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Effect of tobacco control policies on perinatal and child health: What’s the Evidence?

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Published on Mar 19, 2018

Health Evidence™ hosted a 60 minute webinar examining the effect of tobacco control policies on perinatal and child health. Click here to access the slides: http://ow.ly/HbPm30j2dMe

Dr. Jasper Been, Consultant Neonatologist at the Erasmus University MC-Sophia Children’s Hospital and Honorary Research Fellow in the Centre for Medical Informatics at the University of Edinburgh led the session and presented findings from their recent systematic review and meta-analysis:

Faber T, Kumar A, Mackenbach J, Millett C, Basu S, Sheikh A, & Been JV. (2017). Effect of tobacco control policies on perinatal and child health: A systematic review and meta-analysis. The Lancet Public Health, 2(9), e420-e437.

Tobacco smoking and smoke exposure during pregnancy and childhood cause considerable childhood morbidity and mortality. This review examines the effect of tobacco control policies on perinatal and child health. Forty-one studies were included in the review. Implementation of smoke-free legislation was associated with reductions in rates of preterm birth, rates of hospital attendance for asthma exacerbations and rates of hospital attendance for all respiratory tract infections and for lower respiratory tract infections. Among two studies assessing the association between smoke-free legislation and perinatal mortality, one showed significant reductions in stillbirth and neonatal mortality but did not report the overall effect on perinatal mortality, while the other showed no change in perinatal mortality. Meta-analysis of studies on other MPOWER policies was not possible; all four studies on increasing tobacco taxation and one of two on offering disadvantaged pregnant women help to quit smoking that reported on our primary outcomes had positive findings. These findings provide strong support for implementation of such policies comprehensively across the world.

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