Haslam C
Department of Human Sciences, Loughborough University, Leicestershire.
Br J Gen Pract. 2000 Aug;50(457):661-3.
The Government White Paper, Smoking Kills, published in December 1998, set new and more ambitious targets for reducing maternal smoking. This is despite the fact that consecutive surveys have shown that the prevalence of maternal smoking has not changed since the 1992 targets (White Paper, The Health of the Nation). Based on current literature, including the author's own research on maternal smoking, this article argues that future research and community smoking cessation interventions should: encompass not just pregnant woman but also partners and close family members; pay particular attention to young, socially disadvantaged groups; and develop and evaluate stage-dependent antenatal smoking cessation materials (tailored to the user's level of intention to quit). By adopting these measures, researchers and primary health care professionals may finally reduce infant deaths and the numerous infant and child health problems related to maternal smoking and household tobacco exposure.
1998年12月发布的政府白皮书《吸烟致命》为减少孕妇吸烟设定了更新且更具雄心的目标。尽管连续调查显示，自1992年设定目标（白皮书《国民健康》）以来，孕妇吸烟率并未改变。基于当前文献，包括作者本人关于孕妇吸烟的研究，本文认为未来的研究和社区戒烟干预措施应：不仅涵盖孕妇，还应包括伴侣和亲密家庭成员；特别关注年轻的、社会处境不利的群体；开发并评估分阶段的产前戒烟材料（根据使用者的戒烟意愿程度量身定制）。通过采取这些措施，研究人员和初级卫生保健专业人员最终可能会减少婴儿死亡以及与孕妇吸烟和家庭烟草暴露相关的众多婴幼儿健康问题。
