包括孕妇在内的成年人戒烟的干预措施:美国预防服务工作组建议声明
, Alex H Krist1,2, Karina W Davidson3
1Fairfax Family Practice Residency, Fairfax, Virginia.
JAMA
|January 19, 2021
概括
临床医生应建议所有成年人,包括孕妇,停止吸烟. 建议所有吸烟者采取行为干预措施,非怀孕的成年人也可以使用FDA批准的方法.
科学领域:
- 公共卫生
- 预防医学
- 戒烟的方法
背景情况:
- 烟草仍然是美国可预防的死亡和疾病的主要原因.
- 怀孕期间吸烟对母亲和孩子都有很大的危险,包括流产,先天性异常和SIDS.
- 在2019年,20.8%的美国成年人使用烟草,其中14.0%吸烟,4.5%使用电子烟.
研究的目的:
- 更新对包括孕妇在内的成年人戒烟初级保健干预措施的建议.
- 评估各种戒烟策略的好处和危害.
主要方法:
- 对戒烟行为干预和药物治疗的证据进行系统审查.
- 专注于成年人群,包括孕妇.
- 对于戒烟的电子烟 (电子烟) 的证据评估.
主要成果:
- 行为干预和FDA批准的药物治疗对非怀孕的成年人有很大的好处.
- 在孕妇中,行为干预对围产期的结果和戒烟有显著的益处.
- 对于孕妇的药物治疗和任何成年人戒烟的电子烟的证据是不够的.
结论:
- 建议非怀孕的成年吸烟者进行行为干预和FDA批准的药物治疗.
- 建议孕妇吸烟者进行行为干预.
- 没有足够的证据来推孕妇药物治疗或任何成年人戒烟.
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