ArticleDrug and alcohol dependence2020
Trends and correlates of self-reported alcohol and nicotine use among women before and during pregnancy, 2009-2017.
Article in Drug and alcohol dependence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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.
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Who cites it
9 citing papers in PubMed.
- Cannabis Use During Early Pregnancy and Child Diagnoses of Depressive and Anxiety Disorders.Cannabis (Albuquerque, N.M.) · 2026Article
- Cannabis Retailer Advice on Blunt, Tobacco, and Cannabis Use During Pregnancy.JAMA network open · 2025Article
- Early Pregnancy Blood Pressure Trajectories and Hypertension Years After Pregnancy.Hypertension (Dallas, Tex. : 1979) · 2025Article
- Translation, cultural adaptation, and validation of the maternal health promotion behavior scale.BMC pregnancy and childbirth · 2025Article
- Physical Violence during Pregnancy and Its Implications at Birth: Analysis of a Population Survey, 2019.Healthcare (Basel, Switzerland) · 2022Article
- Trends in Cannabis Polysubstance Use During Early Pregnancy Among Patients in a Large Health Care System in Northern California.JAMA network open · 2022Article
- Self-reported alcohol consumption of pregnant women and their partners correlates both before and during pregnancy: A cohort study with 21,472 singleton pregnancies.Alcoholism, clinical and experimental research · 2022Article
- Early Pregnancy Blood Pressure Patterns Identify Risk of Hypertensive Disorders of Pregnancy Among Racial and Ethnic Groups.Hypertension (Dallas, Tex. : 1979) · 2022Article
- Prenatal cannabis exposure predicts attention problems, without changes on fMRI in adolescents.Neurotoxicology and teratologyArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo examine trends and correlates of frequency of self-reported alcohol and nicotine use among pregnant women.
methodsCross-sectional study of 363,240 pregnancies from 2009 to 2017 screened for self-reported substance use at their first prenatal visit in Kaiser Permanente Northern California. Poisson regression with a log link function was used to estimate the annual prevalences of self-reported daily, weekly, and ≤ monthly alcohol and nicotine use, adjusting for socio-demographics. Generalized estimating equation models were used to estimate the adjusted odds ratios (aOR) of any self-reported prenatal alcohol or nicotine use among those who self-reported use in the year prior to pregnancy, by frequency of pre-pregnancy substance use and socio-demographics.
resultsThe sample was 64 % non-White [mean (SD) age = 30.1 (5.6)]. From 2009-2017, alcohol use before pregnancy increased from 63.4%-65.9% (trend p-value = .008), and prenatal alcohol use decreased from 11.6%-8.8% (trend p-value<.0001). Nicotine use before pregnancy decreased from 12.7 % to 7.7 % (trend p-value<.0001), and prenatal use decreased from 4.3 % to 2.0 % (trend p-value<.0001). Trends by use frequency were similar to overall trends. The odds of continued use of alcohol and nicotine during pregnancy were higher among those who used daily or weekly (versus monthly or less) in the year before pregnancy and varied with socio-demographics. DISCUSSION: Prenatal alcohol and nicotine use decreased from 2009 to 2017. More frequent pre-pregnancy use predicted higher odds of prenatal use. Results suggest that interventions and education about the harms of prenatal substance use for frequent users prior to conception may reduce substance use during pregnancy.
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