HealthStats NSW
HealthStats NSW
HealthStats NSW

Smoking in pregnancy

Albury LGA, 2016 to 2018
23.8Albury LGA, 2015 to 2017
18.9Albury LGA, 2014 to 2016
19.4Albury LGA, 2013 to 2015
16.7Albury LGA, 2012 to 2014
25.3Albury LGA, 2011 to 2013
24.1Albury LGA, 2010 to 2012
17.7Albury LGA, 2009 to 2011
13.1Albury LGA, 2008 to 2010
10.5Albury LGA, 2007 to 2009
13.6Albury LGA, 2006 to 2008
15Albury LGA, 2005 to 2007
15.5Albury LGA, 2004 to 2006
17.5Albury LGA, 2003 to 2005
14.8Albury LGA, 2002 to 2004
15.2Albury LGA, 2001 to 2003
14.1Total NSW, 2016 to 2018
8.7Total NSW, 2015 to 2017
8.7Total NSW, 2014 to 2016
8.8Total NSW, 2013 to 2015
9.3Total NSW, 2012 to 2014
9.8Total NSW, 2011 to 2013
10.4Total NSW, 2010 to 2012
10.9Total NSW, 2009 to 2011
11.5Total NSW, 2008 to 2010
12Total NSW, 2007 to 2009
12.5Total NSW, 2006 to 2008
13Total NSW, 2005 to 2007
13.5Total NSW, 2004 to 2006
14.2Total NSW, 2003 to 2005
14.7Total NSW, 2002 to 2004
15.4Total NSW, 2001 to 2003
16.2
  • + Source

    NSW Perinatal Data Collection (SAPHaRI). Centre for Epidemiology and Evidence, NSW Ministry of Health.

  • + Notes

    Two questions are asked about smoking behaviour in the NSW Perinatal Data Collection:
        - Did the mother smoke at all during the first half of pregnancy?
        - Did the mother smoke at all during the second half of pregnancy?

    Smoking in pregnancy was defined as smoking in either the first or second half of pregnancy.

    Data include all mothers who gave birth (stillbirth or live birth) in a NSW facility (or a home) regardless of place of permanent residence.

    The number of ‘not stated’ cases varied by geographic area and year. This may reduce the reliability of the estimates in the instances where ‘not stated’ cases are a large proportion.

    Bayesian smoothing was used to calculate the smoothed percentages.

    Local Government Area boundaries used were defined in 2016.

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  • + Methods
  • + Codes
    • Codes: NSW Perinatal Data Collection

      The current data collection form for the NSW Perinatal Data Collection (PDC) commenced in 2016. Codes are described in the NSW Perinatal Data Collection Manual - 2016 Edition, which is available on the internet at http://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2015_025.pdf

  • + Related Indicators
  • + Associated Information
    • Key points: Pregnancy and the newborn period

      Recent trends

      In 2019 there were 95,133 births to 93,758 mothers in NSW, a decrease of 1.3% from 96,391 births in 2015.  The percentage of multiple (twin and triplet) pregnancies has remained fairly stable over recent years at about 1.4%. 

      Between 2015 and 2019:

      • The proportion of mothers who were teenagers continued to fall, from 2.5% to 1.7%.

      • The proportion of births to mothers over 35 years of age has increased slightly from 23.4% to 25.9%.

      • The rate of low birth weight (less than 2,500 grams) has remained stable, ranging from 6.4% to 6.8%.

      • The perinatal mortality rate was 8.0 per 1,000 births in 2019,  decreased from 8.2 per 1,000 births in 2015.

      Aboriginal and Torres Strait Islander mothers and babies

      Between 2015 and 2019:

      • The number of reported births to Aboriginal or Torres Strait Islander mothers increased from 3,872 to 4,479, representing 4.0% and 4.7% respectively of all babies born in NSW.

      • The percentage of Aboriginal or Torres Strait Islander mothers who were teenagers fell substantially from 15.4% to 10.5%.

      • The perinatal mortality rate of 10.3 per 1,000 births in Aboriginal or Torres Strait Islander mothers in 2019 is higher than the rate of 7.9 per 1,000 births experienced among babies born to non-Aboriginal or Torres Strait Islander mothers.

      The percentage of Aboriginal or Torres Strait Islander mothers who commenced antenatal care before 14 weeks increased from 55.6% to 75.3%.

    • Introduction: Pregnancy and the newborn period

      Demography

      The health of Australian mothers and babies is generally good by world standards. Maternal deaths are rare, and perinatal mortality rates are low.

      The average woman in NSW can currently expect to give birth to 1.9 babies in her lifetime.

      NSW mothers are getting older with the mean maternal age at first birth around 29 years and at subsequent birth just over 30. The proportion of teenage mothers is declining.

      Burden of disease and social and economic disadvantage 

      Aboriginal mothers and babies, those from socioeconomically disadvantaged areas, and some overseas-born mothers and their babies continue to experience worse outcomes than other NSW mothers and babies.

    • Interventions: Pregnancy and the newborn period

      The NSW Ministry of Health maintains two population-based surveillance systems that collect information concerning pregnancy and birth: the NSW Perinatal Data Collection and the NSW Register of Congenital Conditions. They assist in monitoring the health of mothers and babies, and maternity service planning in NSW.

      The implementation of the NSW Aboriginal Maternal and Infant Health Strategy has improved access to culturally appropriate maternity services for Aboriginal mothers.

      The NSW Maternal and Perinatal Mortality Review Committee reviews each death of a mother or newborn baby to assess the cause and identify any possible avoidable factors. This information is used to improve services for mothers and babies.

    • For more information: Pregnancy and the newborn period

      Useful websites

      NSW Ministry of Health at http://health.nsw.gov.au, in particular see the annual New South Wales Mothers and Babies report, published by the Centre for Epidemiology and Evidence. The latest edition is available at http://www.health.nsw.gov.au/hsnsw/Publications/mothers-and-babies-2018.pdf

      Australian Bureau of Statistics at http://www.abs.gov.au, in particular see Births (ABS Cat no 3301.0)

      Australian Institute of Health and Welfare at http://www.aihw.gov.au in general and in particular the AIHW's National Perinatal Statistics Unit and the annual publication: Australia’s mothers and babies.

      healthdirect at http://www.healthdirect.gov.au

      Population and Public Health Division. Improved reporting of Aboriginal and Torres Strait Islander peoples on population datasets in New South Wales using record linkage–a feasibility study. Sydney: NSW Ministry of Health, 2012. Available at: http://www.health.nsw.gov.au/hsnsw/Publications/atsi-data-linkage-report.pdf

      Australian Council on Healthcare Standards. Obstetrics Indicator User Manual. Sydney: ACHS. Available at: https://www.achs.org.au/

    • Key points: Smoking

      Latest available information

      Data from the NSW Population Health Survey is used to measure the NSW State Government targets on reducing smoking in the population and is comparable with other sources of information on smoking in NSW.

      • 11.2% of adults aged 16 years and over (12.1% of men and 10.2% of women) smoked daily in NSW in 2019 and 15.5% (18.0% of men and 13.1% of women) were current (daily or occasional) smokers. Estimates were produced from the NSW Adult Population Health Survey (self-reported using Computer Assisted Telephone Interviewing or CATI).

      • 13.9% of NSW adults aged 18 years and over (17.0% of males and 10.9% of females) were daily smokers, as estimated from the 2017-18 National Health Survey (interviewer-administered questionnaire).

      • 8.8% of mothers smoked during pregnancy in 2019, as reported to the NSW Perinatal Data Collection.

      Latest available data for secondary school students in NSW

      • 6.4% of students aged 12-17 years (7.0% of boys and 5.7% of girls) were current smokers, as estimated from the 2017 NSW School Students Health Behaviours Survey (self-completed questionnaire).

      Latest available data for adult Aboriginal persons in NSW

      • 26.4% of Aboriginal adults aged 16 years and over smoked daily in NSW in 2018-2019 and 31.5% were current (daily or occasional) smokers. Estimates were produced from the NSW Adult Population Health Survey (self-reported using CATI).

      • 43.2% of Aboriginal mothers smoked during pregnancy in 2019, as reported to the NSW Perinatal Data Collection.

      Overall trends in NSW

      Self-reported data on current smoking have been collected for adults in NSW since 1997 through the NSW Population Health Survey, since 1977-78 through the National Health Survey (from 1995), since 1985 through the National Drug Strategy Household Survey, and since 2011 through the Australian Health Survey.

      Self-reported data on current smoking have been collected for students in NSW since 1984 through the NSW School Students Health Behaviours Survey.

      Prevalence estimates, although differing slightly between surveys because of different sampling frames, participation rates and modes of collection (telephone, self-completed questionnaires, face-to-face personal interview and drop-and-collect), have all been decreasing over time.

      Hospitalisations attributable to smoking

      A total of 62,930 hospitalisations were attributed to smoking in NSW in 2018-19, which was approximately 2.0% of all hospitalisations.

      The rate of hospitalisations attributable to smoking decreased in males by nearly 36%, compared to a 15% decrease among females in NSW between 2001-02 and 2018-19. Rates have stabilised in recent years.

      The rate of hospitalisations attributable to smoking increased in both Aboriginal males and Aboriginal females by 32% aand 24% respectively in the period between 2009-10 and 2018-19. 

      Deaths attributable to smoking

      A total of 6,702 deaths were attributed to smoking in NSW in 2018, which was 12.5% of all deaths in 2018. In 2018, the rate of deaths attributable to smoking in males and females was 84.2 and 50.3 deaths per 100,000 population, respectively.

      References

      Australian Institute of Health and Welfare. National Drug Strategy Household Survey report. Available at: https://www.aihw.gov.au/about-our-data/our-data-collections/national-drug-strategy-household-survey

      Australian Bureau of Statistics. National Health Survey: First Results, 2017-18. Available at: https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4364.0.55.001~2017-18~Main%20Features~New%20South%20Wales~10002

    • Introduction: Smoking

      Smoking and health implications

      Tobacco smoking is one of the biggest causes of premature death and is a leading preventable cause of chronic disease in New South Wales. It is a major risk factor for cardiovascular disease, a range of cancers, chronic obstructive pulmonary disease, coronary heart disease and a variety of other diseases and conditions. Approximately one in five of all cancer deaths are due to tobacco smoking.

      There is a no safe level of exposure to second-hand tobacco smoke. In adults, breathing second-hand smoke can increase the risk of heart disease, lung cancer and other lung diseases. It can worsen the effects of existing illnesses such as asthma and bronchitis. For children, inhaling second-hand smoke is even more dangerous. Children are more likely to suffer health problems due to second-hand smoke such as bronchitis, pneumonia and asthma.

      Interventions 

      Australia has one of the most comprehensive tobacco control policies and programs in the world. The aim of the tobacco control programs in NSW is to contribute to a continuing reduction of smoking prevalence rates in the community.

      Information on NSW Health tobacco and smoking control programs and policies is available at: http://www.health.nsw.gov.au/tobacco.

      Useful websites:

      Cancer Institute at: https://www.cancerinstitute.org.au/

      I Can Quit at http://www.icanquit.com.au

      Quitline at http://www.quit.org.au/preparing-to-quit/choosing-best-way-to-quit/quitline

    • Interventions in NSW: Smoking

      Information on NSW Health programs and policies is available at http://www.health.nsw.gov.au/tobacco.

    • For more information: Smoking

      Useful websites include:

      Australian Bureau of Statistics at http://www.abs.gov.au

      Australian Institute of Health and Welfare at http://www.aihw.gov.au

      I Can Quit at http://www.icanquit.com.au

      Quitline at https://www.cancer.nsw.gov.au/how-we-help/cancer-prevention/stopping-smoking/quitline

Last Updated At: Tuesday, 8 September 2020