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Documentation sheet



Pregnant women smoking

Definition of indicator

Percentage of women who smoke during pregnancy.


Calculation (numerator, denominator)

Peristat project: The number of women who smoke during the third trimester of pregnancy expressed as a percentage of all women delivering live or stillborn babies.


Additional underlying concepts

It is important to measure smoking at a similar point in pregnancy since many women stop smoking during pregnancy. A measure in the last trimester of pregnancy is a better measure of exposure during pregnancy than smoking in the first trimester.


Relevant dimensions (subgroups)

Country (also region), calendar year, gender, age group.


Preferred data sources

Peristat: based on national birth registers based on medical records, perinatal health surveys (surveys at birth, surveys after birth)

HIS have too few interviewed persons (pregnant women).


Rationale

Smoking during pregnancy is associated with adverse perinatal outcomes including spontaneous abortion early in pregnancy, growth restriction, preterm birth and perinatal death. Can be used as an indicator of prenatal care and prevention, if data is available on percent of pregnant women quitting smoking during the 1st trimester of pregnancy. Amenable to intervention.


Data availability, quality and periodicity

Peristat: Data collection exercise with 2004 data is ongoing, data for 2000 available.

Eurostat, WHO or OECD: No data available.

The type of data (birth registers and perinatal health surveys) can affect prevalence estimates.


References

- Peristat


Work to do

Data Presentations


Codebook



To be developed later

ECHIM Products website, version 1.1,  October 2008, ECHIM project.


Homepage Echim.org