Objectives. This study examined determinants of and trends in smoking durin
g pregnancy in Finland from 1987 through 1997.
Methods. A repeated cross-sectional investigation of 694926 women was condu
cted.
Results. The prevalence of smoking during pregnancy remained similar from 1
987 through 1997 (at 15%). In 1997, prevalences of smoking were alarmingly
high among young (37%), single (30%), and less educated (25%) women and amo
ng women living in northern (20%) and eastern (19%) Finland. These determin
ants were persistent over time, with the exception of an increase in region
al differences.
Conclusions. Despite increasing knowledge of adverse effects, smoking durin
g pregnancy has not declined in Finland over the past decade.