Correlates of postpartum smoking relapse - Results from the Pregnancy Risk Assessment Monitoring System (PRAMS)
Correlates of postpartum smoking relapse - Results from the Pregnancy Risk Assessment Monitoring System (PRAMS)
复制标题
DOI：
10.1016/s0749-3797(00)00198-7
复制
发表时间：
2000-10-01
影响因子：
5.5
通讯作者：
Ahluwalia, IB
中科院分区：
文献类型：
--
作者：
Carmichael, SL;Ahluwalia, IB
背景资料：使用人口为基础的数据，从怀孕风险评估监测系统（PRAMS），本研究探讨了吸烟的患病率和强度之前，期间和怀孕后，并确定产后吸烟reciprocation.Methods的相关性：妇女谁交付活产在1996年回答了邮寄问卷约2至6个月后交付（N=17,378）。来自参与PRAMS的10个州的数据被纳入研究，总体参与率为75%。根据调查设计和抽样策略对分析进行了调整。Logistic回归分析确定了独立的吸烟relations.Results：总体而言，25.6%的妇女报告吸烟怀孕前。在怀孕前吸烟的妇女中，44.5%在怀孕期间戒烟。在怀孕期间戒烟的妇女中，一半在调查时复发。与产后复发风险增加相关的独立相关因素包括非裔美国人种族/民族，多产，高产妇体重增加，晚期或无产前护理，和紧张的生活events.Conclusions：本研究确定的产后吸烟复发的相关因素可能有助于发展有效和有针对性的干预措施，以维持长期戒烟。
Background: Using population-based data from the Pregnancy Risk Assessment Monitoring System (PRAMS), this study examines the prevalence and intensity of smoking before, during, and after pregnancy, and identifies correlates of postpartum smoking relapse.Methods: Women who delivered live births in 1996 responded to a mailed questionnaire approximately 2 to 6 months after delivery (N=17,378). Data from 10 states Participating in PRAMS were included in the study, and the overall participation rate was 75%. Analyses were adjusted for survey design and sampling strategy. Logistic regression analysis identified independent correlates of smoking relapse.Results: Overall, 25.6% of women reported cigarette smoking before pregnancy. Among women who smoked before pregnancy, 44.5% quit during pregnancy. Among women who quit during pregnancy, half relapsed by the time of the survey. Independent correlates associated with increased risk of postpartum relapse included African American race/ethnicity, multiparity, high maternal weight gain, late or no prenatal care, and stressful life events.Conclusions: Correlates of postpartum smoking relapse identified by this study may contribute to the development of effective and targeted interventions to maintain long-term smoking cessation.