Smoking and Smoking Cessation During Pregnancy. An Analysis of a Hospital Based Cohort of Women in Romania
Smoking and Smoking Cessation During Pregnancy. An Analysis of a Hospital Based Cohort of Women in Romania
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DOI：
10.1007/s10900-016-0259-6
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发表时间：
2017-04-01
影响因子：
5.9
通讯作者：
Wallis, Anne Baber
中科院分区：
文献类型：
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作者：
Blaga, Oana M.;Brinzaniuc, Alexandra;Wallis, Anne Baber
围产期吸烟与广泛的负面生殖和妊娠结局相关。目前研究的目的是在罗马尼亚妇女的大样本中检查产前吸烟和怀孕期间戒烟的妇女的患病率和特征。了解哪些女性更有可能戒烟将有助于增加公共卫生知识，从而帮助更多女性在怀孕前或怀孕期间戒烟并防止产后复发。这项横断面分析是基于2012年5月至2015年4月期间收集的横断面数据进行的，作为在罗马尼亚中部6个临床环境中实施的妊娠队列研究的一部分（N = 2370）。大约28%的样本在得知怀孕前6个月内报告吸烟。在得知怀孕前6个月报告吸烟的妇女中，有一半也报告说她们在采访时戒烟了。总体而言，烟草消费量从怀孕前的10支/天（范围：1-30）的样本模式下降到访谈时的5支/天（范围：1-25）的样本模式。戒烟的女性社会经济地位更高，更有可能生活在城市地区，有伴侣，怀孕，未生育，焦虑程度更低，社会支持更多。社会经济梯度，焦虑少，更多的社会支持的组合表明，应加大努力，以针对低收入，受教育程度低，多孕，多产的妇女和开发方案，提高社会支持和减轻焦虑。
Perinatal smoking is associated with a wide range of negative reproductive and pregnancy outcomes. The aim of the current study was to examine the prevalence and characteristics of women who report smoking prenatally and quit during pregnancy in a large sample of Romanian women. Understanding which women are more likely to quit will contribute to public health knowledge that will help more women stop smoking prior to or during pregnancy and prevent relapse postpartum. This cross-sectional analysis was conducted based on cross-sectional data collected between May 2012 and April 2015 as part of a cohort study of pregnancy implemented in six clinical settings in central Romania (N = 2370). Approximately 28 % of the sample reported smoking in the 6 months prior to learning they were pregnant. Half of the women who reported smoking 6 months before learning of their pregnancy, also reported that they stopped smoking by the time of the interview. Overall, tobacco consumption decreased from a sample mode of 10 cigarettes/day (range: 1-30) before pregnancy, to a sample mode of 5 cigarettes/day (range: 1-25) at the time of the interview. Women who quit had a higher socioeconomic position, were more likely to live in urban areas, partnered, primigravid, nulliparous, and reported lower anxiety and more social support. The combination of a socioeconomic gradient, less anxiety, and more social support suggests that efforts should be increased to target lower income, less educated, multigravid, and multiparous women and to develop programs that heighten social support and alleviate anxiety.