ArticlePloS one2013
Completeness of maternal smoking status recording during pregnancy in United Kingdom primary care data.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Implementation strategies to increase smoking cessation treatment provision in primary care: a systematic review of observational studies.BMC primary care · 2023Pooled it
- Impact of specialist and primary care stop smoking support on socio-economic inequalities in cessation in the United Kingdom: a systematic review and national equity initial review completed 22 January 2019; final version accepted 19 July 2019 analysis.Addiction (Abingdon, England) · 2020Pooled it
- Pooled it
- Leveraging primary care data to understand military veteran health in England: feasibility study and matched-control comparison of recorded conditions.BMC medicine · 2026Article
- Estimating the health-care costs of children born to pregnant smokers in England: cohort study using primary and secondary health-care data.Addiction (Abingdon, England) · 2018Article
- Effects of prenatal and lactation nicotine exposure on glucose homeostasis, lipogenesis and lipid metabolic profiles in mothers and offspring.Toxicology research · 2016Article
- Nicotine Directly Induces Endoplasmic Reticulum Stress Response in Rat Placental Trophoblast Giant Cells.Toxicological sciences : an official journal of the Society of Toxicology · 2016Article
- A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy.Journal of public health (Oxford, England) · 2015Article
- Maternal nicotine exposure leads to impaired disulfide bond formation and augmented endoplasmic reticulum stress in the rat placenta.PloS one · 2015Article
- Prescribing of nicotine replacement therapy in and around pregnancy: a population-based study using primary care data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Smoker, ex-smoker or non-smoker? The validity of routinely recorded smoking status in UK primary care: a cross-sectional study.BMJ open · 2014Article
- Smoking cessation advice recorded during pregnancy in United Kingdom primary care.BMC family practice · 2014Article
- Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundGiven the health impacts of smoking during pregnancy and the opportunity for primary healthcare teams to encourage pregnant smokers to quit, our primary aim was to assess the completeness of gestational smoking status recording in primary care data and investigate whether completeness varied with women's characteristics. As a secondary aim we assessed whether completeness of recording varied before and after the introduction of the Quality and Outcomes Framework (QOF).
methodsIn The Health Improvement Network (THIN) database we calculated the proportion of pregnancies ending in live births or stillbirths where there was a recording of maternal smoking status for each year from 2000 to 2009. Logistic regression was used to assess variation in the completeness of maternal smoking recording by maternal characteristics, before and after the introduction of QOF.
resultsWomen had a record of smoking status during the gestational period in 28% of the 277,552 pregnancies identified. In 2000, smoking status was recorded in 9% of pregnancies, rising to 43% in 2009. Pregnant women from the most deprived group were 17% more likely to have their smoking status recorded than pregnant women from the least deprived group before QOF implementation (OR 1.17, 95% CI 1.10-1.25) and 42% more likely afterwards (OR 1.42, 95% CI 1.37-1.47). A diagnosis of asthma was related to recording of smoking status during pregnancy in both the pre-QOF (OR 1.63, 95% CI 1.53-1.74) and post-QOF periods (OR 2.08, 95% CI 2.02-2.15). There was no association between having a diagnosis of diabetes and recording of smoking status during pregnancy pre-QOF however, post-QOF diagnosis of diabetes was associated with a 12% increase in recording of smoking status (OR 1.12, 95% CI 1.05-1.19).
conclusionRecording of smoking status during pregnancy in primary care data is incomplete though has improved over time, especially after the implementation of the QOF, and varies by maternal characteristics and QOF-incentivised morbidities.
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