Tobacco and nicotine delivery product use in a national sample of pregnant women
Tobacco and nicotine delivery product use in a national sample of pregnant women
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DOI：
10.1016/j.ypmed.2017.07.030
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发表时间：
2017-11-01
影响因子：
5.1
通讯作者：
Higgins, Stephen T.
中科院分区：
文献类型：
--
作者：
Kurti, Allison N.;Redner, Ryan;Higgins, Stephen T.
监测孕妇使用烟草制品是公共卫生的优先事项，但很少有关于这一主题的美国国家样本研究报告。我们研究了美国全国孕妇样本中使用香烟，电子烟和其他烟草/尼古丁输送产品的流行率和相关性。数据来自第一波烟草与健康人口评估（PATH，2013-2014）研究（N = 388）中的所有孕妇（≥ 18岁）。对当前和既往使用烟草/尼古丁产品的患病率进行了总体和当前吸烟者的检查。使用多元logistic回归分析了吸烟、电子烟、水烟和雪茄的相关性。总体患病率最高的是香烟（13.8%），其次是电子烟（4.9%），水烟（2.5%）和雪茄（2.3%），所有其他产品的患病率均低于1%。目前吸烟者使用其他烟草产品的流行率远远高于一般人群，其中电子烟（28.5%）最普遍，其次是雪茄（14.0%），水烟（12.4%），无烟（4.7%），鼻烟（4.6%）和烟斗（2.1%）。社会人口学特征（贫困，低教育程度，白色种族）和过去一年的外在精神症状与目前的吸烟。反过来，目前的吸烟和过去一年的非法药物使用与使用电子烟，水烟和雪茄有关。这些结果强调，怀孕期间使用烟草/尼古丁的范围超出了香烟。研究结果还表明，这些其他产品的使用应包括在烟草使用的常规临床筛查中，并需要针对孕妇采取更密集的烟草控制和监管策略。(C)2017爱思唯尔公司All rights reserved.
Monitoring use of tobacco products among pregnant women is a public health priority, yet few studies in U.S. national samples have been reported on this topic. We examined prevalence and correlates of using cigarettes, e-cigarettes, and other tobacco/nicotine delivery products in a U.S. national sample of pregnant women. Data were obtained from all pregnant women (>= 18 years) in the first wave of the Population Assessment of Tobacco and Health (PATH, 2013-2014) Study (N = 388). Prevalence of current and prior use of tobacco/nicotine products was examined overall and among current cigarette smokers. Multiple logistic regression was used to examine correlates of use of cigarettes, e-cigarettes, hookah and cigars. Overall prevalence was highest for cigarettes (13.8%), followed by e-cigarettes (4.9%), hookah (2.5%) and cigars (2.3%), and below 1% for all other products. Prevalence of using other tobacco products is much higher among current smokers than the general population, with e-cigarettes (28.5%) most prevalent followed by cigars (14.0%), hookah (12.4%), smokeless (4.7%), snus (4.6%), and pipes (2.1%). Sociodemographic characteristics (poverty, low educational attainment, White race) and past-year externalizing psychiatric symptoms were correlated with current cigarette smoking. In turn, current cigarette smoking and past year illicit drug use were correlated with using e-cigarettes, hookah, and cigars. These results underscore that tobacco/nicotine use during pregnancy extends beyond cigarettes. The results also suggest that use of these other products should be included in routine clinical screening on tobacco use, and the need for more intensive tobacco control and regulatory strategies targeting pregnant women. (C) 2017 Elsevier Inc. All rights reserved.