The discrepancy between self-reported smoking status and urine continine levels among women enrolled in prenatal care at four publicly funded clinical sites

The discrepancy between self-reported smoking behavior and actual urine cotinine values among prenatal patients at four municipally operated clinical sites was examined. Face-to-face interview and birth certificate information about smoking behavior during pregnancy was compared with laboratory urin...

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Bibliographic Details
Published in:Journal of public health management and practice 2003-07, Vol.9 (4), p.322
Main Authors: Webb, David A, Boyd, Neal R, Messina, Darlene, Windsor, Richard A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Attitude to Health
Community Health Centers - economics
Community Health Centers - organization & administration
Cotinine - urine
Deception
Female
Humans
Maternal Exposure
Middle Aged
Parity
Philadelphia - epidemiology
Pregnant Women - ethnology
Pregnant Women - psychology
Prenatal Care - economics
Prenatal Care - organization & administration
Prevalence
Public Health Administration
Risk-Taking
Self Disclosure
Smoking - epidemiology
Smoking - psychology
Smoking - urine
Smoking Cessation
Urban Population
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Summary:The discrepancy between self-reported smoking behavior and actual urine cotinine values among prenatal patients at four municipally operated clinical sites was examined. Face-to-face interview and birth certificate information about smoking behavior during pregnancy was compared with laboratory urine cotinine values for 74 patients. Almost three of every four (73%) self-reported nonsmokers had continine values greater than 80 ng/mL; one-half (48%) had values exceeding 100 ng/mL. Self-reported prenatal smoking behavior seems to be an unreliable indicator of actual smoking status among low-income prenatal patients, resulting in missed opportunities to lower tobacco-related exposure/risk among women with the poorest birth outcomes.
ISSN:1078-4659