{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:50:52Z","timestamp":1773298252102,"version":"3.50.1"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T00:00:00Z","timestamp":1688342400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T00:00:00Z","timestamp":1688342400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2013\/14910-9"],"award-info":[{"award-number":["2013\/14910-9"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Matern Child Health J"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Our aim was to assess the use of dual\/poly tobacco in a sample of pregnant women. Design: cross-sectional survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty prenatal care units in Botucatu, Sao Paulo, Brazil. We evaluated 127 high-risk pregnant smokers during prenatal care. Those who were 12\u201338\u00a0weeks pregnant and were currently smoking conventional cigarettes. The study enrollment took place between January 2015 and December 2015. The dual\/poly prevalence of tobacco products during pregnancy and the characteristics related to smoking in pregnant smokers through a specific questionnaire containing questions related to sociodemographic characteristics, comorbidities, gestational history, smoking history, secondhand smoke exposure, nicotine dependence, motivation stage and use of alternative forms of tobacco.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age was 26.9\u2009\u00b1\u20096.6\u00a0years, most had only elementary education and belonged to lower income economic groups. Twenty-five (19.7%) smoked conventional cigarettes only while 102 used conventional and alternative forms of tobacco products. Smoking pack-years was significantly lower in those only smoking conventional cigarettes than in dual\/poly users. Proportion of patients with elevated degree of nicotine dependence was higher in conventional cigarettes users. On the other side, alcohol intake was higher in dual\/poly smokers when compared to conventional cigarettes group. The alternative forms of smoking were associated with significantly higher occurrences of comorbidities as pulmonary, cardiovascular and cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions for Practice<\/jats:title><jats:p>The prevalence of alternative forms users of smoking products is high during pregnancy. These data reinforce the importance of a family approach towards smoking in pregnant women and education about the risks of alternative forms of tobacco.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s10995-023-03698-1","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T07:02:09Z","timestamp":1688367729000},"page":"1616-1620","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Dual and Poly Use of Tobacco Products in a Sample of Pregnant Smokers: A Cross-sectional Study"],"prefix":"10.1007","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9259-9783","authenticated-orcid":false,"given":"Andr\u00e9 Lu\u00eds","family":"Bertani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzana Erico","family":"Tanni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6588-5626","authenticated-orcid":false,"given":"Irma","family":"Godoy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,7,3]]},"reference":[{"issue":"1","key":"3698_CR1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.4103\/jfcm.JFCM_3_17","volume":"25","author":"OA Abdulrashid","year":"2018","unstructured":"Abdulrashid, O. A., Balbaid, O., Ibrahim, A., & Shah, H. B. U. (2018). Factors contributing to the upsurge of water-pipe tobacco smoking among Saudi females in selected Jeddah caf\u00e9s and restaurants: A mixed method study. Journal of Family & Community Medicine, 25(1), 13\u201319.","journal-title":"Journal of Family & Community Medicine"},{"key":"3698_CR2","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1186\/1471-2458-11-244","volume":"11","author":"EA Akl","year":"2011","unstructured":"Akl, E. A., Gunukula, S. K., Aleem, S., Obeid, R., Jaoude, P. A., Honeine, R., & Irani, J. (2011). The prevalence of waterpipe tobacco smoking among the general and specific populations: A systematic review. BMC Public Health, 11, 244.","journal-title":"BMC Public Health"},{"issue":"13","key":"3698_CR3","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1080\/08958378.2016.1244227","volume":"28","author":"NA Al-Sheyab","year":"2016","unstructured":"Al-Sheyab, N. A., Al-Fuqha, R. 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Image publishing is not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}}]}}