Perceived safety of smoking a few cigarettes during pregnancy and provider advice in a sample of pregnant smokers from Romania.
Perceived safety of smoking a few cigarettes during pregnancy and provider advice in a sample of pregnant smokers from Romania.
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DOI：
10.1111/add.15201
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Meghea CI
中科院分区：
文献类型：
--
作者：
Jaber R;Blaga OM;Dascal MD;Meghea CI
在中等收入国家罗马尼亚的一个怀孕吸烟者样本中，评估怀孕期间吸几支（通常<5支/天）香烟的安全感的流行率，并确定相关因素。采用方便样本的横断面设计，使用2016年至2019年在罗马尼亚一起戒烟随机对照试验（RCT）的形成和基线阶段收集的民意调查数据集。在形成阶段，使用由诊所研究助理管理的结构化问卷收集数据，并在RCT基线时通过研究网站进行自我管理。共有217名怀孕吸烟者（平均年龄28.5 ± 5.8）参加了该研究项目的形成阶段和随机对照试验阶段。主要结果是在怀孕期间吸烟的安全性（通常，<5/天）。协变量包括医疗保健提供者对怀孕期间吸烟的建议，社会人口统计学，抑郁和焦虑症状的存在以及尼古丁依赖程度。超过35%的参与者同意在怀孕期间吸几支烟对他们和他们的婴儿是安全的。在怀孕期间吸几支烟的安全性与被卫生保健提供者告知继续少量吸烟是可以接受的显著相关（OR=3.08; 95%CI：1.35-6.99; p<0.01），吸淡香烟的感知危害减少（OR=2.67; 95%CI：1.19-5.97; p=0.02），以及中度至重度抑郁和焦虑评分（OR=0.34; 95%CI：0.13-0.84; p =0.02）。超过三分之一的罗马尼亚孕妇似乎认为，在怀孕期间吸“几支”香烟对她们和胎儿是安全的。与其他罗马尼亚孕妇相比，那些被医疗服务提供者告知在怀孕期间少量吸烟是可以接受的人，更有可能认为在怀孕期间吸“几支”香烟是安全的。
To assess the prevalence of the perceived safety of smoking a few (generally <5/day) cigarettes during pregnancy and identify associated factors in a sample of pregnant smokers in Romania, a middle-income country. Cross-sectional design with a convenience sample using a polled dataset collected between 2016 and 2019 in the formative and baseline phases of the Quit Together randomized control trial (RCT) in Romania. Data were collected using a structured questionnaire administered by research assistants in clinics in the formative phase and self-administered through the study website at the RCT baseline. A total of 217 pregnant smokers (mean age 28.5 ± 5.8) enrolled in the formative and RCT phases of the research project. The main outcome was the perceived safety of smoking a few cigarettes during pregnancy (generally, <5/day). Covariates included the health care providers’ advice toward smoking tobacco cigarettes during pregnancy, socio-demographics, the presence of depression and anxiety symptoms, and level of nicotine dependence. Over 35% of participants agreed that smoking a few cigarettes during pregnancy was safe for them and their baby. The perceived safety of smoking a few cigarettes during pregnancy was significantly associated with being told by health care providers that it is acceptable to continue to smoke cigarettes in small amounts (OR=3.08; 95% CI: 1.35–6.99; p<0.01), perceived harm reduction of smoking light cigarettes (OR=2.67; 95% CI: 1.19–5.97; p=0.02), and moderate to severe depression and anxiety score (OR=0.34; 95% CI: 0.13–0.84; p =0.02). More than one third of pregnant Romanian women appear to believe that smoking ‘a few’ cigarettes during pregnancy is safe for them and their fetuses. Those who are told by their healthcare providers that it is acceptable to smoke in small amounts during pregnancy have higher odds of perceiving smoking ‘a few’ cigarettes during pregnancy as safe compared with other pregnant Romanian women.
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