B3481 - The relationship between socioeconomic deprivation psychiatric distress and persistence of smoking in pregnant women - 10/03/2020
Only a small proportion of pregnant individuals will continue to smoke during their pregnancy. Identifying the key traits which predict this behaviour will allow the development of more efficient screening procedures and interventions for this vulnerable group, improving outcomes for both mother and foetus. While both psychological vulnerabilities (such as depression) and socioeconomic risk factors (such as material deprivation) have been considered individually in their relationship with smoking during pregnancy, the relative importance of psychological versus socioeconomic factors has not been determined. In addition, very few studies have considered the complex inter-relationships between socioeconomic status (SES) and psychological wellbeing, and how these might contribute to smoking in pregnancy. The purpose of the present project is to use the ALSPAC dataset to address these two issues. Pregnant women in this dataset will be classed as either continuing smokers (smoked prior to pregnancy and continued during second and/or third trimesters), quit smokers (smoked prior to pregnancy but not during second or third trimesters), and never smokers (did not smoke prior to pregnancy or during pregnancy). Differences between these groups in psychological variables (depression, anxiety, and experience of stressful events during pregnancy) and socioeconomic variables (educational attainment, financial difficulties and neighbourhood deprivation) will be tested using multiple logistic regression. The second phase of this project will use network outcome analysis to map the complex inter-relationships between psychological and socioeconomic risk factors and smoking in pregnancy. This will allow us to identify the best targets for intervention.