Cigarette, e-cigarette, and dual use during the third trimester of pregnancy in a national sample of heterosexual and sexual minority women.
Cigarette, e-cigarette, and dual use during the third trimester of pregnancy in a national sample of heterosexual and sexual minority women.
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DOI：
10.1111/ajad.13217
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Evans-Polce R
中科院分区：
文献类型：
--
作者：
Beck DC;Veliz PT;McCabe SE;Boyd CJ;Evans-Polce R
在美国，缺乏对怀孕的性少数群体中电子烟/电子产品和香烟双重使用的调查研究。本研究使用全国样本来解决这一差距。使用了来自烟草与健康人口评估研究的两波国家面板数据（2015-2018）。样本包括1842名女性，237名被确定为性少数群体（n=17名女同性恋，n=177名双性恋，n=43名其他），她们在过去的12个月里在第三或第四阶段怀孕。协变量包括种族、民族、过去一年的收入和教育程度。在最后三个月检查了香烟，电子烟或双重用途。与异性恋女性相比，性少数群体在怀孕最后三个月吸烟的调整后几率更高（AOR = 1.55, 95% CI = 1.08, 2.23）。与异性恋女性相比，双性恋女性在妊娠晚期吸烟的几率更高（AOR = 1.82, 95% CI= 1.21 - 2.72）。与异性恋女性相比，女同性恋女性在怀孕的第三个月更有可能使用电子烟/电子产品（AOR = 9.15, 95% CI = 2.29, 36.5），并且双重使用（AOR = 6.00, 95% CI = 1.43, 25.1）。美国性少数群体女性的孕产妇健康将受益于临床医生，他们能为FDA批准的戒烟、电子烟/电子产品和双重用途的信息提供准确的信息和支持。这项研究首次在全国范围内对妊娠晚期的香烟、电子烟和双重使用进行了调查，并特别关注了性取向的差异。
Research investigating e-cigarettes/e-products and dual use with cigarettes among pregnant sexual minority individuals in the US is lacking. This study addresses this gap using a national sample. Two waves of national panel data (2015–2018) from the Population Assessment of Tobacco and Health study were used. The sample included 1,842 women, 237 identified as sexual minorities (n=17 lesbian, n=177 bisexual, n=43 something else), who indicated pregnancy during the past 12 months at Wave 3 or 4. Covariates included race, ethnicity, past year income, and education. Cigarette, e-cigarette, or dual use was examined during the last trimester. Sexual minorities had higher adjusted odds of cigarette use during their last trimester of pregnancy relative to heterosexual women (AOR = 1.55, 95% CI = 1.08, 2.23). Bisexual women had higher odds of smoking cigarettes during their third trimester compared to heterosexual women (AOR = 1.82, 95% CI= 1.21– 2.72). Lesbian women were more likely to use e-cigarettes/e-products (AOR = 9.15, 95% CI = 2.29, 36.5) and indicate dual use (AOR = 6.00, 95% CI = 1.43, 25.1) during their third trimester of pregnancy compared to heterosexual women. Maternal health among U.S. sexual minority women would benefit from clinicians equipped to provide accurate information and support for FDA approved smoking cessation, information about e-cigarettes/e-products, and dual use. This study is the first to examine cigarette, e-cigarette, and dual use during the third trimester of pregnancy using a national sample, with specific attention to differences in sexual orientation.
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