围产期吸烟和电子烟的使用及其与母乳养的关系:PRAMS 2015-2020年
Whitney N Hamilton1, Nazish Masud2, Cyrille Kouambo2
1Department of Health Services Administration, Middle Georgia State University, Macon, Georgia, USA.
概括
使用电子烟的女性的母乳养率和持续率较高,与非使用者相比. 这表明,与传统吸烟相比,使用电子烟 (e-cigarette) 可能不会对母乳养时间产生负面影响.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和儿童的健康
- 公共卫生 公共卫生
背景情况:
- 电子烟 (e-cigarette) 的使用在生育年龄的妇女中越来越令人担忧.
- 了解各种烟草产品对母乳养的影响对于母婴健康至关重要.
研究的目的:
- 检查美国女性中母乳养开始和持续时间的流行率.
- 评估与独家使用香烟,电子烟或两种产品相关的特征,与母乳养结果相关.
主要方法:
- 利用了来自2015-2020年怀孕风险评估监测系统的综合横截面数据.
- 使用二进制后勤回归来分析烟草制品使用与开始/继续母乳养 (超过6个月) 之间的关联.
- 进行后期估计,包括平均调整的预测和边际效应.
主要成果:
- 电子烟使用者 (86.15%) 与传统香烟 (72.16%) 或双重使用者 (79.54%) 相比,调整后的母乳养开始率更高.
- 6个月后继续母乳养的情况在电子烟使用者 (49.20%) 与传统吸烟者 (31.30%) 或双重吸烟者 (29.83%) 相比也更高.
- 电子烟使用者的母乳养率与非使用者的母乳养率相当 (开始:85.29%,继续:57.20%).
结论:
- 电子烟使用与更高的母乳养开始和继续率有关,与非使用者相似.
- 需要进一步的研究来了解影响这些差异的社会人口统计学和健康因素.
- 使用电子烟的母亲不应该被视为更安全的使用者,并且需要纳入戒烟干预措施.
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