Evidence map›Paper›PMID 32847901›Full record

ArticleBMJ open2020

Associations between maternal age and socioeconomic status with smoking during the second and third trimesters of pregnancy: a register-based study of 932 671 women in Finland from 2000 to 2015.

Zahra Roustaei, Sari Räisänen, Mika Gissler, Seppo Heinonen

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  5. Association between maternal e-cigarette use during pregnancy and low gestational weight gain.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Article
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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

4 authors at 4 institutions in 2 countries.

Zahra RoustaeiDepartment of Health Sciences, University of Helsinki Faculty of Medicine, Helsinki, Finland zahra.roustaei@helsinki.fi.ORCID 0000-0002-7337-640X
Sari RäisänenSchool of Health Care and Social Services, Tampere University of Applied Sciences, Tampere, Pirkanmaa, Finland.
Mika GisslerInformation Services Department, Finnish Institute for Health and Welfare, Helsinki, Uusimaa, Finland.
Seppo HeinonenDepartment of Obstetrics and Gynaecology, Helsinki University Central Hospital, Helsinki, Uusimaa, Finland.
Helsinki University Hospital · FIKarolinska Institutet · SETampere University of Applied Sciences · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to explore the association between maternal age and smoking during the second and third trimesters of pregnancy across socioeconomic groups and to evaluate the interacting effect of maternal age and socioeconomic status on smoking with a view to informing public health interventions.

designThis is a register-based study. SETTINGS: Data from the Finnish Medical Birth Register were cross-linked with background data from Statistics Finland.

participantsThe information of 932 671 pregnant women who gave birth in Finland from 2000 to 2015.

main outcome measuresMaternal smoking during the second and third trimesters of pregnancy by occupation and maternal age.

resultsThe proportion of women who smoked during the second and third trimesters of pregnancy was 10.5%. Using women 30-34 years as the reference group, adjusted ORs (aOR) and 95% CIs for smoking were 6.02 (5.81 to 6.24) in women below 20 years and 2.77 (2.71 to 2.84) in women 20 to 24 years. The prevalence of smoking across socioeconomic groups compared with upper-level employees increased, peaking for women in manual occupations (aOR 3.39, 95% CI 3.25 to 3.52) and unemployed women (aOR 4.49, 95% CI 4.30 to 4.68). Significant interactions on the additive scale with the relative excess risk due to interaction >2 were found for unemployed women aged 25-29 years and for teenage mothers and mothers aged 20-24 years across all socioeconomic groups, but not for self-employed women.

conclusionsSmoking during the second and third trimesters of pregnancy was most common among teenage mothers across all socioeconomic groups. The association between maternal age and smoking differed by socioeconomic status for young mothers. Interventions should address a wider range of maternal risk factors among young mothers with low socioeconomic status and simultaneously target a broader number of women who smoke during the pregnancy.

Indexed as

SmokingSocial ClassAdolescentAdultFemaleFinlandHumansMaternal AgePregnancyPregnancy Trimester, ThirdRisk FactorsSocioeconomic FactorsYoung Adultobstetricsprenatal diagnosispublic health

Identifiers

PMID32847901
PMCPMC7451537
OpenAlexW3080475069

What OpenQuestion holds

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LicenceCC BY-NC
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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.