Use of ENDS and Cigarettes During Pregnancy

Use of ENDS and Cigarettes During Pregnancy
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DOI:
10.1016/j.amepre.2019.08.031
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发表时间:
2020-01-01
影响因子:
5.5
通讯作者:
Hacker, Michele R.
Hacker, Michele R.
中科院分区:
医学2区
文献类型:
--
作者:
Hawkins, Summer Sherburne;Wylie, Blair Johnson;Hacker, Michele R.

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简介:虽然妇女和青少年使用替代烟草产品的情况有所增加,但关于怀孕期间使用ENDS的研究有限。本研究探讨了ENDS和香烟使用在pregnancy.Methods的患病率和社会人口学特征:2016年妊娠风险评估监测系统的横断面分析使用的数据自我报告的使用ENDS和香烟在过去3个月的怀孕33,964名妇女从29个州和纽约市。结果:产前使用ENDS的总患病率为1.2%,吸烟的总患病率为7.7%,从纽约市的0.6%和1.8%到西弗吉尼亚州的4.4%和22.7%不等。在调整模型中,白色女性比黑人女性更可能使用ENDS(AOR=4.68,95% CI=2.91,7.54)。受教育年限增加的妇女也不太可能使用ENDS。在怀孕期间吸烟的妇女在产前也使用ENDS的可能性高11.05倍(95%CI =7.40,16.48)。社会人口特征和吸烟在怀孕期间的关联是一致的调查结果为ENDS.Conclusions:美国各地的孕妇使用ENDS和香烟。监测对于继续监测产前使用烟草制品的趋势和了解对怀孕和婴儿结局的影响至关重要。(C)2019年美国预防医学杂志。爱思唯尔公司出版All rights reserved.
Introduction: Although the use of alternative tobacco products has been increasing among women and adolescents, research on the use of ENDS during pregnancy has been limited. This study examines the prevalence and sociodemographic characteristics of ENDS and cigarette use during pregnancy.Methods: This cross-sectional analysis of the 2016 Pregnancy Risk Assessment Monitoring System used data on self-reported use of ENDS and cigarettes during the last 3 months of pregnancy among 33,964 women from 29 states and New York City. Data were analyzed in 2019.Results: The overall prevalence of prenatal ENDS use was 1.2% and cigarette use was 7.7%, varying from 0.6% and 1.8% in New York City to 4.4% and 22.7% in West Virginia. In adjusted models, white women were more likely to use ENDS (AOR=4.68, 95% CI=2.91, 7.54) than black women. Women with increasing years of education were also less likely to use ENDS. Women who used cigarettes during pregnancy were 11.05 times (95% CI=7.40, 16.48) more likely to also use ENDS prenatally. Associations between sociodemographic characteristics and cigarette use during pregnancy were consistent with the findings for ENDS.Conclusions: Pregnant women across the U.S. are using ENDS and cigarettes. Surveillance is essential to continue monitoring trends in prenatal use of tobacco products and understand the implications on pregnancy and infant outcomes. (C) 2019 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.