The impact of anti-tobacco legislation on birth weight in Peru

Mallma, Patricia; Cárcamo Cavagnaro, César Paul Eugenio; Kaufman, Jay S.

dc.contributor.author	Mallma, Patricia
dc.contributor.author	Cárcamo Cavagnaro, César Paul Eugenio
dc.contributor.author	Kaufman, Jay S.
dc.date.accessioned	2020-07-14T00:02:32Z
dc.date.available	2020-07-14T00:02:32Z
dc.date.issued	2020
dc.identifier.uri	https://hdl.handle.net/20.500.12866/8336
dc.description.abstract	Background: Tobacco exposure remains a significant issue for public health, especially for pregnant women. It increases the risk for premature labor, low birth weight and small for gestational age (SGA), among other effects. To reduce these risks, many countries have enacted public policies to curb tobacco exposure. Peru enacted anti-tobacco laws that forbid smoking in public places, require prevention text and images in products and publicity, along with restriction of sales to adults. We evaluated the effect of the implementation of this law on newborn outcomes: birth weight, prematurity and SGA. Methods: This was a quasi-experimental study that utilized data from the Peruvian Live Birth Registry. Children born to mothers from urban areas were the intervention group, while children born to mothers from rural areas were considered the control group. Only singletons with information on birth weight and gestational age, born to mothers aged 12 to 49 years were included in the study. In addition, newborns with birth weights greater than + 4 standard deviations (SD) or less than - 4 SD from the gestational age-specific mean were excluded. To measure the effect of legislation on birth weight we performed a difference in differences analysis. Results: A total of 2,029,975 births were included in the analysis. After adjusting for characteristics of the mother and the child, and contextual variables, the anti-tobacco law in Peru reduced the incidence of prematurity by 30 cases per 10,000 live births (95% CI: 19 to 42). Conclusions: The reform had negligible effects on overall birth weights and on the incidence of SGA. This modest result suggests the need for a more aggressive fight against tobacco, prohibiting all types of advertising and promotion of tobacco products, among others measures.	en_US
dc.language.iso	eng
dc.publisher	Springer
dc.relation.ispartofseries	Global Health Research and Policy
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	Low birth weight	en_US
dc.subject	Peru	en_US
dc.subject	Prematurity and small gestational age	en_US
dc.subject	Tobacco control	en_US
dc.title	The impact of anti-tobacco legislation on birth weight in Peru	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1186/s41256-020-00136-5
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.02
dc.relation.issn	2397-0642