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Maternal smoking associated with risk factors for children Kandel, DB; Griesler, PC; & Schaffran, C. Maternal smoking & educational level associated with risk factors and consequences for children. Drug and Alcohol Dependence,
epub ahead of print: Jan. 28, 2009. Educational attainment and smoking among women: Risk factors and consequences for offspring. Purpose: To examine the association between education and smoking by women in the population, including smoking during pregnancy, and identify risk factors for smoking and the consequences of smoking in pregnancy for children's smoking and behavioral problems. Overall Findings: The lower the level of education, the greater the risk of being a current smoker, smoking daily, smoking heavily, being nicotine dependent, starting to smoke at an early age, having higher levels of circulating cotinine per cigarettes smoked, and continuing to smoke in pregnancy. Educational level and smoking in pregnancy independently increase the risk of offspring smoking and antisocial and anxious/depressed behavior problems.
How it can be used: The educational gradient is especially strong in pregnancy. Women with low education should be the target of public health efforts toward reducing tobacco use. These efforts need to focus as much on social conditions that affect women's lives as on individual level interventions.
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