Smoking during pregnancy (PI11)
This indicator is the proportion of female First Nations regular clients who gave birth within the previous 12 months and whose smoking status recorded during pregnancy was:
- current smoker
- ex-smoker
- never smoked.
It is collected for age groups:
- less than 20
- 20–34
- 35 and over.
There have been changes to the specification of this indicator over time. See Interpreting nKPI data for more information.
Indicators related to smoking for ages 11 and over are also collected, with data presented under the Preventative health domain.
Why not smoking during pregnancy is important
Tobacco smoking is the smoking of tobacco products, including packet cigarettes, roll-your-own cigarettes, cigars or pipes.
Tobacco smoking during pregnancy is the most common preventable risk factor for pregnancy complications, and is associated with poorer perinatal outcomes, including low birthweight, being small for gestational age, pre-term birth and perinatal death. Women who stop smoking during pregnancy can reduce the risk of adverse outcomes for themselves and their babies.
The proportion of First Nations mothers who smoke during pregnancy has decreased over time. First Nations mothers, however, are more likely to smoke during pregnancy than non-Indigenous mothers (AIHW 2022).
At June 2022, 44% (or around 2,300) of female First Nations regular clients who gave birth in the previous 12 months smoked at some point during pregnancy, 41% (2,100) had never smoked and 15% (800) were ex-smokers.
Smoking during pregnancy by reporting period
Smoking during pregnancy, by reporting period
This Tableau visualisation shows the percentage of Indigenous regular clients who gave birth in the last year by their smoking status in the last year (select for current smoker, ex-smoker, or never smoked) and reporting period. There are two tabs with different time periods:
- June 2021 to June 2022
- June 2017 to December 2020
Data supporting this visualisation are available in Excel supplementary data tables at Data.

Notes
- In June 2021, specifications changed for this indicator and data from that point on cannot be compared with previous periods. See Interpreting nKPI data for more information.
- See Technical notes for more information, including on interpreting changes over time.
Having never smoked or being an ex-smoker during pregnancy (56%) was highest in:
- Victoria/Tasmania (combined) (64%)
- Major cities (65%)
- organisations other than Aboriginal Community Controlled Health Organisations (non-ACCHOs) (60%).
Smoking during pregnancy by reporting period and state/territory or remoteness or organisation type
Smoking during pregnancy, by either state/territory, remoteness or organisation type, reporting period
Two Tableau visualisations are presented here. The first shows the percentage of Indigenous regular clients who gave birth in the last year by their smoking status in the last year (select for current smoker, ex-smoker, or never smoked) for either:
- state/territory (NSW/ACT, Vic, Qld, WA, SA, Tas, NT, Australia)
- remoteness area (Major cities, Inner regional, Outer regional, Remote, Very remote, Australia)
- organisation type (ACCHO, non-ACCHO, Total).
Reporting periods of either June 2017, December 2017, June 2018, December 2018, June 2019, December 2019, June 2020, December 2020, June 2021, December 2021, or June 2022 can be selected.
The second visualisation shows the selected information from the first visualisation by age group (<20, 20–34, 35+).
Data supporting this visualisation are available in Excel supplementary data tables at Archived content.

Notes
- In June 2021, specifications changed for this indicator and data from that point on cannot be compared with previous periods for all ages or the total. See Interpreting nKPI data for more information.
- See Technical notes for more information, including on interpreting changes over time.
Reference
AIHW (Australian Institute of Health and Welfare) (2022) Aboriginal and Torres Strait Islander Health Performance Framework: health behaviours during pregnancy, AIHW, Australian Government, accessed 3 January 2023.