Tobacco use in pregnant women: analysis of data from Demographic and Health Surveys from 54 low-income and middle-income countries
Tobacco use in pregnant women: analysis of data from Demographic and Health Surveys from 54 low-income and middle-income countries
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DOI：
10.1016/s2214-109x(14)70283-9
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发表时间：
2014-09-01
影响因子：
34.3
通讯作者：
Echouffo-Tcheugui, Justin B.
中科院分区：
文献类型：
--
作者：
Caleyachetty, Rishi;Tait, Christopher A.;Echouffo-Tcheugui, Justin B.
在世界范围内，烟草的使用被视为对孕妇及其子女健康的重要威胁。然而，低收入和中等收入国家孕妇吸烟的程度仍不清楚。我们评估了烟草使用的幅度在孕妇在LMICs.Methods我们使用的数据，从人口与健康调查（DHS）在54个LMICs在2001年1月1日至2012年12月1日，包括58 922名孕妇（年龄15-49岁），这是由WHO区域分组。估计了每个国家目前烟草使用的流行率（吸烟和无烟）。合并估计的地区和整体获得随机效应荟萃analysis.Findings合并患病率的任何烟草使用的孕妇在中低收入国家为2.6%（95%CI 1.8-3.6），患病率最低的是在非洲地区（2.0%，1.2-2.9），最高的是在东南亚地区（5.1%，1.3-10.9）。目前孕妇吸烟的合并流行率从非洲区域的0.6%（0.3-0.8）到西太平洋区域的3.5%（1.5-12.1）不等。目前无烟烟草使用在孕妇中的合并流行率在欧洲地区最低（0.1%，0.0-0.3），在东南亚地区最高（2.6%，0.0 -7.6）。解释总体而言，在中低收入国家的孕妇中烟草使用是低的;然而，在一些中低收入国家中注意到高流行率估计。预防和管理孕期吸烟和接触二手烟对保护中低收入国家的孕产妇和儿童健康至关重要。版权所有（C）Caleyachetty等人。根据CC BY的条款分发的开放获取文章。
Background Worldwide, use of tobacco is viewed as an important threat to the health of pregnant women and their children. However, the extent of tobacco use in pregnant women in low-income and middle-income countries (LMICs) remains unclear. We assessed the magnitude of tobacco use in pregnant women in LMICs.Methods We used data from Demographic and Health Surveys (DHS) done in 54 LMICs between Jan 1, 2001, and Dec 1, 2012, comprising 58 922 pregnant women (aged 15-49 years), which were grouped by WHO region. Prevalence of current tobacco use (smoked and smokeless) was estimated for every country. Pooled estimates by regions and overall were obtained from random-effects meta-analysis.Findings Pooled prevalence of any tobacco use in pregnant women in LMICs was 2.6% (95% CI 1.8-3.6); the lowest prevalence was in the African region (2 0%, 1.2-2.9) and the highest was in the Southeast Asian region (5.1%, 1.3-10.9). The pooled prevalence of current tobacco smoking in pregnant women ranged from 0.6% (0.3-0.8) in the African region to 3.5% (1.5-12.1) in the Western Pacific region. The pooled prevalence of current smokeless tobacco use in pregnant women was lowest in the European region (0.1%, 0.0-0.3) and highest in the Southeast Asian region (2.6%, 0 0-7.6).Interpretation Overall, tobacco use in pregnant women in LMICs was low; however high prevalence estimates were noted in some LMICs. Prevention and management of tobacco use and exposure to second-hand smoke in pregnancy is crucial to protect maternal and child health in LMICs. Copyright (C) Caleyachetty et al. Open Access article distributed under the terms of CC BY.