Evidence map›Paper›PMID 29180549›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Family Physicians' Perceived Prevalence, Safety, and Screening for Cigarettes, Marijuana, and Electronic-Nicotine Delivery Systems (ENDS) Use during Pregnancy.

Thomas F Northrup, Michelle R Klawans, Yolanda R Villarreal, Adi Abramovici, Melissa A Suter, Joan M Mastrobattista, Carlos A Moreno, Kjersti M Aagaard, Angela L Stotts

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% of its field
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Cannabis and Nicotine Substance Use Coercion During the Perinatal Period.Women's health reports (New Rochelle, N.Y.) · 2025
    Article
  5. Review
  6. Article
  7. Review
  8. Review
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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

9 authors at 2 institutions in 1 country.

Thomas F NorthrupFrom the Department of Family and Community Medicine, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston, TX (TFN, MRK, YRV, AA, CAM, ALS); Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine Houston (MAS, JMM, KMA); Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston (ALS). Thomas.F.Northrup@uth.tmc.edu.
Michelle R KlawansFrom the Department of Family and Community Medicine, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston, TX (TFN, MRK, YRV, AA, CAM, ALS); Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine Houston (MAS, JMM, KMA); Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston (ALS).
Yolanda R VillarrealFrom the Department of Family and Community Medicine, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston, TX (TFN, MRK, YRV, AA, CAM, ALS); Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine Houston (MAS, JMM, KMA); Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston (ALS).
Adi AbramoviciFrom the Department of Family and Community Medicine, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston, TX (TFN, MRK, YRV, AA, CAM, ALS); Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine Houston (MAS, JMM, KMA); Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston (ALS).
Melissa A SuterFrom the Department of Family and Community Medicine, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston, TX (TFN, MRK, YRV, AA, CAM, ALS); Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine Houston (MAS, JMM, KMA); Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston (ALS).
Joan M MastrobattistaFrom the Department of Family and Community Medicine, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston, TX (TFN, MRK, YRV, AA, CAM, ALS); Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine Houston (MAS, JMM, KMA); Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston (ALS).
Carlos A MorenoFrom the Department of Family and Community Medicine, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston, TX (TFN, MRK, YRV, AA, CAM, ALS); Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine Houston (MAS, JMM, KMA); Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston (ALS).
Kjersti M AagaardFrom the Department of Family and Community Medicine, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston, TX (TFN, MRK, YRV, AA, CAM, ALS); Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine Houston (MAS, JMM, KMA); Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston (ALS).
Angela L StottsFrom the Department of Family and Community Medicine, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston, TX (TFN, MRK, YRV, AA, CAM, ALS); Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine Houston (MAS, JMM, KMA); Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston (UTHealth) McGovern Medical School, Houston (ALS).
The University of Texas Health Science Center at Houston · USBaylor College of Medicine · US

Funding

Motivational Incentives to Reduce Secondhand Smoke in NICU Infants' HomesR01HL107404 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI STOTTS, ANGELA L · 2012 to 2016
$3.3M
Thirdhand Smoke Contamination in a Neonatal Intensive Care Unit (NICU)R03HD088847 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI NORTHRUP, THOMAS FRANCIS · 2016 to 2017
$154k
NHLBI NIH HHS R01 HL107404NICHD NIH HHS R03 HD088847
6 · The paper itself

Abstract

objectiveAssess perceptions of prevalence, safety, and screening practices for cigarettes and secondhand smoke exposure (SHSe), marijuana (and synthetic marijuana), electronic nicotine delivery systems (ENDS; eg, e-cigarettes), nicotine-replacement therapy (NRT), and smoking-cessation medications during pregnancy, among primary care physicians (PCPs) providing obstetric care.

methodsA web-based, cross-sectional survey was e-mailed to 3750 US physicians (belonging to organizations within the Council of Academic Family Medicine Educational Research Alliance). Several research groups' questions were included in the survey. Only physicians who reported providing "labor and delivery" obstetric care responded to questions related to the study objectives.

resultsA total of 1248 physicians (of 3750) responded (33.3%) and 417 reported providing labor and delivery obstetric care. Obstetric providers (N = 417) reported cigarette (54%), marijuana (49%), and ENDS use (24%) by "Some (6% to 25%)" pregnant women, with 37% endorsing that "Very Few (1% to 5%)" pregnant women used ENDS. Providers most often selected that very few pregnant women used NRT (45%), cessation medications (ie, bupropion or varenicline; 37%), and synthetic marijuana (23%). Significant proportions chose "Do not Know" for synthetic marijuana (58%) and ENDS (27%). Over 90% of the sample perceived that use of or exposure to cigarettes (99%), synthetic marijuana (99%), SHS (97%), marijuana (92%), or ENDS (91%) were unsafe during pregnancy, with the exception of NRT (44%). Providers most consistently screened for cigarette (85%) and marijuana use (63%), followed by SHSe in the home (48%), and ENDS (33%) and synthetic marijuana use (28%). Fewer than a quarter (18%) screened consistently for all substances and SHSe. One third (32%) reported laboratory testing for marijuana and 3% reported laboratory testing for smoking status.

conclusionThis sample of PCPs providing obstetric care within academic settings perceived cigarettes, marijuana, and ENDS use to be prevalent and unsafe during pregnancy. Opportunities for increased screening during pregnancy across these substances were apparent.

Indexed as

Electronic Nicotine Delivery SystemsAdultCannabisCross-Sectional StudiesFemaleHumansMass ScreeningMiddle AgedNicotineObstetricsPerceptionPhysicians, FamilyPregnancyPrevalenceSmokingTobacco ProductsNicotineElectronic CigarettesFamily PhysiciansMarijuanaMaternal HealthObstetricsPregnancyPrimary Health CareScreeningTobacco Products

Identifiers

PMID29180549
PMCPMC5749232
OpenAlexW2769803419

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.