Examining the relationship between pregnancy and quitting use of tobacco products in a U.S. national sample of women of reproductive age

Allison N. Kurti, Ryan Redner, Janice Y. Bunn, Katherine Tang, Tyler Nighbor, Alexa A. Lopez, Diana R. Keith, Andrea C. Villanti, Cassandra A. Stanton, Diann E. Gaalema, Nathan J. Doogan, Antonio Cepeda-Benito, Megan E. Roberts, Julie Phillips, Maria A. Parker, Amanda J. Quisenberry, Stephen T. Higgins

Research output: Contribution to journalArticlepeer-review


This study examined quit rates longitudinally for cigarettes, e-cigarettes, hookah, cigars, and all tobacco products in a U.S. national sample of women aged 18–44 who completed both Wave 1 (W1) and Wave 2 (W2) of the Population Assessment of Tobacco and Health (PATH, 2013–2014, 2014–2015) study (N = 7814). Quit rates were examined among women who transitioned into pregnancy across survey waves, and among a comparable sample of non-pregnant women to provide contextual information about quitting among the broader population of reproductive-aged women. Multiple logistic regression modeling was used to estimate the associations of pregnancy and quitting adjusting for other demographic and psychosocial characteristics. Quit rates among women who were pregnant in W2 were highest for hookah (98.3%), followed by cigars (88.0%), e-cigarettes (81.3%), and lowest for tobacco cigarettes (53.4%). Slightly more than half (58.7%) of women reported quitting use all tobacco products while pregnant. Pregnancy was independently associated with increased odds of quitting hookah (AOR = 52.9, 95%CI = 3.4, 830.2), e-cigarettes (AOR = 21.0, 95%CI = 2.6, 170.3), all tobacco products (AOR = 9.6, 95%CI = 6.4, 14.5), and cigarettes (AOR = 6.5, 95%CI = 4.2, 10.1), although not cigars. Relative to other demographic and psychosocial characteristics, pregnancy was the strongest predictor of quitting use of each tobacco product. While these data indicate that pregnancy has strong, independent associations with quitting a variety of commercially available tobacco products, the comparatively lower quit rates for cigarettes versus other tobacco products underscores the long-standing need for more intensive, multipronged clinical and regulatory interventions to reduce cigarette use among reproductive-aged women.

Original languageEnglish (US)
Pages (from-to)52-60
Number of pages9
JournalPreventive Medicine
StatePublished - Dec 2018
Externally publishedYes


  • Cigarette smoking
  • Cigars
  • E-cigarette
  • Hookah
  • Nationally representative sample
  • Nicotine
  • Population Assessment of Tobacco and Health
  • Pregnancy
  • Quitting
  • Tobacco

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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