vol. 46 Issue 19, p3a 

    The article offers insights from religious women of the Institute Mater Dei about the social conditions of women in India. Sister Gretta D'Souza mentions that the women of the church know the words of Christ but have not taken them into their hearts. Sister Valsa Thekkan states that they work a...

  • Effects of domestic violence on pregnancy outcome.  // American Family Physician;11/1/1994, Vol. 50 Issue 6, p1356 

    Investigates whether physical assault is independently associated with an adverse obstetric outcome as reported in `American Journal of Obstetrics and Gynecology,' June 1994. Case study of 512 woman with history of assault during pregnancy; Preterm labor; Analysis of the perinatal effects...

  • Stop the conflicting advice over childbirth -- leave the black-and-white thinking to pandas. Elmhirst, Sophie // New Statesman;6/28/2013, Vol. 142 Issue 5164, p62 

    The article presents a personal narrative on the author's experience of pregnancy and unsolicited advice, with a focus on news reports of substances for pregnant women to avoid, privacy and the social aspects of pregnancy, and the birth of twin cubs to a giant panda named Haizi.

  • THE BUMP SUM. Jenkins, Alison // Nursing Standard;5/3/2006, Vol. 20 Issue 34, p64 

    The article explores on the common concerns faced by expectant parents. The author suggests some ways on how their pregnancy would not affect their career. She examines the rights and provisions of pregnant women. She explains the benefits that the pregnant women may acquire from their...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics