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A Case for a Maternal Culturally Tailored Smoking Cessation Research Agenda

Author

Listed:
  • Danyetta D. Anderson

    (Tobacco Related Disease Research Program, Research Grants Program Office, Office of the President, University of California, 11th Floor, 111 Franklin Street, Oakland, CA 94607, USA)

  • Tracy R. McKnight

    (Tobacco Related Disease Research Program, Research Grants Program Office, Office of the President, University of California, 11th Floor, 111 Franklin Street, Oakland, CA 94607, USA)

Abstract

Background/Objectives: Despite national efforts, smoking rates during pregnancy remain high among certain demographics, particularly American Indian/Alaska Native and younger women. This study examines the causal link between maternal smoking, maternal and fetal mortality, and social determinants of health, highlighting disparities faced by Black, Indigenous, and People of Color (BIPOC) and American Indian/Alaskan Native (AIAN) pregnant persons. Methods: Data from various sources, including national reports and committee findings, were analyzed to assess trends in maternal smoking, mortality rates, and associated factors. While smoking rates among all groups have declined, disparities persist. Young women, BIPOC, and American Indian/Alaska Native women, and those with lower educational attainment, have higher smoking rates. Black women exhibit significantly higher maternal mortality rates, often linked to cardiac/coronary conditions. Stress, exacerbated by social determinants of health like poverty and housing insecurity, emerges as a key factor driving smoking behavior, particularly among African Americans. The leading causes of pregnancy-related deaths vary by race and ethnicity, with preventability noted in 80% of cases. Perinatal exposure to cigarette smoking is also identified as a leading cause of poor infant health outcomes, emphasizing the importance of addressing smoking behavior during and after pregnancy. Results: This report advocates for a comprehensive approach to reducing maternal and fetal mortality rates, with a focus on adapting existing smoking cessation programs to adopt culturally tailored agendas in order to address social and political determinants of health as well as behavioral drivers of tobacco use among pregnant persons.

Suggested Citation

  • Danyetta D. Anderson & Tracy R. McKnight, 2024. "A Case for a Maternal Culturally Tailored Smoking Cessation Research Agenda," IJERPH, MDPI, vol. 21(11), pages 1-5, October.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:11:p:1414-:d:1506742
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    References listed on IDEAS

    as
    1. Levy, D.T. & Blackman, K. & Tauras, J. & Chaloupka, F.J. & Villanti, A.C. & Niaura, R.S. & Vallone, D.M. & Abrams, D.B., 2011. "Quit attempts and quit rates among menthol and nonmenthol smokers in the United States," American Journal of Public Health, American Public Health Association, vol. 101(7), pages 1241-1247.
    2. Ross Thomson & Sue Cooper & John Waldron & Efe Mamuzo & Lisa McDaid & Joanne Emery & Lucy Phillips & Felix Naughton & Tim Coleman, 2022. "Smoking Cessation Support for Pregnant Women Provided by English Stop Smoking Services and National Health Service Trusts: A Survey," IJERPH, MDPI, vol. 19(3), pages 1-9, January.
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