Maternal smoking during pregnancy: a comparison between concurrent and retrospective self-reports

Maternal smoking during pregnancy: a comparison between concurrent and retrospective self-reports
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DOI:
10.1111/j.1365-3016.2007.00917.x
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发表时间:
2008-03-01
影响因子:
2.8
通讯作者:
Galanti, Maria R.
Galanti, Maria R.
中科院分区:
医学3区
文献类型:
--
作者:
Post, Ann;Gilljam, Hans;Galanti, Maria R.

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妊娠期吸烟的回顾性报告对于临床或科学目的具有重要意义。因此,需要仔细分析回忆行为的稳定性和准确性。1998年,在瑞典出生的2369名青少年前的母亲回顾性地报告了她们在怀孕的头三个月的吸烟行为。我们使用瑞典医学出生登记处的信息,将这些报告与助产士在指数妊娠开始时记录的报告进行了匹配。以该登记研究为金标准,回顾性报告中包含任何吸烟的敏感性和特异性分别为83.9%和92.8%,但每日吸烟的敏感性较低,为56.0%。42%是由于不记得怀孕时吸烟的报告,而其余39%的回顾性报告偶尔吸烟,而她们在怀孕时被登记为非每日吸烟者。回顾性回忆怀孕吸烟是相当稳定的,随着时间的推移。
Retrospective reports of smoking in pregnancy are of importance for clinical or scientific purposes. Careful analyses of stability and accuracy of recalled behaviour are, therefore, needed. In 1998, the mothers of 2369 pre-teens born in Sweden retrospectively reported their smoking behaviour during the first trimester of the index pregnancy. We matched these reports with those recorded by midwives at the beginning of the index pregnancy, using information from the Swedish Medical Birth Registry. Using this registry as gold standard, the sensitivity and specificity of the retrospective reports containing any smoking were 83.9% and 92.8% respectively, but the sensitivity was low for daily smoking, 56.0%.Of the 222 discordant reports, 19.0% were due to mothers recalling daily smoking which was not reported at the time of pregnancy, and 42% were due to failure to recall smoking reported at the time of pregnancy, while the remaining 39% retrospectively reported occasional smoking, whereas they were registered as non-daily smokers when pregnant. Retrospective recall of pregnancy smoking is fairly stable over time.