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Association between Self-Reported Survey Measures and Biomarkers of Second-Hand Tobacco Smoke Exposure in Non-Smoking Pregnant Women

Author

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  • Meiman Maggie Chen

    (Department of Nursing and Graduate Institute of Nursing, College of Nursing, Chang Gung University of Science and Technology (CGUST), Puzi City 613016, Taiwan
    Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology (CGUST), Puzi City 613016, Taiwan
    Authors contributed equally to this work.)

  • Su-Er Guo

    (Department of Nursing and Graduate Institute of Nursing, College of Nursing, Chang Gung University of Science and Technology (CGUST), Puzi City 613016, Taiwan
    Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology (CGUST), Puzi City 613016, Taiwan
    Division of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Puzi City 613016, Taiwan
    Department of Safety Health and Environmental Engineering, Ming Chi University of Technology, New Taipei City 243303, Taiwan)

  • Chi-Pin Yuan

    (Department of Nursing, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City 600566, Taiwan)

  • Chizimuzo Okoli

    (Behavioral Health Wellness Environments for Living and Learning (BH WELL), College of Nursing, University of Kentucky, 315 College of Nursing Building, Lexington, KY 40536, USA)

  • Yen-Chi Liao

    (Department of Nursing, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City 600566, Taiwan)

Abstract

Second-hand tobacco smoke (SHS) causes adverse health outcomes in adults. Further studies are needed to evaluate psychosocial SHS exposure measures in comparison to SHS exposure biomarkers, particularly in pregnant women. This study aimed to compare self-reported SHS exposure to urinary cotinine levels in pregnant women. A cross-sectional correlation design was conducted using a convenience sample of 70 non-smoking pregnant women. Measures included self-reported questionnaires and laboratory confirmation of cotinine levels in the urinary samples. Multiple regression analysis was used to assess the correlation after controlling for potential confounding variables. The average level of urinary cotinine among non-smoking pregnant women was 6.77 ng/mL. Medium-strength correlations were found among psychosocial SHS exposure measures and urine cotinine levels. Questions regarding ‘instances of smoking in front of the individual’ and ‘subjective perceived frequency of SHS exposure in past 7 days’ are feasible items for pregnant women in clinics (particularly the first question). Hence, we suggest that these simple questions should be used to assist pregnant women in reducing the harm associated with SHS exposure.

Suggested Citation

  • Meiman Maggie Chen & Su-Er Guo & Chi-Pin Yuan & Chizimuzo Okoli & Yen-Chi Liao, 2021. "Association between Self-Reported Survey Measures and Biomarkers of Second-Hand Tobacco Smoke Exposure in Non-Smoking Pregnant Women," IJERPH, MDPI, vol. 18(17), pages 1-10, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9197-:d:626428
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    References listed on IDEAS

    as
    1. Adam Gregory Gavarkovs & Patricia Markham Risica & Donna R. Parker & Ernestine Jennings & Jennifer Mello & Maureen Phipps, 2018. "Self-Reported Environmental Tobacco Smoke Exposure and Avoidance Compared with Cotinine Confirmed Tobacco Smoke Exposure among Pregnant Women and Their Infants," IJERPH, MDPI, vol. 15(5), pages 1-8, April.
    2. Meiman Maggie Chen & Chun-Hui Chiu & Chi-Pin Yuan & Yen-Chi Liao & Su-Er Guo, 2020. "Influence of Environmental Tobacco Smoke and Air Pollution on Fetal Growth: A Prospective Study," IJERPH, MDPI, vol. 17(15), pages 1-16, July.
    3. Kate Frazer & Patricia Fitzpatrick & Mary Brosnan & Anne Marie Dromey & Sarah Kelly & Michael Murphy & Denise O’Brien & Cecily C. Kelleher & Fionnuala M. McAuliffe, 2020. "Smoking Prevalence and Secondhand Smoke Exposure during Pregnancy and Postpartum—Establishing Risks to Health and Human Rights before Developing a Tailored Programme for Smoking Cessation," IJERPH, MDPI, vol. 17(6), pages 1-11, March.
    4. Xia Xiao & Yan Li & Xiaoxiao Song & Qinghua Xu & Siwei Yang & Jie Wu & Edmund Seto, 2018. "Discrepancy between Self-Reported and Urine Cotinine-Verified Environmental Tobacco Smoke Exposure among Rural Pregnant Women in China," IJERPH, MDPI, vol. 15(7), pages 1-11, July.
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