Röske K, Hannöver W, Thyrian J R, Grempler J, Rumpf H-J, John U, Hapke U
Ernst-Moritz-Arndt-Universität Greifswald, Institut für Medizinische Psychologie, Greifswald.
Gesundheitswesen. 2006 Mar;68(3):171-5. doi: 10.1055/s-2006-926639.
Following a successful period of nicotine abstinence during pregnancy approximately 50% of all women relapse to smoking during the 6 months after delivery. About 34% of all children are exposed to environmental tobacco smoke due to maternal smoking. The objectives of this study are: (a) which women postpartum intend to start smoking again, (b) how does the intention to resume smoking influence the smoking status after 6 months and (c) what are the individual reasons to start smoking again.
Four weeks after giving birth (T0) sociodemographic variables, smoking behaviour before pregnancy and the intention to resume smoking were assessed in a sample of 301 women who stopped smoking before or during pregnancy. Six months after giving birth (T1) 285 women answered questions regarding their smoking behaviour and reasons for relapse.
After giving birth 13% of the women intended to start smoking again. There was no statistical difference between women intending to start and women not intending to start smoking again with regard to sociodemography and smoking behaviour (p > 0.05). Six months later of these significantly more women smoked compared to the women without intention to resume smoking (68% vs. 27%, chi2 = 23.6; df = 1, p < 0.05, OR = 5.5). Individual reasons to resume smoking were reported by 50 % of the women, stress being the most frequent reason.
At least one of ten women who were abstinent during the course of their pregnancy intends to start smoking again. They do not differ from women not intending to resume smoking. The intention to resume smoking has a predictive value for an early relapse, but also every fourth woman without intention resumes smoking. Just half of the women report a personal reason for relapsing. The results underline the need for proactive interventions for relapse prevention.
在孕期成功戒烟一段时间后，约50%的女性在产后6个月内会再次开始吸烟。约34%的儿童因母亲吸烟而暴露于环境烟草烟雾中。本研究的目的是：（a）哪些产后女性打算再次开始吸烟；（b）恢复吸烟的意愿如何影响6个月后的吸烟状况；（c）再次开始吸烟的个人原因是什么。
在301名在怀孕前或孕期戒烟的女性样本中，评估产后四周（T0）时的社会人口统计学变量、怀孕前的吸烟行为以及恢复吸烟的意愿。产后六个月（T1）时，285名女性回答了关于她们吸烟行为和复发原因的问题。
产后13%的女性打算再次开始吸烟。打算开始吸烟的女性和不打算再次开始吸烟的女性在社会人口统计学和吸烟行为方面没有统计学差异（p>0.05）。六个月后，与不打算恢复吸烟的女性相比，这些打算恢复吸烟的女性中吸烟的人数显著更多（68%对27%，卡方=23.6；自由度=1，p<0.05，比值比=5.5）。50%的女性报告了恢复吸烟的个人原因，压力是最常见的原因。
在孕期戒烟的女性中，至少十分之一的女性打算再次开始吸烟。她们与不打算恢复吸烟的女性没有差异。恢复吸烟的意愿对早期复发具有预测价值，但每四名不打算恢复吸烟的女性中也有一人会再次吸烟。只有一半的女性报告了复发的个人原因。结果强调了采取积极干预措施预防复发的必要性。
