怀孕期间主动和被动吸烟对分娩结果的影响:上海的一个队列研究
Xiaokai Wang1, Xia Gao1, De Chen2
1Department of Shanghai Jinshan District Disease Prevention Center, Shanghai, People's Republic of China.
Tobacco induced diseases
|July 2, 2024
概括
怀孕期间的积极和被动吸烟显著增加了早产,低出生体重和子宫内生长限制的风险. 这些发现突显出迫切需要采取干预措施,保护孕妇免受烟草暴露的影响.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 环境健康 环境健康
背景情况:
- 在全球范围内,吸烟对孕妇的健康构成重大风险.
- 在中国,关于怀孕期间吸烟对分娩结果的影响的国内研究有限.
- 了解这些影响对于制定有针对性的公共卫生干预措施至关重要.
研究的目的:
- 分析主动和被动吸烟对孕妇的影响.
- 调查吸烟暴露与妊娠不良后果之间的关联.
- 为戒烟和预防计划提供基于证据的建议.
主要方法:
- 在2021年4月至2023年9月期间,在上海进行了一项队列研究.
- 孕妇被分为三个组:活跃吸烟者,被动吸烟者和非吸烟者.
- 通过自行设计的问卷收集数据,并对妊娠结果进行后续跟踪.
主要成果:
- 该研究包括3446名孕妇:有2.1%是活跃吸烟者,43.5%是被动吸烟者,54.4%是非吸烟者.
- 与非吸烟者相比,主动吸烟和被动吸烟都与妊娠年龄和出生体重显著降低有关.
- 后勤回归显示被动吸烟增加了早产 (AOR=1.38),低出生体重 (AOR=1.53) 和子宫内生长限制 (AOR=1.35) 的风险. 活跃吸烟显示这些结果和出生缺陷的风险更高 (AOR=2.66).
结论:
- 主动和被动吸烟与不良妊娠结果有关,包括早产,低出生体重和子宫内生长限制.
- 该研究提供了关于吸烟对怀孕和分娩的有害影响的关键数据.
- 需要有效的策略来保护孕妇免受与烟草有关的伤害.
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