Maternal smoking during pregnancy predicts nicotine disorder (dependence or withdrawal) in young adults: A birth cohort study

O'Callaghan, Frances V., Al Mamun, Abdullah, O'Callaghan, Michael, Alati, Rosa, Najman, Jake M., Williams, Gail M. and Bor, William (2009) Maternal smoking during pregnancy predicts nicotine disorder (dependence or withdrawal) in young adults: A birth cohort study. Australian And New Zealand Journal of Public Health, 33 4: 371-377. doi:10.1111/j.1753-6405.2009.00410.x


Author O'Callaghan, Frances V.
Al Mamun, Abdullah
O'Callaghan, Michael
Alati, Rosa
Najman, Jake M.
Williams, Gail M.
Bor, William
Title Maternal smoking during pregnancy predicts nicotine disorder (dependence or withdrawal) in young adults: A birth cohort study
Journal name Australian And New Zealand Journal of Public Health   Check publisher's open access policy
ISSN 1326-0200
Publication date 2009-08-01
Year available 2009
Sub-type Article (original research)
DOI 10.1111/j.1753-6405.2009.00410.x
Open Access Status
Volume 33
Issue 4
Start page 371
End page 377
Total pages 7
Editor Jeanne Daly
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Subject 1603 Demography
111401 Foetal Development and Medicine
1114 Paediatrics and Reproductive Medicine
1117 Public Health and Health Services
C1
Abstract Objective: To investigate whether maternal smoking during pregnancy predicts offspring nicotine disorder (dependence or withdrawal) at 21 years.
Formatted abstract
 Objective: To investigate whether maternal smoking during pregnancy predicts offspring nicotine disorder (dependence or withdrawal) at 21 years.

Method: Participants comprised a prospective birth cohort involving 7,223 singleton children whose mothers were enrolled between 1981 and 1983 at the first antenatal visit to the Mater Mothers' Hospital, Brisbane, Queensland. The present sub-cohort consisted of 2,571 youth who completed the Composite International Diagnostic Interview-computerised version (CIDI-Auto) that assesses nicotine dependence and withdrawal according to DSM-IV diagnostic criteria at the 21-year follow-up.

Results: 12.8% of offspring met criteria for nicotine dependence and 8.5% met criteria for withdrawal. 16.6% met criteria for either dependence or withdrawal. Smoking during pregnancy resulted in offspring being more likely to have dependence or withdrawal at 21 years than offspring of mothers who never smoked (age adjusted odds ratio 1.53 (95% CI: 1.19-1.96).

Conclusions: Findings emphasise the long-term adverse effects of maternal smoking during pregnancy, including nicotine dependence in young adult offspring.

Implications: Public health approaches should strengthen arguments for mothers to cease smoking during pregnancy in view of the long-term health implications for offspring, and reinforce measures to help smokers among pregnant women and women of childbearing age to stop.

Keyword nicotine disorder
Cigarette-smoking
Nicotine Dependence
maternal smoking
birth cohort
young adult
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID ID 519756
Institutional Status UQ

 
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Created: Thu, 03 Sep 2009, 17:44:50 EST by Mr Andrew Martlew on behalf of School of Public Health