Prenatal tobacco prevention and cessation interventions for women in low- and middle-income countries.
Prenatal tobacco prevention and cessation interventions for women in low- and middle-income countries.
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DOI：
10.3109/00016341003678450
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发表时间：
2010
影响因子：
4.3
通讯作者：
Bloch MH
中科院分区：
文献类型：
--
作者：
Oncken CA;Dietz PM;Tong VT;Belizán JM;Tolosa JE;Berghella V;Goldenberg RL;Lando HA;Samet JM;Bloch MH
尽管烟草使用流行率在许多高收入国家正在下降，但在许多低收入和中等收入国家却在上升。日益增加的烟草使用和依赖所造成的健康和经济负担是可以预测的，并将在资源有限的国家产生破坏性影响，特别是对孕妇等弱势群体。我们试图回顾高、中、低收入国家在怀孕前和怀孕期间减少烟草使用和二手烟暴露的有效烟草预防和干预策略。我们回顾了几种类型的干预措施，包括人群层面的努力（提高烟草价格、实施烟草控制政策）、社区干预、临床干预和药物治疗。本报告的第二个目的是介绍一个国际专家工作组的调查结果，该工作组是为审查证据并确定以下领域的研究重点而召集的：1)防止女孩和育龄妇女摄取和减少烟草使用；2)减少孕妇的烟草使用和二手烟暴露。工作组从疾病负担、干预影响、干预费用、纳入现有服务的可行性、贡献的独特性和总体可行性等方面审议了有关现有干预措施的证据。最后，我们提出了工作组对干预研究优先事项的建议。
Although the prevalence of tobacco use is decreasing in many high-income countries, it is increasing in many low-and middle-income countries. The health and economic burden of increasing tobacco use and dependence is predictable and will have devastating effects in countries with limited resources, particularly for vulnerable populations such as pregnant women. We sought to review effective tobacco prevention and intervention strategies for decreasing tobacco use and secondhand smoke exposure before and during pregnancy in high-, middle-, and low-income countries. We reviewed several types of interventions, including population-level efforts (increasing tobacco prices, implementing tobacco control policies), community interventions, clinical interventions, and pharmacological treatments. A second purpose of this report is to present findings of an international expert working group that was convened to review the evidence and to establish research priorities in the following areas: 1) preventing the uptake and reducing tobacco use among girls and women of reproductive age and 2) reducing tobacco use and secondhand smoke exposure among pregnant women. The working group considered the evidence on existing interventions in terms of burden of disease, intervention impact, intervention costs, feasibility of integration into existing services, uniqueness of the contribution, and overall feasibility. Finally, we present the working group’s recommendations for intervention research priorities.