Tobacco, alcohol, and caffeine use and cessation in early pregnancy
Tobacco, alcohol, and caffeine use and cessation in early pregnancy
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DOI：
10.1016/s0749-3797(99)00088-4
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发表时间：
2000-01-01
影响因子：
5.5
通讯作者：
Grothaus, LC
中科院分区：
文献类型：
--
作者：
Pirie, PL;Lando, H;Grothaus, LC
目的：当个体试图同时进行多种行为改变时，人们对会发生什么知之甚少。尤其是孕妇，往往需要同时改变几种行为，包括放弃一种以上令人愉快的物质。我们调查了成功的孕妇自发戒烟，酒精，或咖啡因，单独或combined.Methods：孕妇（n = 7489）被确定在实践中的大型健康维护组织在西雅图和明尼阿波利斯，并通过电话采访。分析研究的模式，使用和退出一种以上的物质，并在何种程度上使用一种以上的物质预测的能力，以退出其他substance.Results：使用的三种物质往往集群内的个人。与单一物质的使用者相比，多种物质的使用者戒掉每种物质的可能性较小。然而，在戒了一种物质的多种物质使用者的亚组中，戒了第二种物质的情况更普遍，而不是更少。在预测戒烟的多变量分析中，人口统计学变量和以前没有怀孕是戒烟每种物质的重要预测因素;不吸烟者预测戒烟酒精，不吸烟者和不饮酒者预测戒烟咖啡因。难以戒掉一种以上物质的原因尚不清楚，但可能包括难以制定适当的行为策略或对健康不太关心。怀孕期间的行为。然而，研究中的许多女性成功地戒断了两种物质，咨询应该专注于实现这一结果。
Objectives: Little is known about what happens when individuals attempt to make multiple behavior changes simultaneously. Pregnant women in particular are often in the position of needing to change several behaviors at once, including giving up more than one pleasurable substance. We investigated the success of pregnant women in spontaneously quitting tobacco, alcohol, or caffeine, alone or in combination.Methods: Pregnant women (n = 7489) were identified in the practices of large health maintenance organizations in Seattle and Minneapolis and were interviewed by telephone. Analyses examined the patterns of using and quitting more than one substance, and the extent to which using more than one substance predicts ability to quit other substances.Results: Use of the three substances tended to cluster within individuals. Users of multiple substances were less likely to quit each substance than users of single substances. However, in the subgroup of multiple substance users who had quit one substance, having quit a second substance was more, rather than less, common. In multivariate analyses predicting quitting, demographic variables, and not having been pregnant previously were significant predictors of quitting each substance; being a nonsmoker predicted quitting alcohol, and being a nonsmoker and nondrinker predicted quitting caffeine.Conclusions: The reasons for difficulty in quitting more than one substance are unknown but may include the difficulty of formulating appropriate behavioral strategies or less concern about healthy behavior in pregnancy. Many women in the study successfully quit using two substances, however, and counseling should focus on achieving that outcome.