Influence of moving to the UK on maternal health behaviours: prospective cohort study
Influence of moving to the UK on maternal health behaviours: prospective cohort study
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DOI：
10.1136/bmj.39532.688877.25
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发表时间：
2008-05-10
影响因子：
105.7
通讯作者：
Law, Catherine
中科院分区：
文献类型：
--
作者：
Hawkins, Summer Sherburne;Lamb, Kate;Law, Catherine
目的 比较英国/爱尔兰白人母亲和少数族裔母亲在怀孕期间（吸烟和饮酒）和产后（母乳喂养的开始和持续时间）的健康行为；设计前瞻性全国代表性队列研究。以英格兰为背景。参与者 6478 名英国/爱尔兰白人母亲和 2110 名少数族裔母亲。主要结果指标怀孕期间饮酒；开始母乳喂养；母乳喂养至少四个月。 结果 与英国/爱尔兰白人母亲相比，少数族裔母亲在怀孕期间吸烟（15% vs 37%）或饮酒（14% vs 37%）的可能性较小，但更有可能开始母乳喂养（86% vs 69%）和母乳喂养至少四个月（40% vs 27%）。在少数民族母亲中，第一代和第二代母亲在怀孕期间吸烟的可能性更大（比值比 3.85，95% 置信区间分别为 2.50 至 5.93 和 4.70、2.49 至 8.90），开始母乳喂养的可能性较小（0.92、0.88 至 0.97 和 0.86、0.75 至 0.99），并且更少在调整社会人口特征后，母乳喂养时间可能比移民至少四个月（0.72、0.62 至 0.83 和 0.52、0.30 至 0.89）。饮酒量没有一致的差异。在移民中，在英国每多待五年，母亲在怀孕期间吸烟的可能性就会增加 31%（4% 至 66%），并且母乳喂养至少四个月的可能性会减少 5%（0% 至 10%）。 结论 移民后，孕产妇健康行为随着在英国居住时间的延长而恶化。卫生专业人员不应低估女性因其种族而从事危险健康行为的可能性。
Objective To compare health behaviours during pregnancy (smoking and alcohol consumption) and afterbirth (initiation and duration of breast feeding) between British/Irish white mothers and mothers from ethnic minority groups; and, in mothers from ethnic minority groups, to examine whether indicators of acculturation (generational status, language spoken at home, tench of residency in the United Kingdom) were associated with these health behaviours.Design Prospective nationally representative cohort study.Setting England.Participants 6478 British/Irish white mothers and 2110 mothers from ethnic minority groups.Main outcome measures Any smoking during pregnancy; any alcohol consumption during pregnancy; initiation of breast feeding; breast feeding for at least four months.Results Compared with British/Irish white mothers, mothers from ethnic minority groups were less likely to smoke (15% v 37%) or consume alcohol (14% v 37%) during pregnancy but more likely to initiate breast feeding (86% v 69%) and breast feed for at least four months (40% v 27%). Among mothers from ethnic minority groups, first and second generation mothers were more likely to smoke during pregnancy (odds ratio 3.85, 95% confidence interval 2.50 to 5.93, and 4.70, 2.49 to 8.90, respectively), less likely to initiate breast feeding (0.92,0.88 to 0.97, and 0.86, 0.75 to 0.99), and less likely to breast feed for at least four months (0.72, 0.62 to 0.83, and 0.52, 0.30 to 0.89) than immigrants, after adjustment for sociodemographic characteristics. There were no consistent differences in alcohol consumption. Among immigrants, for every additional five years spent in the UK the likelihood of mothers smoking during pregnancy increased by 31% (4% to 66%) and they were 5% (0% to 10%) less likely to breast feed for at least four months.Conclusions After immigration, maternal health behaviours worsen with length of residency in the UK. Health professionals should not underestimate women's likelihood of engaging in risky health behaviours because of their ethnicity.