Use and Risk Perception of Electronic Nicotine Delivery Systems and Tobacco in Pregnancy
Use and Risk Perception of Electronic Nicotine Delivery Systems and Tobacco in Pregnancy
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DOI：
10.1016/j.whi.2018.02.005
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发表时间：
2018-05-01
影响因子：
3.2
通讯作者：
Ragland, Denise
中科院分区：
文献类型：
--
作者：
Bhandari, Naleen Raj;Day, Kanesha D.;Ragland, Denise
导言：鉴于可获得性和使用量的快速增长，了解孕妇对电子尼古丁递送系统(END)产品的看法至关重要。随着越来越多的育龄妇女使用这些产品，很可能它们在怀孕期间的使用也在增加。本研究调查了孕妇对香烟和香烟的使用情况，以及对相关健康风险的知识和认知。一项由32个项目组成的自我管理调查被用来收集参与者对目的和吸烟的知识、使用和风险认知。使用卡方或费舍尔精确检验来探索人口统计学和最终用户状态的双变量关联。结果：在382名受试者中，57.9%的受试者年龄在21-29岁之间，60.1%的受试者受过大学或高等教育。30.3%的人报告同时使用烟头和烟草，11.9%的人是目前的终端使用者。大多数参与者对Ends的事实和安全性有足够的了解，并且三个Ends用户状态组之间没有差异。与非终端使用者相比，终端使用者感觉到使用END帮助戒烟的风险显著降低，而收益更高。大多数参与者报告说，与吸烟相比，他们的医疗保健提供者在产前就诊期间评估末端使用的频率较低。结论：保健提供者迫切需要增加对怀孕期间末端使用的筛查，并提高对妊娠妇女末端的风险和好处的认识。(C)2018年雅各布斯妇女健康研究所。由爱思唯尔公司出版。
Introduction: Given the rapid rise in availability and use, understanding the perception of electronic nicotine delivery systems (ENDS) products in pregnant women is vital. As more women of reproductive age use these products, it is likely that their use during pregnancy is also increasing. This study investigated the use of ENDS and tobacco cigarettes, along with knowledge and perceptions of associated health risks in pregnant women.Methods: A cross-sectional survey was conducted at a university-based obstetrical clinic. A 32-item self-administered survey was used to collect participants' knowledge, use, and risk perceptions of ENDS and tobacco smoking. Bivariate associations of demographics and ENDS user status were explored using Chi-square or Fisher's exact tests. Average differences in agreement with perception statements across ENDS user status were tested using ANOVA with Tukey's tests for multiple comparisons.Results: Of 382 participants, 57.9% were 21-29 years old and 60.1% had some college or higher education. 30.3% reported using both ENDS and tobacco cigarettes and 11.9% were current ENDS users. The majority of participants had adequate knowledge about the facts and safety of ENDS and there was no difference across three ENDS user status groups. ENDS users perceived significantly lower risk of ENDS and higher benefit of using ENDS to aid quitting tobacco smoking, compared to non-ENDS users. The majority of participants reported that their healthcare providers less frequently assessed ENDS use during their prenatal visits, compared to tobacco cigarette use.Conclusions: There is critical need for healthcare providers to increase the screening for ENDS use during pregnancy and promote awareness of risks and benefits of ENDS in pregnant women. (C) 2018 Jacobs Institute of Women's Health. Published by Elsevier Inc.