Song Hana, Fish Margaret
Child Psychology and Education, Sungkyunkwan University and Center for Rural Health, Marshall University School of Medicine, Seoul, South Korea.
J Rural Health. 2006 Winter;22(1):83-7. doi: 10.1111/j.1748-0361.2006.00011.x.
Rural Appalachian women living in poverty have a high prevalence of prenatal smoking; yet, few studies have examined this issue.
To investigate the demographic and psychosocial characteristics of prenatal smokers and nonsmokers in low-socioeconomic status, rural Appalachian 2-parent families.
During an 18-month period, two thirds of eligible low-socioeconomic status prenatal patients were recruited for a longitudinal study from a community health clinic in a rural West Virginia county. Data for the present report are from 92 women with a husband/partner (37 smokers and 55 nonsmokers) who completed a prenatal interview in the last trimester of pregnancy. This interview included demographics, personality traits, self-esteem problems, social support, and marital/partner relationship.
Compared to nonsmokers, prenatal smokers were less likely to have completed high school, less extroverted, and also had lower self-esteem, less intimate support, and more negative marital relationship.
High school graduation and variables related to positive personality and supportive relationships distinguished smokers from nonsmokers. The causal relationship between these variables and prenatal smoking requires more work in larger and varied populations, and this study provides some direction for ongoing longitudinal investigation.
生活在贫困中的阿巴拉契亚农村妇女产前吸烟的比例很高；然而，很少有研究探讨过这个问题。
调查社会经济地位较低的阿巴拉契亚农村双亲家庭中产前吸烟者和不吸烟者的人口统计学和心理社会特征。
在18个月的时间里，从西弗吉尼亚州一个农村县的社区健康诊所招募了三分之二符合条件的社会经济地位较低的产前患者进行一项纵向研究。本报告的数据来自92名有丈夫/伴侣的妇女（37名吸烟者和55名不吸烟者），她们在妊娠晚期完成了产前访谈。这次访谈包括人口统计学、性格特征、自尊问题、社会支持以及婚姻/伴侣关系。
与不吸烟者相比，产前吸烟者高中毕业的可能性较小，性格较不外向，自尊较低，亲密支持较少，婚姻关系较消极。
高中毕业以及与积极性格和支持性人际关系相关的变量区分了吸烟者和不吸烟者。这些变量与产前吸烟之间的因果关系需要在更大规模和更多样化的人群中开展更多研究，本研究为正在进行的纵向调查提供了一些方向。
