Kivonat:
SUMMARY
Objectives: In Hungary, 37% of women living in poverty were smokers in 2012. There are no valid data of pregnant women’s spontaneous
smoking cessation.
Methods: Our retrospective cohort study (2009–2012) targeted the most underdeveloped regions with an estimated 6–8.5% of Roma population.
The sample (N = 12,552) represented 76% of the target population i.e. women in four counties in a year delivering live born babies. Chi-square
probe and multivariable logistic regression model (p < 0.05) were used to assess relationship between socio-demographic characteristics and
spontaneous cessation.
Results: Prior to pregnancy, the overall smoking rate was 36.8%. That of women in deep poverty and Roma was 49.7% and 51.1%, respectively.
70.3% of smokers continued smoking during the pregnancy. Among them 80.6% lived in deep poverty. Spontaneous quitting rate was 23.0%. Factors
correlated with continued smoking included being Roma (OR = 1.95), undereducated (OR = 2.66), living in homes lacking amenities (OR = 1.48),
and having regularly smoking partner (OR = 2.07). Cessation was promoted by younger age (≤ 18 years) (OR = 0.18), being married (OR = 0.50),
and the first pregnancy.
Conclusions: Tailored cessation programmes are needed for Roma, older, low-income, and multiparous women who are less likely to quit on
their own. Engaging husbands/partners is essential to reduce smoking among pregnant women and second-hand smoke exposure