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Association between Heated Tobacco Product Use during Pregnancy and Fetal Growth in Japan: A Nationwide Web-Based Survey

Author

Listed:
  • Yoshihiko Hosokawa

    (Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8577, Japan)

  • Masayoshi Zaitsu

    (Center for Research of the Aging Workforce, University of Occupational and Environmental Health, Kitakyushu 807-8556, Japan)

  • Sumiyo Okawa

    (Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo 162-8655, Japan)

  • Naho Morisaki

    (Department of Social Medicine, National Center for Child Health and Development, Tokyo 157-8535, Japan)

  • Ai Hori

    (Department of Global Public Health, University of Tsukuba, Tsukuba 305-8577, Japan)

  • Yukiko Nishihama

    (Japan Environment and Children’s Study Programme Office, National Institute for Environmental Studies, Tsukuba 305-8506, Japan)

  • Shoji F. Nakayama

    (Japan Environment and Children’s Study Programme Office, National Institute for Environmental Studies, Tsukuba 305-8506, Japan)

  • Takeo Fujiwara

    (Department of Global Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan)

  • Hiromi Hamada

    (Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8577, Japan)

  • Toyomi Satoh

    (Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tsukuba, Tsukuba 305-8577, Japan)

  • Takahiro Tabuchi

    (Cancer Control Center, Osaka International Cancer Institute, Osaka 541-8567, Japan)

Abstract

Combustible cigarette smoking impacts fetal growth during pregnancy. However, the risk associated with heated tobacco products (HTPs) remains unclear. This nationwide cross-sectional study investigated whether HTP use during pregnancy is associated with small for gestational age (SGA) outcomes among 5647 post-delivery women with singleton pregnancies, which were divided into four groups: lifetime never-smokers, former smokers before pregnancy, and current smokers for each of the tobacco products during pregnancy (sole HTP and sole combustion smokers). Information on the prevalence of SGA, defined as birth weight and height below the 10th percentile, was retrieved from the Maternal and Child Health Handbooks of post-delivery women. Using logistic regression, the association between sole HTP smokers during pregnancy and SGA, adjusted for covariates, with lifetime never-smokers as reference, was investigated. The prevalence was: current sole HTP smokers during pregnancy, 1.8% (102/5647); and SGA, 2.9% (164/5647). Sole HTP smokers during pregnancy had a higher prevalence of SGA (5.9% [6/102] vs. 2.7% [111/4144]) with an adjusted odds ratio (OR) of 2.50 (95% confidence interval [CI], 1.03–6.05) than lifetime never-smokers. Among sole combustion smokers, the adjusted OR for SGA was 1.95 (95% CI, 0.81–4.67). In Japan, HTP smoking during pregnancy may be associated with an increased risk for SGA.

Suggested Citation

  • Yoshihiko Hosokawa & Masayoshi Zaitsu & Sumiyo Okawa & Naho Morisaki & Ai Hori & Yukiko Nishihama & Shoji F. Nakayama & Takeo Fujiwara & Hiromi Hamada & Toyomi Satoh & Takahiro Tabuchi, 2022. "Association between Heated Tobacco Product Use during Pregnancy and Fetal Growth in Japan: A Nationwide Web-Based Survey," IJERPH, MDPI, vol. 19(18), pages 1-9, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11826-:d:919029
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    References listed on IDEAS

    as
    1. Yukiko Nishihama & Shoji F. Nakayama & Takahiro Tabuchi & Tomohiko Isobe & Chau-Ren Jung & Miyuki Iwai-Shimada & Yayoi Kobayashi & Takehiro Michikawa & Makiko Sekiyama & Yu Taniguchi & Hiroshi Nitta &, 2020. "Determination of Urinary Cotinine Cut-Off Concentrations for Pregnant Women in the Japan Environment and Children’s Study (JECS)," IJERPH, MDPI, vol. 17(15), pages 1-13, July.
    2. Omar Andrés Bravo-Gutiérrez & Ramcés Falfán-Valencia & Alejandra Ramírez-Venegas & Raúl H. Sansores & Guadalupe Ponciano-Rodríguez & Gloria Pérez-Rubio, 2021. "Lung Damage Caused by Heated Tobacco Products and Electronic Nicotine Delivery Systems: A Systematic Review," IJERPH, MDPI, vol. 18(8), pages 1-13, April.
    3. Małgorzata Znyk & Joanna Jurewicz & Dorota Kaleta, 2021. "Exposure to Heated Tobacco Products and Adverse Health Effects, a Systematic Review," IJERPH, MDPI, vol. 18(12), pages 1-18, June.
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