Maternal smoking during pregnancy is a leading preventable cause of adverse birth outcomes, yet disparities exist in the delivery of smoking cessation counseling during prenatal care. This cross-sectional study analyzed 2000–2001 Oregon PRAMS data to examine racial and ethnic differences in receipt of smoking counseling among pregnant smokers. Only 42% reported receiving counseling that included asking, advising, and assisting. Despite high smoking prevalence, American Indian/Alaska Native women were significantly less likely than non-Hispanic White women to report receiving counseling, while non-Hispanic Black women were more likely. Results highlight persistent gaps in prenatal smoking cessation counseling and the need for targeted provider training, particularly for populations at highest risk.
