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October 2006, Vol 96, No. 10 | American Journal of Public Health 1757-1759
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.073213

RESEARCH AND PRACTICE

Sudden Infant Death Syndrome and Reported Maternal Smoking During Pregnancy

Tushar Shah, MD, MPH, Kevin Sullivan, PhD, MPH, MHA and John Carter, PhD, MPH

Tushar Shah is with the Department of Pediatrics, Metro-health Medical Center, Case Western Reserve University, Cleveland, Ohio. Kevin Sullivan and John Carter are with the Department of Epidemiology, Rollins School of Public Health at Emory University, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to Kevin Sullivan, PhD, MPH, MHA, Associate Professor, Department of Epidemiology, Rollins School of Public Health of Emory University, 1518 Clifton Rd NE, Atlanta, GA 30322 (e-mail: cdckms{at}sph.emory.edu).

We investigated the effect of maternal smoking during pregnancy on the relative risk of sudden infant death syndrome (SIDS) by linking data from Georgia birth and death certificates from 1997 to 2000. We estimated the effect of misclassifying smokers as non-smokers and the effect of being misclassified on SIDS rates, and we calculated the fraction of cases caused by exposure. Of all SIDS cases, 21% were attributable to maternal smoking; among smokers, 61% of SIDS cases were attributable to maternal smoking. Maternal smoking during pregnancy is associated with a significantly increased risk of SIDS.




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V. W. Jaddoe, B. O. Verburg, M. de Ridder, A. Hofman, J. P. Mackenbach, H. A. Moll, E. A. Steegers, and J. C. Witteman
Maternal Smoking and Fetal Growth Characteristics in Different Periods of Pregnancy: The Generation R Study
Am. J. Epidemiol., May 15, 2007; 165(10): 1207 - 1215.
[Abstract] [Full Text] [PDF]


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