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This Article Full Text Full Text (PDF) Spanish Abstract All Versions of this Article: AJPH.2006.095505v1 97/11/2040    most recent Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Detjen, M. G. Articles by Chasan-Taber, L. Search for Related Content PubMed PubMed Citation Articles by Detjen, M. G. Articles by Chasan-Taber, L. Related Collections Other Maternal and Infant Health Hispanics/Latinos Women's Health Tobacco Control

M. Gabrielle Detjen, MS, F. Javier Nieto, MD, PhD, Amy Trentham-Dietz, PhD, Michael Fleming, MD and Lisa Chasan-Taber, ScD

M. Gabrielle Detjen, F. Javier Nieto, and Amy Trentham-Dietz are with the Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Madison. Michael Fleming is with the Department of Family Medicine, School of Medicine and Public Health, University of Wisconsin, Madison. Lisa Chasan-Taber is with the Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst.

Correspondence: Requests for reprints should be sent to M. Gabrielle Detjen, University of Wisconsin, School of Medicine and Public Health, 748 WARF Office Building, 610 Walnut St, Madison, WI 53726 (e-mail: mgdetjen{at}wisc.edu).

Objectives. We explored whether higher levels of acculturation were associated with higher rates of cigarette smoking among pregnant Hispanic women residing in the United States.

Methods. We evaluated data from the Latina Gestational Diabetes Mellitus Study, a prospective study of 1231 Hispanic prenatal care patients conducted from 2000 to 2004 in Massachusetts. Self-reported data on acculturation, cigarette smoking, and covariates were collected by bilingual interviewers using a questionnaire. We conducted logistic regression multivariate analyses to examine the impact of acculturation level on the odds of smoking.

Results. Overall, 21% of women reported smoking during pregnancy. Acculturation was associated with elevated smoking rates in pregnant Hispanic women. US-born Hispanic women who preferred English had more than twice the odds of smoking compared with Puerto Rican or foreign-born Hispanic women who preferred Spanish (odds ratio [OR]=2.76, 95% confidence interval [CI] 1.36, 5.63).

Conclusions. Our findings suggest that higher-acculturated Hispanic women living in the United States are more likely to smoke cigarettes during pregnancy than are less-acculturated Hispanic women. These results will inform interventions aimed at reducing cigarette smoking during pregnancy among US Hispanic women.