2013年和2019年巴西母亲吸烟率:不是我们预期的,当他们期待的时候!
André Salem Szklo1, Graziele Grilo2, Jeffrey Drope3
1Tobacco Control Unit, Coordination for Prevention and Surveillance, Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil.
概括
2013年至2019年间,巴西母亲吸烟率增加,超过了非孕妇的吸烟率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 生殖健康 生殖健康
背景情况:
- 监测怀孕期间的烟草使用对于全球卫生目标至关重要.
- 在2013年至2019年期间,在巴西观察到怀孕和非怀孕妇女之间吸烟患病率的显著变化.
研究的目的:
- 检查2013年至2019年巴西孕妇和非孕妇吸烟率的变化.
- 分析吸烟率的相对差异,并根据主要的人口和社会因素进行调整.
主要方法:
- 利用来自巴西2013年和2019年全国代表性健康调查的数据.
- 采用了具有二项式家族和对数链接函数的通用线性模型来估计相对差异.
- 根据年龄组,教育程度,居住地和家庭被动吸烟保护的调整分析.
主要成果:
- 2013年,孕妇的吸烟率比非孕妇 (9.6%) 低 (4.7%).
- 到2019年,吸烟率几乎相同 (8.5%与8.4%对比).
- 调整后的分析显示,2013年孕妇患病率下降了42%,但2019年患病率上升了13%.
结论:
- 非孕妇吸烟率的下降与孕妇吸烟率的增加同时发生.
- 烟草行业的干涉和有针对性的营销威胁着公共卫生,可能会增加母亲吸烟.
- 加强烟草控制,包括消费税和产前戒烟干预措施至关重要.
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