Women who smoke and stop during pregnancy: who are they?
Women who smoke and stop during pregnancy: who are they?
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DOI：
10.1590/s1519-38292008000200009
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发表时间：
2008-03-01
期刊：
影响因子：
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通讯作者：
Silva, Vilma Aparecida da
中科院分区：
文献类型：
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作者：
Reis, Liane G.;Silva, Cláudio Jerônimo da;Silva, Vilma Aparecida da
目的：探讨孕期不戒烟的影响因素。方法：2003年4月至2004年2月，在巴西里约热内卢市四个保健中心的产前诊所，对486名孕妇进行了标准化访谈。每发现一名吸烟者，就会进行一次额外的访谈，其中包括爱丁堡产后抑郁量表、尼古丁依赖Fagerstron量表和成人精神障碍筛查问卷。结果：孕期吸烟率为21.1%。大多数吸烟者表现出较低的尼古丁依赖程度。其中36%的人在怀孕前三个月停止吸烟，没有任何特定的医疗干预。那些能够戒酒的人和那些没有戒酒的人之间的重要区别是酒精摄入量和之前尝试戒酒的次数。戒烟的女性在怀孕期间饮酒较少。结论：怀孕期间戒烟似乎与对胎儿健康的非特定驱动力有关。先前尝试禁欲的次数与怀孕开始时停止戒酒的次数呈正相关。尽管这一问题普遍存在，但在产前服务中对吸烟者的支持仍然不足。
Objectives: to identify factors involved in not stopping smoking in spite of being pregnant. Methods: standardized interviews were applied to 486 pregnant women in the pre-natal clinics of four health centers in the city of Rio de Janeiro, Brazil, between April 2003 and February 2004. Every time a smoker was identified, an additional interview, which included the Edinburgh Postnatal Depression Scale, the Fagerstron scale for nicotine dependence, and the Screening Questionnaire for Adult Mental Disorders, was carried out. Results: the prevalence of smoking, in the initial stages of pregnancy was 21.1%. Most smokers presented a low level of nicotine dependence. Thirty-six percent of them stopped smoking by the first trimester of the present pregnancy without any specific medical intervention. Important differences between those who were able to stop and those who were not were alcohol intake and number of previous attempts at abstinence. Women who stopped smoking drank less during gestation. Conclusions: stopping smoking during pregnancy seems to be linked to a non-specific drive towards the well-being of the fetus. The number of previous attempts at abstinence was positively related to stopping at the beginning of pregnancy. In spite of the prevalence of the problem, there is still inadequate support for smokers in the prenatal services.