Lifecourse influences on women's smoking before, during and after pregnancy
Lifecourse influences on women's smoking before, during and after pregnancy
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DOI：
10.1016/j.socscimed.2009.10.041
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发表时间：
2010-02-01
影响因子：
5.4
通讯作者：
Law, Catherine
中科院分区：
文献类型：
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作者：
Graham, Hilary;Hawkins, Summer Sherburne;Law, Catherine
社会经济生活过程的概念越来越多地为吸烟的社会模式的理解提供信息。我们在英国千禧年队列研究中调查了生命过程对（i）妇女怀孕前吸烟状况（吸烟者/非吸烟者）和（ii）怀孕期间戒烟的影响。我们的分析包括社会经济生活过程的常规措施（妇女的童年情况，教育，目前的社会经济情况）和她的家庭生活过程的措施（成为母亲的年龄，目前的同居状态），以及奇偶校验（第一个/随后的孩子）。在戒烟的分析中，我们也包括了怀孕前的吸烟量。我们的研究强调，首先，生命周期的不利因素的重要性。那些在童年环境、教育和当前环境方面处于更不利地位的人在怀孕前成为吸烟者的风险更大。不利的家庭生活条件-过早成为母亲和单身母亲-进一步增加了风险。贫穷的童年环境、教育劣势、当前环境较差和过早成为母亲也显著增加了怀孕期间戒烟的几率。其次，性别均等是吸烟行为的一个主要预测因素。第一次做母亲的人在怀孕前吸烟和怀孕期间戒烟的几率都更高。产次的影响与妇女的生命历程无关。我们的研究支持烟草控制政策，承认和解决整个生命过程中的不平等。然而，我们的研究表明，社会劣势并不是不可逆转的：第一次怀孕都会增加戒烟的机会。帮助第一个孩子戒烟的干预措施在促进孕产妇和儿童健康方面发挥着重要作用。(C)2009爱思唯尔有限公司版权所有。
The concept of the socioeconomic lifecourse is increasingly informing understanding of the social patterning of cigarette smoking. We investigated lifecourse influences on (i) women's smoking status (smoker/non-smoker) before pregnancy and (ii) quitting in pregnancy in the UK Millennium Cohort study. Our analyses included conventional measures of the socioeconomic lifecourse (woman's childhood circumstances, education, current socioeconomic circumstances) and measures of her domestic lifecourse (age of becoming a mother, current cohabitation status), as well as parity (first/subsequent child). In analyses of quitting, we also included pre-pregnancy cigarette consumption.Our study underlined, firstly, the importance of lifecourse disadvantage. Those experiencing greater disadvantage with respect to their childhood circumstances, education and current circumstances were at greater risk of being a smoker before pregnancy. A disadvantaged domestic lifecourse - earlier entry into motherhood and lone motherhood-further increased the risk. Poorer childhood circumstances, educational disadvantage, poorer current circumstances and early motherhood also significantly increased the odds of quitting in pregnancy. Secondly, parity was a major predictor of smoking behaviour. First-time mothers had higher odds both of smoking before pregnancy and quitting in pregnancy. The effects of parity were independent of women's lifecourse. Our study supports tobacco control policies which recognise and address inequalities across the lifecourse. However, our study suggests that the dye is not irrevocably cast by social disadvantage: first pregnancy uniformly increases the chances of quitting. interventions which help smokers having their first baby to quit have an important part to play in promoting maternal and child health. (C) 2009 Elsevier Ltd. All rights reserved.