A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy
A comparison of UK primary care data with other national data sources for monitoring the prevalence of smoking during pregnancy
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DOI：
10.1093/pubmed/fdu060
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发表时间：
2015-09-01
影响因子：
4.4
通讯作者：
Szatkowski, Lisa
中科院分区：
文献类型：
--
作者：
Dhalwani, Nafeesa N.;Tata, Laila J.;Szatkowski, Lisa
背景 我们旨在通过将初级保健数据估计值与从其他数据源获得的数据进行比较，评估英国初级保健数据对于估计怀孕期间吸烟率的潜在有用性。方法在健康改善网络 (THIN) 初级保健数据库中，我们使用怀孕期间记录的吸烟信息来识别怀孕吸烟者。如果缺少此信息，我们使用怀孕前记录的吸烟信息。我们将 THIN 中 2000 年至 2012 年的年度吸烟率与婴儿喂养调查 (IFS)、分娩时吸烟 (SATOD)、儿童健康系统计划 (CHSP) 和苏格兰发病率记录 (SMR) 的测量结果进行了比较。结果 THIN 数据中的吸烟率估计值与 2004 年之后其他来源的估计值趋同，但仍不完全一致。例如，2012 年，根据仅在怀孕期间记录的数据，THIN 中预订时的吸烟率为 11.6%，而 SMR 数据中的这一比例为 19.6%。然而，使用受孕前长达 27 个月记录的吸烟数据将 THIN 患病率提高到 20.3%，从而提高了可比性。结论 怀孕期间吸烟状况记录不足导致初级保健数据的患病率估计不可靠，需要改进。然而，在缺乏妊娠期吸烟数据的情况下，纳入孕前吸烟记录可能会增加初级保健数据的效用。改善初级保健中妊娠吸烟状况记录的一项策略可能是将怀孕纳入质量和结果框架，作为吸烟状况和戒烟建议必须以电子方式记录在患者记录中的条件。
Background We aimed to assess the potential usefulness of primary care data in the UK for estimating smoking prevalence in pregnancy by comparing the primary care data estimates with those obtained from other data sources.Methods In The Health Improvement Network (THIN) primary care database, we identified pregnant smokers using smoking information recorded during pregnancy. Where this information was missing, we used smoking information recorded prior to pregnancy. We compared annual smoking prevalence from 2000 to 2012 in THIN with measures from the Infant Feeding Survey (IFS), Smoking At Time of Delivery (SATOD), Child Health Systems Programme (CHSP) and Scottish Morbidity Record (SMR).Results Smoking estimates from THIN data converged with estimates from other sources after 2004, though still do not agree completely. For example, in 2012 smoking prevalence at booking was 11.6% in THIN using data recorded only during pregnancy, compared with 19.6% in SMR data. However, the use of smoking data recorded up to 27 months before conception increased the THIN prevalence to 20.3%, improving the comparability.Conclusion Under-recording of smoking status during pregnancy results in unreliable prevalence estimates from primary care data and needs improvement. However, in the absence of gestational smoking data, the inclusion of pre-conception smoking records may increase the utility of primary care data. One strategy to improve gestational smoking status recording in primary care could be the inclusion of pregnancy in the Quality and Outcome's Framework as a condition for which smoking status and smoking cessation advice must be recorded electronically in patient records.