Tobacco, alcohol and caffeine use in a low-income, pregnant population

Angela L. Stotts, Shanna L. Shipley, Joy M. Schmitz, Shelly L. Sayre, J. Grabowski

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


This study examined the relationship between smoking, drinking and heavy caffeine use (> three caffeinated drinks per day) among pregnant women who reported smoking cigarettes and drinking alcohol prior to conception. Demographic predictors of smoking, drinking and caffeine use during pregnancy were also identified. Pregnant women (n = 237) attending a university-based, public clinic were identified during screening for a larger intervention study. Logistic regression analyses revealed a significant relationship between pregnancy smoking and drinking (OR = 8.1), as well as between smoking and harmful caffeine use (OR = 3.1). Age predicted smoking and drinking in pregnancy, with older women being more likely to use both substances. Caucasian women were more likely to continue smoking, while African-American women were more likely to continue drinking. Increased attention should be paid to the co-occurrence of multiple health risk behaviours during pregnancy and to the specific needs of subgroups of high-risk women.

Original languageEnglish (US)
Pages (from-to)247-251
Number of pages5
JournalJournal of Obstetrics and Gynaecology
Issue number3
StatePublished - May 2003

Bibliographical note

Funding Information:
This research was supported by a National Cancer Institute grant (# CA84805-02)


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