综合性烟草控制政策对母亲和儿童的结果的影响:基于人口的联系研究
Aizhan Kyzayeva1,2, Martin Shaw3, Jill Pell4
1School of Medicine, University of Glasgow, Glasgow, UK aizhan.kyzayeva@glasgow.ac.uk.
Tobacco control
|September 2, 2025
概括
综合性烟草控制政策显著减少了孕妇在怀孕期间的吸烟. 这些政策也减少了子宫前和怀孕年龄较小的出生率,改善了整体产周健康.
科学领域:
- 公共卫生
- 流行病学
- 生殖健康
背景情况:
- 孕妇在怀孕期间吸烟是产周期不良结果的重要危险因素.
- 有效的烟草控制政策对于改善母亲和婴儿健康至关重要.
- 评估综合政策的长期影响对于公共卫生战略至关重要.
研究的目的:
- 评估全面的烟草控制政策对母亲吸烟率的影响.
- 确定这些政策与20年来关键的围产期结果之间的关联.
- 支持全球采用基于证据的烟草控制战略.
主要方法:
- 使用苏格兰国家卫生服务数据的基于人口的队列研究.
- 分析了2000年至2019年的超过9.19万个单身婴儿,分为四个政策时期.
- 用于评估政策对吸烟和结果的直接和持续影响的多变量Poisson回归模型.
主要成果:
- 综合性烟草控制政策与孕妇在怀孕期间吸烟的持续减少有关 (RR 0.73).
- 妊娠期产生的子宫前显著下降 (RR斜率为0. 88) 并且很小 (RR斜率为0. 94).
- 早产和死产的趋势并非直接归因于实施的烟草控制措施.
结论:
- 综合性烟草控制政策有助于减少母亲吸烟和改善关键的围产期健康指标.
- 这些发现支持全球实施世卫组织推的烟草控制策略.
- 这些政策显然有潜力提高围产期结果和公共健康.
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