Evidence map›Paper›PMID 27582636›Full record

ReviewJournal of preventive medicine and hygiene2016

Smoking during pregnancy: a difficult problem to face. Results of a French multi-center study.

M Blanquet, S Leger, L Gerbaud, F Vendittelli, regional hospital research programme, DATAMATER group and the interregional hospital research programme, CAFE group

Abstract readMulticenter StudyReview
In one paragraph

Review in Journal of preventive medicine and hygiene, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

M BlanquetService de Santé Publique, CHU de Clermont-Ferrand, Clermont-Ferrand, France;; Clermont Université, Université d'Auvergne, EA 4681, PEPRADE (Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement), Clermont-Ferrand, France.
S LegerService de Santé Publique, CHU de Clermont-Ferrand, Clermont-Ferrand, France;; Clermont Université, Université d'Auvergne, EA 4681, PEPRADE (Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement), Clermont-Ferrand, France,; Laboratoire de Mathématiques UMR CNRS 6620, Université Blaise Pascal Clermont-Ferrand;
L GerbaudService de Santé Publique, CHU de Clermont-Ferrand, Clermont-Ferrand, France;; Clermont Université, Université d'Auvergne, EA 4681, PEPRADE (Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement), Clermont-Ferrand, France.
F VendittelliService de Santé Publique, CHU de Clermont-Ferrand, Clermont-Ferrand, France;; Clermont Université, Université d'Auvergne, EA 4681, PEPRADE (Périnatalité, grossesse, Environnement, PRAtiques médicales et DEveloppement), Clermont-Ferrand, France,; Pôle de Gynécologie Obstétrique et Reproduction Humaine, CHU de Clermont-Ferrand, Clermont-Ferrand, France;; Réseau de Santé Périnatale d'Auvergne.
regional hospital research programme, DATAMATER group and the interregional hospital research programme, CAFE group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSmoking tobacco during pregnancy is a preventable risk factor for adverse pregnancy outcomes. The aim of the study was to assess the impact of an information and training program implemented by the perinatal network of Auvergne, France, on smoking during pregnancy.

methodsA multi-center before-and-after population-based study, based on two cross-sectional surveys, was carried out between July 2003 and June 2004, and between December 2008 and January 2010. Pregnant women aged over 18 years, with a fluent command of written and spoken French, were eligible. The main outcome was the prevalence of pregnant women who smoked daily. The preventive program consisted of informing women and healthcare providers and training healthcare providers. Multivariate analysis was performed by means of manual logistic regression and crude and adjusted Odds Ratios were calculated.

findings"Before" and "after" surveys involved 1027 and 720 women, respectively. In the "after" survey, a higher percentage of women smoked daily at the time of diagnosis (43.49% vs 51.94%, adjusted Odds Ratio 1.45 [1.10; 1.90]) and during the third term (40.53% vs 51.94%, adjusted Odds Ratio 1.62 [1.24; 2.12]). Environmental tobacco smoke exposure among non-smokers was higher in the "after" survey: 52.83% vs 69.57% adjusted Odds Ratio 1.95 [1.54; 2.47].

conclusionsThe program did not reduce smoking during pregnancy. Exposure to environmental tobacco smoke increased. French public health authorities should introduce a new policy aimed specifically at tackling tobacco use during pregnancy and exposure to second-hand smoke, and which takes into account the entire environment of pregnant women.

Indexed as

Pregnant PeopleSmoking CessationSmoking PreventionAdultCross-Sectional StudiesFemaleHumansOdds RatioPregnancyRisk FactorsSmokingTobacco Smoke PollutionYoung AdultTobacco Smoke PollutionEnvironmental tobacco smokePregnancyTobacco consumption

Identifiers

PMID27582636
PMCPMC4996047

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.