Assessment of prenatal exposure to tobacco smoke by cotinine in cord blood for the evaluation of smoking control policies in Spain

Background: Over the last few years a decreasing trend in smoking has occurred not only in the general population but also during pregnancy. Several countries have implemented laws requiring all enclosed workplace and public places to be free of second hand smoke (SHS). In Spain, legislation to redu...

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Detalhes bibliográficos
Autores: Puig, Carme, Vall Combelles, Oriol, Garcia-Algar, Oscar|||0000-0001-5708-4362, Papaseit, Esther|||0000-0003-2620-4274, Pichini, Simona, Saltó, Esteve|||0000-0002-6739-8936, Villalbí, Joan Ramón|||0000-0001-6915-2545
Formato: artículo
Fecha de publicación:2012
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:304414
Acesso em linha:https://ddd.uab.cat/record/304414
https://dx.doi.org/urn:doi:10.1186/1471-2393-12-26
Access Level:acceso abierto
Palavra-chave:Cord Blood
Cotinine
Cotinine Level
Prenatal Exposure
Second Hand Smoke
Descrição
Resumo:Background: Over the last few years a decreasing trend in smoking has occurred not only in the general population but also during pregnancy. Several countries have implemented laws requiring all enclosed workplace and public places to be free of second hand smoke (SHS). In Spain, legislation to reduce SHS was implemented in 2005. The present study examines the possible effect of this legislation on prenatal SHS exposure.Methods: Mothers and newborns were recruited from 3 independent studies performed in Hospital del Mar (Barcelona) and approved by the local Ethics Committee: 415 participated in a study in 1996-1998, 283 in 2002-2004 and 207 in 2008. A standard questionnaire, including neonatal and sociodemographic variables,tobacco use and exposure during pregnancy, was completed at delivery for all the participants in the three study groups. Fetal exposure to tobacco was studied by measuring cotinine in cord blood by radioimmunoassay (RIA).Results: 32.8% of the pregnant women reported to smoke during pregnancy in 1996-1998, 25.9% in 2002-2004 and 34.1% in 2008. In the most recent group, the percentage of no prenatal SHS exposure (cord blood cotinine 0.2-1 ng/mL) showed an increase compared to the previous groups while the percentages of both: low (1.1-14 ng/mL) and very high (.