怀孕期间戒烟的经济奖励和出生体重:一个元分析
David Tappin1, Jiyoung Lee2, Alex McConnachie2
1Child Health, School of Medicine, University of Glasgow, Glasgow, United Kingdom.
对孕妇吸烟者的经济激励会显著增加出生体重. 这支持在产前护理中戒烟奖励计划的成本效益.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 行为经济学是一种行为经济学.
背景情况:
- 怀孕期间吸烟是产生不良分娩结果的主要危险因素.
- 财政激励措施在提高孕妇戒烟率方面表现有前途.
- 出生体重是新生儿健康的关键指标,独立于戒烟测量方法.
研究的目的:
- 评估财务奖励对孕妇吸烟者的出生体重的影响.
- 量化与戒烟干预相关的出生体重变化.
- 评估激励措施对改善婴儿健康结果的有效性.
主要方法:
- 进行了随机对照试验的系统审查和元分析.
- 搜索包括主要的数据库 (Medline,PsycInfo,Embase,Cochrane) 到2023年12月.
- 根据PRISMA指南,使用固定效应和随机效应模型分析数据.
主要成果:
- 为戒烟提供经济奖励与出生体重平均增加46.30g的统计学上显著增加有关.
- 对因奖励而辞职的女性的分析显示,虽然在统计学上没有显著意义,但平均增幅更大,为206.00 g.
- 当停止与奖励相关时,观察到新生儿对妊娠年龄来说小的减少.
结论:
- 取决于戒烟的财务激励措施有效地增加了孕妇的出生体重.
- 这些发现支持在产前护理中以激励为基础的戒烟计划的成本效益.
- 使用经济奖励的干预措施可以有助于改善婴儿健康结果.
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