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Individual and Regional Characteristics Associated with Maternal Smoking During Pregnancy in Japan: Healthy Parents and Children 21

Author

Listed:
  • Tadao Ooka

    (Department of Health Sciences, University of Yamanashi, Yamanashi 409-3898, Japan)

  • Yuka Akiyama

    (Department of Health Sciences, University of Yamanashi, Yamanashi 409-3898, Japan)

  • Ryoji Shinohara

    (Department of Health Sciences, University of Yamanashi, Yamanashi 409-3898, Japan)

  • Hiroshi Yokomichi

    (Department of Health Sciences, University of Yamanashi, Yamanashi 409-3898, Japan)

  • Zentaro Yamagata

    (Department of Health Sciences, University of Yamanashi, Yamanashi 409-3898, Japan)

Abstract

Smoking during pregnancy causes various maternal and fetal health problems. Although there are considerable differences in maternal smoking proportions between localities, only a few studies have investigated the effects of regional characteristics on maternal smoking behavior. This study aimed to clarify the association between maternal smoking during pregnancy and individual and regional characteristics. We used data from a large nationwide birth cohort study in Japan that consisted of information on 20,267 women with children aged 3–4 months. The multilevel regression model was used to examine the association between smoking behavior during pregnancy and individual and regional characteristics. On multilevel analysis, late birth order, young age of the mother at birth, low birth weight, low economic status, husband’s smoking during pregnancy, maternal alcohol consumption during pregnancy, absence of a pregnancy counselor, and lack of participation in local events for childrearing were significantly associated with maternal smoking behavior during pregnancy at the individual level. Meanwhile, a high unemployment rate and a high number of nurseries were significantly associated with maternal smoking behavior during pregnancy at the regional level. In conclusion, we showed the relation between maternal smoking during pregnancy and the individual- and regional-level characteristics.

Suggested Citation

  • Tadao Ooka & Yuka Akiyama & Ryoji Shinohara & Hiroshi Yokomichi & Zentaro Yamagata, 2019. "Individual and Regional Characteristics Associated with Maternal Smoking During Pregnancy in Japan: Healthy Parents and Children 21," IJERPH, MDPI, vol. 17(1), pages 1-20, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:173-:d:301962
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    References listed on IDEAS

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    1. Łukasz Balwicki & M. Zarzeczna-Baran & Ł. Wierucki & T. Jędrzejczyk & M. Strahl & M. Wrotkowska & M. Goniewicz & T. Zdrojewski, 2016. "Smoking among pregnant women in small towns in Poland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(1), pages 111-118, January.
    2. Anne Mette Bender & Ichiro Kawachi & Torben Jørgensen & Charlotta Pisinger, 2015. "Neighborhood Deprivation Is Strongly Associated with Participation in a Population-Based Health Check," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-10, June.
    3. Qing Wang & Jay J. Shen & Chris Cochran, 2016. "Unemployment Rate, Smoking in China: Are They Related?," IJERPH, MDPI, vol. 13(1), pages 1-12, January.
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