{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:43:02Z","timestamp":1787064182394,"version":"build-2736575974"},"reference-count":43,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Although several biologic, psychosocial, and behavioral factors have been linked to postpartum depressive symptoms, studies examining the association between non\u2010cigarette tobacco products and symptoms of postpartum depression are currently lacking. This study examined the association between hookah use and postpartum depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted using data from the US Centers for Disease Control and Prevention's Pregnancy Risk Assessment Monitoring System 2016\u20132020. Self\u2010reported data on hookah use in the last 2\u2009years and maternal mental health were captured using a structured questionnaire. Descriptive and inferential statistics were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The final study sample consisted of 106\u2009894 participants. Approximately 8.2% of the participants reported postpartum depressive symptoms and 4.1% reported hookah use in the past 2\u2009years. Compared with those without postpartum depressive symptoms, participants with postpartum depressive symptoms were more likely to be hookah users (5.5% vs 4.0%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). After adjustment for confounders, the odds of having postpartum depressive symptoms were significantly higher among participants who used a hookah in the past 2\u2009years compared with non\u2010users; adjusted odds ratio (95% confidence interval) 1.20 (1.03\u20131.40);\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.022.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In a large, population\u2010based sample of US women, hookah use in the past 2\u2009years significantly increased the odds of having postpartum depressive symptoms, independent of potential confounders. This finding underscores the need for healthcare providers to communicate effectively about the health risks of hookah use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15285","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T04:54:53Z","timestamp":1702011293000},"page":"746-755","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Association between history of hookah use and symptoms of postpartum depression: A population\u2010based study"],"prefix":"10.1002","volume":"165","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2912-8564","authenticated-orcid":false,"given":"Zelalem T.","family":"Haile","sequence":"first","affiliation":[{"name":"Department of Social Medicine Ohio University Heritage College of Osteopathic Medicine  Dublin Ohio 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