Cargando…
A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy
BACKGROUND: We aimed to assess the potential usefulness of primary care data in the UK for estimating smoking prevalence in pregnancy by comparing the primary care data estimates with those obtained from other data sources. METHODS: In The Health Improvement Network (THIN) primary care database, we...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4552009/ https://www.ncbi.nlm.nih.gov/pubmed/25336275 http://dx.doi.org/10.1093/pubmed/fdu060 |
_version_ | 1782387667264077824 |
---|---|
author | Dhalwani, Nafeesa N. Tata, Laila J. Coleman, Tim Fiaschi, Linda Szatkowski, Lisa |
author_facet | Dhalwani, Nafeesa N. Tata, Laila J. Coleman, Tim Fiaschi, Linda Szatkowski, Lisa |
author_sort | Dhalwani, Nafeesa N. |
collection | PubMed |
description | BACKGROUND: We aimed to assess the potential usefulness of primary care data in the UK for estimating smoking prevalence in pregnancy by comparing the primary care data estimates with those obtained from other data sources. METHODS: In The Health Improvement Network (THIN) primary care database, we identified pregnant smokers using smoking information recorded during pregnancy. Where this information was missing, we used smoking information recorded prior to pregnancy. We compared annual smoking prevalence from 2000 to 2012 in THIN with measures from the Infant Feeding Survey (IFS), Smoking At Time of Delivery (SATOD), Child Health Systems Programme (CHSP) and Scottish Morbidity Record (SMR). RESULTS: Smoking estimates from THIN data converged with estimates from other sources after 2004, though still do not agree completely. For example, in 2012 smoking prevalence at booking was 11.6% in THIN using data recorded only during pregnancy, compared with 19.6% in SMR data. However, the use of smoking data recorded up to 27 months before conception increased the THIN prevalence to 20.3%, improving the comparability. CONCLUSIONS: Under-recording of smoking status during pregnancy results in unreliable prevalence estimates from primary care data and needs improvement. However, in the absence of gestational smoking data, the inclusion of pre-conception smoking records may increase the utility of primary care data. One strategy to improve gestational smoking status recording in primary care could be the inclusion of pregnancy in the Quality and Outcome’s Framework as a condition for which smoking status and smoking cessation advice must be recorded electronically in patient records. |
format | Online Article Text |
id | pubmed-4552009 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-45520092015-08-28 A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy Dhalwani, Nafeesa N. Tata, Laila J. Coleman, Tim Fiaschi, Linda Szatkowski, Lisa J Public Health (Oxf) Methods BACKGROUND: We aimed to assess the potential usefulness of primary care data in the UK for estimating smoking prevalence in pregnancy by comparing the primary care data estimates with those obtained from other data sources. METHODS: In The Health Improvement Network (THIN) primary care database, we identified pregnant smokers using smoking information recorded during pregnancy. Where this information was missing, we used smoking information recorded prior to pregnancy. We compared annual smoking prevalence from 2000 to 2012 in THIN with measures from the Infant Feeding Survey (IFS), Smoking At Time of Delivery (SATOD), Child Health Systems Programme (CHSP) and Scottish Morbidity Record (SMR). RESULTS: Smoking estimates from THIN data converged with estimates from other sources after 2004, though still do not agree completely. For example, in 2012 smoking prevalence at booking was 11.6% in THIN using data recorded only during pregnancy, compared with 19.6% in SMR data. However, the use of smoking data recorded up to 27 months before conception increased the THIN prevalence to 20.3%, improving the comparability. CONCLUSIONS: Under-recording of smoking status during pregnancy results in unreliable prevalence estimates from primary care data and needs improvement. However, in the absence of gestational smoking data, the inclusion of pre-conception smoking records may increase the utility of primary care data. One strategy to improve gestational smoking status recording in primary care could be the inclusion of pregnancy in the Quality and Outcome’s Framework as a condition for which smoking status and smoking cessation advice must be recorded electronically in patient records. Oxford University Press 2015-09 2014-10-21 /pmc/articles/PMC4552009/ /pubmed/25336275 http://dx.doi.org/10.1093/pubmed/fdu060 Text en © The Author 2014. Published by Oxford University Press on behalf of Faculty of Public Health http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Methods Dhalwani, Nafeesa N. Tata, Laila J. Coleman, Tim Fiaschi, Linda Szatkowski, Lisa A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy |
title | A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy |
title_full | A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy |
title_fullStr | A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy |
title_full_unstemmed | A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy |
title_short | A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy |
title_sort | comparison of uk primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy |
topic | Methods |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4552009/ https://www.ncbi.nlm.nih.gov/pubmed/25336275 http://dx.doi.org/10.1093/pubmed/fdu060 |
work_keys_str_mv | AT dhalwaninafeesan acomparisonofukprimarycaredatawithothernationaldatasourcesformonitoringtheprevalenceofsmokingduringpregnancy AT tatalailaj acomparisonofukprimarycaredatawithothernationaldatasourcesformonitoringtheprevalenceofsmokingduringpregnancy AT colemantim acomparisonofukprimarycaredatawithothernationaldatasourcesformonitoringtheprevalenceofsmokingduringpregnancy AT fiaschilinda acomparisonofukprimarycaredatawithothernationaldatasourcesformonitoringtheprevalenceofsmokingduringpregnancy AT szatkowskilisa acomparisonofukprimarycaredatawithothernationaldatasourcesformonitoringtheprevalenceofsmokingduringpregnancy AT dhalwaninafeesan comparisonofukprimarycaredatawithothernationaldatasourcesformonitoringtheprevalenceofsmokingduringpregnancy AT tatalailaj comparisonofukprimarycaredatawithothernationaldatasourcesformonitoringtheprevalenceofsmokingduringpregnancy AT colemantim comparisonofukprimarycaredatawithothernationaldatasourcesformonitoringtheprevalenceofsmokingduringpregnancy AT fiaschilinda comparisonofukprimarycaredatawithothernationaldatasourcesformonitoringtheprevalenceofsmokingduringpregnancy AT szatkowskilisa comparisonofukprimarycaredatawithothernationaldatasourcesformonitoringtheprevalenceofsmokingduringpregnancy |