Tobacco and nicotine delivery product use in a national sample of pregnant women

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

Research output: Contribution to journalArticlepeer-review


Monitoring use of tobacco products among pregnant women is a public health priority, yet few studies in U.S. national samples have been reported on this topic. We examined prevalence and correlates of using cigarettes, e-cigarettes, and other tobacco/nicotine delivery products in a U.S. national sample of pregnant women. Data were obtained from all pregnant women (≥ 18 years) in the first wave of the Population Assessment of Tobacco and Health (PATH, 2013–2014) Study (N = 388). Prevalence of current and prior use of tobacco/nicotine products was examined overall and among current cigarette smokers. Multiple logistic regression was used to examine correlates of use of cigarettes, e-cigarettes, hookah and cigars. Overall prevalence was highest for cigarettes (13.8%), followed by e-cigarettes (4.9%), hookah (2.5%) and cigars (2.3%), and below 1% for all other products. Prevalence of using other tobacco products is much higher among current smokers than the general population, with e-cigarettes (28.5%) most prevalent followed by cigars (14.0%), hookah (12.4%), smokeless (4.7%), snus (4.6%), and pipes (2.1%). Sociodemographic characteristics (poverty, low educational attainment, White race) and past-year externalizing psychiatric symptoms were correlated with current cigarette smoking. In turn, current cigarette smoking and past year illicit drug use were correlated with using e-cigarettes, hookah, and cigars. These results underscore that tobacco/nicotine use during pregnancy extends beyond cigarettes. The results also suggest that use of these other products should be included in routine clinical screening on tobacco use, and the need for more intensive tobacco control and regulatory strategies targeting pregnant women.

Original languageEnglish (US)
Pages (from-to)50-56
Number of pages7
JournalPreventive Medicine
StatePublished - Nov 2017
Externally publishedYes


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

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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