Postpartum return to smoking among usual smokers who quit during pregnancy
Postpartum return to smoking among usual smokers who quit during pregnancy
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DOI：
10.1093/eurpub/11.3.334
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发表时间：
2001-09-01
影响因子：
4.4
通讯作者：
Bouvier-Colle, MH
中科院分区：
文献类型：
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作者：
Lelong, N;Kaminski, M;Bouvier-Colle, MH
背景：许多妇女在怀孕期间戒烟，但大多数妇女在产后恢复吸烟。目的是描述在怀孕期间戒烟的妇女产后吸烟情况和预测产后吸烟复发的因素。方法：二次分析两次调查的新妈妈。调查A在三家妇产医院进行，包括685名妇女出生后接受采访，并在产后5个月回答了邮寄问卷;调查B在四个"行政区“进行，包括636名妇女在产后6个月回答了邮寄问卷。有效率分别为90%和68%。吸烟状况记录了三个时间段：怀孕前，怀孕期间，并在5-6个月。社会特征和预防行为进行了比较，经常吸烟者在怀孕期间戒烟和那些谁没有，戒烟者中，谁恢复吸烟产后和那些谁没有。结果如下：在调查A中，37%的人在怀孕前吸烟，34%的人在怀孕期间戒烟，而在后者中，48%的人在分娩后5-6个月恢复吸烟。在调查B中，百分比分别为43%、54%和57%。产后吸烟复发的最大预测因素是伴侣的吸烟行为。结论：分娩后恢复吸烟的情况很常见，但在怀孕期间戒烟的经常吸烟者中，近一半在出生后5-6个月仍然不吸烟。然而，为了提高这一比例，干预措施需要包括伴侣，特别是如果他们是吸烟者。
Background: Many women stop smoking while they are pregnant, but the majority resume smoking in the postpartum. The objective is to describe postpartum tobacco use of women who quit during pregnancy and factors predicting postpartum smoking relapse. Methods: Secondary analysis of two surveys of new mothers. Survey A conducted in three maternity hospitals, including 685 women interviewed after birth and who answered a postal questionnaire at 5 months postpartum; survey B conducted in four 'departements' (administrative areas), including 636 women who answered a postal questionnaire at 6 months postpartum. Response rates were respectively 90% and 68%. Smoking status was recorded for three time periods: before pregnancy, during pregnancy, and at 5-6 months. Social characteristics and preventive behaviour were compared for regular smokers who had quit smoking during pregnancy and those who had not, and among quitters, who had resumed smoking postpartum and those who had not. Results: In survey A, 37% were smokers before pregnancy, 34% of them stopped during pregnancy, and among the latter, 48% had resumed smoking 5-6 months after delivery. In survey B, the percentages were respectively 43, 54 and 57%. The most predictive factor of postpartum smoking relapse was the partner's smoking behaviour. Conclusion: Return to smoking after delivery is frequent, but nearly half of the regular smokers who had stopped during pregnancy were still non-smokers 5-6 months after the birth. However, to increase this proportion, interventions need to include partners, especially if they are smokers.