Sudden infant death syndrome, maternal smoking during pregnancy, and the cost-effectiveness of smoking cessation intervention
- 1 March 2001
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 91 (3), 432-436
- https://doi.org/10.2105/ajph.91.3.432
Abstract
OBJECTIVES: This study analyzed the relationship between prenatal maternal smoking and sudden infant death syndrome (SIDS) and examined the cost-effectiveness of smoking cessation interventions. METHODS: All recorded US singleton SIDS deaths from the 1995 birth cohort with birthweight exceeding 500 g were investigated. Infants with available maternal smoking data were matched with controls who survived to 1 year. Conditional logistic regression was used to estimate SIDS risks and accompanying cost-effectiveness. RESULTS: A total of 23.6% of singleton SIDS deaths appear to be attributable to prenatal maternal smoking. Typical cessation services available to all pregnant smokers could avert 108 SIDS deaths annually, at an estimated cost of $210,500 per life saved. CONCLUSIONS: Typical prenatal smoking cessation programs are highly cost-effective but have limited impact on the population incidence of SIDS.Keywords
This publication has 27 references indexed in Scilit:
- Maternal smoking and adverse birth outcomes among singletons and twinsAmerican Journal of Public Health, 2000
- Maternal Substance Abuse and Infant Health: Policy Options across the Life CourseThe Milbank Quarterly, 1999
- Epidemiology of SIDS and Explained Sudden Infant DeathsPublished by American Academy of Pediatrics (AAP) ,1999
- Cost-effectiveness of the clinical practice recommendations in the AHCPR guideline for smoking cessation. Agency for Health Care Policy and ResearchPublished by American Medical Association (AMA) ,1997
- Combined Effects of Sleeping Position and Prenatal Risk Factors in Sudden Infant Death Syndrome: The Nordic Epidemiological SIDS StudyPediatrics, 1997
- Five‐Hundred Life‐Saving Interventions and Their Cost‐EffectivenessRisk Analysis, 1995
- Integrating smoking cessation into routine public prenatal care: the Smoking Cessation in Pregnancy project.American Journal of Public Health, 1995
- A Review of Smoking in Pregnancy: Effects on Pregnancy Outcomes and Cessation EffortsAnnual Review of Public Health, 1993
- Smoking before, during, and after pregnancy.American Journal of Public Health, 1990
- The effectiveness of smoking cessation methods for smokers in public health maternity clinics: a randomized trial.American Journal of Public Health, 1985