Substance use during pregnancy, including smoking, e-cigarette use, alcohol and illicit drugs, is a risk factor for adverse birth outcomes, such as birth defects, developmental disabilities, preterm birth, low birthweight and infant mortality.
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February 2024
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In Alabama in 2024, 17.8% of women of childbearing age (18-44 years) reported binge drinking in the past month, compared to 17.1% overall in the U.S.
In Alabama in 2024, 10.4% of women reported smoking, compared to 9.0% of women overall in the U.S.
In Alabama in 2024, 15.8% of men reported smoking, compared to 12.8% of men overall in the U.S.
In Alabama in 2022, 5.2% of mothers reported smoking during the last three months of pregnancy.
Notes: Smoking is defined as having ever smoked 100 cigarettes in a lifetime and currently smoking everyday or some days. Percent reported is among women ages 18-44. The following states did not conduct BRFSS surveillance every year and are not included in U.S. rates for the respective years: AK(1990), AR(1990,1992), DC(1995), KS(1990,1991), HI(2004), NV(1990,1991), NJ(1990), WY(1990-1993).
Sources: Smoking: Behavioral Risk Factor Surveillance System. Behavioral Surveillance Branch, Centers for Disease Control and Prevention. Retrieved June 14, 2026, from www.marchofdimes.org/peristats.
In Alabama in 2024, 10.4% of women reported smoking, compared to 9.0% of women overall in the U.S.
Smoking is a major public health problem because not only can smoking harm a man's or woman's health, but smoking during pregnancy can lead to serious health problems in newborns (see the March of Dimes Fact Sheet on Smoking).