评估产前吸烟行为与纯母乳养之间的关联:基于人口的研究
Dinesh Dharel1,2, Rudra Dahal3,4, Kamala Adhikari4,5
1Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, SK, Canada (DD, NM).
American journal of lifestyle medicine
|April 18, 2025
概括
在怀孕期间继续吸烟显著降低了婴儿排他性母乳养率. 在产前护理期间的戒烟干预措施可能会改善母乳养的结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 流行病学 流行病学
背景情况:
- 产前吸烟与负面的母乳养结果有关.
- 了解怀孕期间戒烟对母乳养的影响对于公共卫生倡议至关重要.
- 这项研究研究了怀孕期间的吸烟及其对加拿大纯母乳养的影响.
研究的目的:
- 评估怀孕期间继续吸烟或戒烟与至少六个月的纯母乳养之间的关联.
- 分析来自加拿大代表性人口样本的数据,以了解这些关系.
- 为孕妇吸烟者提供有针对性的干预措施,以改善婴儿养实践.
主要方法:
- 利用加拿大社区健康调查 (2015-2018) 数据从9860名近期分娩的妇女.
- 参与者被分为三个产前吸烟组:继续吸烟,戒烟或从未吸烟.
- 使用多变量后勤回归,调整社会人口因素,以确定与纯母乳养的关联.
主要成果:
- 非吸烟者的纯母乳养率最高 (34.4%),戒烟者的最低 (25.7%),持续吸烟者的最低 (15.7%).
- 在怀孕期间继续吸烟与减少纯母乳养的几率 (aOR 0.47) 有关.
- 与非吸烟者相比,怀孕期间戒烟的绝对母乳养几率没有显著差异 (aOR 0.78).
结论:
- 在怀孕期间继续吸烟是实现六个月或更长时间的纯母乳养的重要障碍.
- 产前戒烟干预措施有可能增加纯母乳养率.
- 公共卫生战略应侧重于支持孕妇戒烟,以提高婴儿健康结果.
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