ACTIVE SMOKING AND ASSOCIATED BEHAVIOURAL RISK FACTORS BEFORE AND DURING PREGNANCY - PREVALENCE AND ATTITUDES AMONG NEWBORNS' MOTHERS IN MURES COUNTY, ROMANIA
ACTIVE SMOKING AND ASSOCIATED BEHAVIOURAL RISK FACTORS BEFORE AND DURING PREGNANCY - PREVALENCE AND ATTITUDES AMONG NEWBORNS' MOTHERS IN MURES COUNTY, ROMANIA
复制标题
DOI：
10.21101/cejph.a4559
复制
发表时间：
2016-12-01
影响因子：
1.2
通讯作者：
Tarcea, Monica
中科院分区：
文献类型：
--
作者：
Ruta, Florina;Avram, Calin;Tarcea, Monica
背景和目的：怀孕前、怀孕期间和怀孕后吸烟会对孕产妇和胎儿健康造成有害后果，是一个重要的公共卫生问题。本研究的目的是评估吸烟的患病率和相关因素在怀孕前和怀孕期间的罗马尼亚women.Methods的样本：在母亲（N = 1，278）进行横断面调查，在Tirgu-Mures，罗马尼亚，分娩后立即，在2014年的三家妇产科医院。我们评估了怀孕前和怀孕期间的吸烟率，并使用二元逻辑回归来评估社会人口统计学和其他健康行为因素对三组妇女的影响：不吸烟的孕妇，怀孕期间继续吸烟的妇女和怀孕期间戒烟的吸烟者。30%的受访母亲在怀孕前吸烟，其中43.3%在怀孕期间继续吸烟。在多变量分析中，家庭收入低于100欧元/月（OR=3.01，95%CI：1.02-8.83）和失业妇女（OR= 13.2，95%CI：3.90-44.79）在怀孕期间继续吸烟与戒烟的几率增加。怀孕期间继续吸烟的妇女比从不吸烟的妇女社会经济地位更低（OR = 14.1，95%CI：4.97-39.6）。结论：育龄妇女吸烟的比例很高，尽管她们知道怀孕期间吸烟的风险，但仍继续吸烟。怀孕前和怀孕期间吸烟主要与较低的社会经济地位有关。经济手段有限的妇女应该是戒烟干预的高度优先目标群体。
Background and Aim: Smoking before, during and after pregnancy leads to detrimental outcomes on maternal and foetal health and represents an important public health issue. This study aims to evaluate the prevalence and correlates of smoking before and during pregnancy in a sample of Romanian women.Methods: A cross-sectional survey was conducted among mothers (N = 1,278) in three maternity hospitals in Tirgu-Mures, Romania, immediately after childbirth, in 2014. We evaluated the prevalence of smoking before and during pregnancy and used binary logistic regression to assess the influence of socio-demographics and other health behaviour factors in three groups of women: non-smoking pregnant women, women who continued smoking during pregnancy, and smokers who quit during pregnancy.Results: 30% of the interviewed mothers were smokers prior to pregnancy, of whom 43.3% continued smoking during pregnancy. Women with a family income of less than 100 Euro/month (OR=3.01, 95% CI: 1.02-8.83) and those who were unemployed (OR= 13.2, 95% CI: 3.90-44.79) had increased odds of continued smoking versus quitting during pregancy in multivariable analyses. Women who continued smoking during pregnancy were also more likley to be of lower socioeconomic status than never smokers (OR = 14.1, 95% CI: 4.97-39.6).Conclusions: A high percentage of women of reproductive age smoke and continue to smoke despite their knowledge about risks of smoking during pregnancy. Smoking prior to and during pregnancy is predominantly associated with lower socioeconomic status. Women with limited economic means should be a high priority target group for smoking cessation interventions.