Educational disadvantage and cigarette smoking during pregnancy
Educational disadvantage and cigarette smoking during pregnancy
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DOI：
10.1016/j.drugalcdep.2009.03.013
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发表时间：
2009-10-01
影响因子：
4.2
通讯作者：
Bernstein, Ira M.
中科院分区：
文献类型：
--
作者：
Higgins, Stephen T.;Heil, Sarah H.;Bernstein, Ira M.
本研究在一组（n = 316）吸烟的孕妇中调查了教育对吸烟状况的影响，这些孕妇在得知自己怀孕时是吸烟者。研究对象是临床试验的参与者，这些临床试验旨在检验基于金钱的激励措施对戒烟和预防复发的有效性。在多变量分析中，教育成就是进入产前护理时吸烟状况、进入产前护理时仍在吸烟的人产前戒烟情况、以及整个队列和接受戒烟治疗的子样本产后6个月吸烟状况的有力预测因子。除受教育程度外，吸烟状况的其他预测因素还包括吸烟相关特征（例如，怀孕前每天吸烟的数量）、治疗、母亲年龄和压力等级。我们建议将提高受教育程度的战略纳入更传统的烟草控制政策，以努力减少女孩和年轻妇女的吸烟。2009年由爱思唯尔爱尔兰有限公司出版。
This study examined the influence of education on smoking status in a cohort (n = 316) of pregnant women who were smokers at the time they learned of the current pregnancy. Subjects were participants in clinical trials examining the efficacy of monetary-based incentives for smoking-cessation and relapse prevention. In multivariate analyses, educational achievement was a robust predictor of smoking status upon entering prenatal care, of achieving abstinence antepartum among those still smoking at entry into prenatal care, and of smoking status at 6-month postpartum in the entire cohort and the subsample who received smoking-cessation treatment. In addition to educational attainment, other predictors of smoking status included smoking-related characteristics (e.g., number of cigarettes/day smoked pre-pregnancy), treatment, maternal age, and stress ratings. We suggest that strategies to increase educational attainment be included with more conventional tobacco-control policies in efforts to reduce smoking among girls and young women. (C) 2009 Published by Elsevier Ireland Ltd.