Screening practices and attitudes of obstetricians-gynecologists toward new and emerging tobacco products.
Screening practices and attitudes of obstetricians-gynecologists toward new and emerging tobacco products.
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DOI：
10.1016/j.ajog.2014.05.041
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发表时间：
2014-12
影响因子：
9.8
通讯作者：
Schulkin J
中科院分区：
文献类型：
--
作者：
England LJ;Anderson BL;Tong VT;Mahoney J;Coleman-Cowger VH;Melstrom P;Schulkin J
我们调查了产科医生和妇科医生对孕期使用不燃烟草产品（咀嚼烟草、鼻烟/鼻烟、电子烟和可溶烟草）的筛查做法和态度。作者在2012年向1024名美国妇产科医师学会成员邮寄了一份调查问卷，其中包括协作门诊研究网络（CARN）和非CARN成员。分层随机选择生成CARN和非CARN样本。CARN和非CARN成员的应答率分别为52%和31%。在总共252名符合条件的答复者（目前提供产科护理的答复者）中，53%报告在所有或部分时间对孕妇摄入不燃烟草制品进行筛查，40%报告从未进行过筛查。受访者报告说，不可燃产品在怀孕期间对健康有不利影响，但比香烟更安全，从20.2%（可溶解性）到29%（电子烟）不等，对健康的影响与香烟相同，从13.5%（电子烟）到53.6%（咀嚼烟草）。约14%的人报告电子烟对健康没有不良影响；<1%的人报告剩余产品没有健康影响。三分之二的答复者希望更多地了解不燃烟草制品的潜在健康影响；只有5%的人认为自己完全了解情况。很大比例的妇产科医生报告从未或不一致地筛查他们的孕妇是否使用不燃烟草制品。关于这些产品相对于香烟的危害，人们的反应不一，大多数受访者希望获得更多信息。需要为供应商制定和传播指南，以改进关于不燃烟草制品的决策。
We examined screening practices and attitudes of obstetricians-gynecologists toward the use of noncombustible tobacco products (chewing tobacco, snuff/snus, electronic cigarettes, and dissolvables) during pregnancy. The authors mailed a survey in 2012 to 1024 members of the American College of Obstetricians and Gynecologists, including Collaborative Ambulatory Research Network (CARN) and non-CARN members. Stratified random selection was used to generate CARN and non-CARN samples. Response rates were 52% and 31% for CARN and non-CARN members, respectively. Of 252 total eligible respondents (those currently providing obstetrics care) 53% reported screening pregnant women at intake for noncombustible tobacco product use all or some of the time, and 40% reported none of the time. Respondents who reported that noncombustible products have adverse health effects during pregnancy, but are safer than cigarettes, ranged from 20.2% (dissolvables) to 29% (electronic cigarettes) and that the health effects are the same as those of cigarettes from 13.5% (electronic cigarettes) to 53.6% (chewing tobacco). Approximately 14% reported that electronic cigarettes have no adverse health effects; <1% reported no health effects for the remaining products. Two-thirds of the respondents wanted to know more about the potential health effects of noncombustible tobacco products; only 5% believed themselves to be fully informed. A large proportion of obstetrician-gynecologists reported never or inconsistently screening their pregnant patients for the use of noncombustible tobacco products. Responses regarding the harms of these products relative to cigarettes were mixed and most respondents wanted more information. Development and dissemination of guidance for providers is needed to improve decision-making regarding noncombustible tobacco products.