Secondhand smoke exposure data from birth certificates – 7/6/12

Q: The State of South Dakota would like to ask other states to share examples of birth certificate questions used to determine exposure to secondhand smoke.

A:

1. Kentucky: Attached is a PowerPoint slide from our epidemiologist that outlines Kentucky’s birth certificate question regarding smoking before and during pregnancy.
    
2. Nebraska: The following is what Nebraska collects in our birth certificate questions. The information we collect can be found on birth certificates in any state that has adopted the 2003 US Standard Birth Certificate.
    
   Mother’s cigarette smoking before and during pregnancy.
   How many cigarettes did you smoke on an average day during each of the following time period?
    
   If you NEVER smoked, enter zero for each time period.
    
   • Three month before pregnancy: _______
   • First three month of pregnancy: _______
   • Second three months of pregnancy: _______
   • Last three months of pregnancy: _______
      
3. New Hampshire: Our vital statistics data is self-reported on smoking during each trimester. New Hampshire does not collect exposure data.
    
4. West Virginia: The Pregnancy Risk Assessment Monitoring System (PRAMS) does ask smoking exposure questions:
    
   Which of the following statements best describes the rules about smoking inside your home now?
    
   • No one allowed to smoke anywhere inside my home
   • Smoking is allowed in some rooms or at some times
   • Smoking is permitted anywhere inside my home
      
   Does your husband or partner smoke inside your home?
    
   Not including yourself or your husband or partner, does anyone else smoke cigarettes inside your home?
    
   About how many hours a day, on average, is your new baby in the same room or vehicle with someone who is smoking?
    
   • ____hours
   • Less than 1 hour a day
   • My baby is never in the same room or vehicle with someone who is smoking

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