在纽约西部,母亲戒烟与早产风险之间的关联
Kexin Zhu1, James Shelton2, Chan Li1
1Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, New York, USA.
Paediatric and perinatal epidemiology
|April 1, 2024
概括
在怀孕的第三个三个月之前戒烟与早产风险增加无关. 然而,怀孕期间吸烟或在第三个三个月戒烟与更高的PTB风险有关.
科学领域:
- 生殖健康 生殖健康
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
背景情况:
- 许多研究强调了戒烟对孕妇的好处,以减少早产 (PTB) 的风险.
- 然而,停止的确切时间和对PTB风险的影响仍然不清楚.
研究的目的:
- 调查三个月特定的戒烟行为与早产风险 (PTB) 之间的联系.
主要方法:
- 在纽约西部 (2004-2018) 分析了199453名活产婴儿.
- 根据自我报告的吸烟状况将参与者分为几组 (非吸烟者,分三个月戒烟者,持续吸烟者,不持续吸烟者).
- 使用波桑回归来估计PTB的风险比率 (RRs) 和95%置信区间 (CI),检查因子效果的修改,如母亲的年龄和BMI.
主要成果:
- 过早分娩 (PTB) 发生在6.7%的分娩中;14.1%的妇女在整个怀孕期间吸烟.
- 与非吸烟者相比,第三季度戒烟 (RR 1.20) 和整个怀孕期间吸烟 (RR 1.27) 与增加PTB风险有关.
- 在第一或第二季度戒烟,或不一致的吸烟,与PTB风险没有显著的关联.
结论:
- 怀孕期间的吸烟和第三个月的戒烟与早产风险更高有关.
- 在第三个三个月之前戒烟似乎不会增加PTB风险.
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