母婴吸烟与新生儿死亡的关联:基于人口的队列研究
Ran Wang1,2, Xia Han3, Bingxue Zhu4
1Department of Neonatology, Children's Hospital of Fudan University, National Children's Medical Center, Shanghai, China, wr0120@outlook.com.
Neonatology
|August 13, 2023
概括
怀孕期间母亲吸烟显著增加了新生儿死亡的风险. 在怀孕前或怀孕期间戒烟可以减轻这些风险,早产和低Apgar分数是关键的调解者.
科学领域:
- 围产期健康 围产期健康
- 公共卫生研究 公共卫生研究
- 新生儿死亡率研究新生儿死亡率研究
背景情况:
- 怀孕期间母亲吸烟与不良的围产期结果有关.
- 母婴吸烟与新生儿死亡率之间的确切关系需要进一步阐明.
- 了解调解员对于有针对性的干预至关重要.
研究的目的:
- 检查与母亲吸烟相关的新生儿死亡风险.
- 量化这种协会中潜在的调解者的作用.
- 为戒烟的公共卫生策略提供信息.
主要方法:
- 基于人口的队列研究,使用美国国家生命统计系统数据 (2016-2019).
- 分析母亲吸烟状况作为暴露和新生儿死亡作为主要结果.
- 后勤回归和调解分析,以评估关联和调解因素.
主要成果:
- 孕妇吸烟增加了新生儿死亡风险 (aOR 1.33).
- 在怀孕期间戒烟的风险与非吸烟者的风险相当 (aOR 1.06).
- 早产和低的5分钟Apgar分数被确定为主要调解者.
结论:
- 孕妇吸烟,不论孕期或强度如何,都会增加新生儿死亡风险.
- 政策努力应专注于怀孕前戒烟.
- 专业的产周护理对于吸烟的孕妇来说至关重要.
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