Demographic and psychosocial profile of smoking among pregnant women in Lebanon: public health implications.
Demographic and psychosocial profile of smoking among pregnant women in Lebanon: public health implications.
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DOI：
10.1023/a:1025136421230
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发表时间：
2003-09
影响因子：
2.3
通讯作者：
Kaddour, Afamia
中科院分区：
文献类型：
--
作者：
Chaaya, Monique;Awwad, Johnny;Campbell, Oona M R;Sibai, Abla;Kaddour, Afamia
评估黎巴嫩孕前和孕期吸烟的流行率和决定因素。一项使用两种结构化工具的横断面研究。其中一个工具包括人口统计特征、指数中的吸烟模式、怀孕和以前的怀孕、产前健康服务的使用、压力生活事件和怀孕期间的社会支持。第二个是阿拉伯一般健康问卷(GHQ-12)。在贝鲁特及其郊区随机选择的11家医院在24小时内分娩的妇女被要求同意参与这项研究。受访的总样本为576名女性。孕前吸烟率为32%，孕期吸烟率为20%。考虑到阿吉莱吸烟，贝鲁特怀孕期间吸烟的流行率增加到27%，郊区增加到25%。孕前吸烟与孕妇年龄[OR=1.08，95%CI(1.03，1.14)]、中低文化程度[OR=2.22，95%CI(1.22，4.04)]、精神疾病增加[OR=3.11，95%CI(1.77，5.46)]、丈夫吸烟[OR=5.00，95%CI(2.98，8.39)]有关。孕期持续吸烟与中低文化程度[OR=3.77，95%CI(1.3 1，10.8)]、年龄较小[OR=1.1 1，95%CI(1.0 2~1.2 0)]、孕前大量吸烟[OR=13.9，95%CI(1.4 0,137.4)]有关。在怀孕期间戒烟或减少吸烟的政策和计划应该针对年轻和受教育程度较低的女性，并涉及配偶。产科医生应使用循证方法促进孕期戒烟。
To assess the prevalence and determinants of smoking prior to and during pregnancy in Lebanon. A cross-sectional study using two structured instruments. One instrument included information on demographic characteristics, smoking patterns in the index pregnancy and previous pregnancies, use of prenatal health services, stressful life events, and social support during pregnancy. The second was the Arabic General Health Questionnaire (GHQ-12). Women who delivered in 11 randomly selected hospitals in Beirut and its suburbs within 24 hours were asked to consent to participate in the study. The total sample interviewed was 576 women. The prevalence of pre-pregnancy smoking was 32% and 20% for smoking in pregnancy. Considering argileh smoking, the prevalence of tobacco use in pregnancy increased to 27% in Beirut and 25% in the suburbs. Pre-pregnancy smoking was associated with older maternal age [OR = 1.08, 95% CI (1.03, 1.14)], low and medium education [OR = 2.22, 95% CI (1.22, 4.04)], increased psychiatric distress [OR = 3.11, 95% CI (1.77, 5.46)], and a husband who smoked [OR = 5.00, 95% CI (2.98, 8.39)]. Continued smoking during pregnancy was associated with low and medium education [OR = 3.77, 95% CI (1.31, 10.8)], younger age [OR = 1.11, 95% CI (1.02–1.20)], and a heavy pre-pregnancy smoking pattern [OR = 13.9, 95% CI (1.40, 137.4)]. Policies and programs to eliminate or reduce smoking during pregnancy should be targeted toward young and less educated females and involving the spouse. Obstetricians should promote smoking cessation during pregnancy using evidence-based methods.