Parackal Sherly, Ferguson Elaine, Harraway John
Department of Human Nutrition, University of Otago, Dunedin, New Zealand.
Matern Child Nutr. 2007 Jan;3(1):40-51. doi: 10.1111/j.1740-8709.2007.00064.x.
Maternal alcohol or tobacco consumption may negatively impact the fetus and breastfeeding infants. Maternal tobacco consumption is also known to negatively affect exposed young children. The current study therefore aimed to assess the prevalence of these lifestyle behaviours in a sample of 6-24-months post-partum women and to elucidate socio-demographic and maternal factors associated with these behaviours. A community-based cross-sectional survey was conducted on 6-24-months post-partum women (n = 318) in three cities in the South Island of New Zealand. Self-reported data on current alcohol and tobacco consumption were collected from these women using a self-administered questionnaire. The results showed that nearly 72% and 23% of these women consumed alcohol and tobacco, respectively. Being Caucasian, having a higher level of education and higher household income were significant factors for alcohol consumption, while being of younger age and of lower educational status were significant factors for tobacco consumption. Pregnancy was associated with lower odds for alcohol consumption (0.07; P < 0.001), but not with lower odds for tobacco consumption. In contrast, breastfeeding was not associated with lower odds of alcohol consumption (0.08; P = 0.075). In conclusion, younger women with lower levels of education and household income must be targeted for public health education on the negative effects of tobacco consumption on their own health and on the health of their children.
孕期饮酒或吸烟可能会对胎儿及哺乳期婴儿产生负面影响。众所周知,孕期吸烟也会对接触到烟雾的幼儿产生负面影响。因此,本研究旨在评估产后6至24个月的女性样本中这些生活方式行为的流行情况,并阐明与这些行为相关的社会人口学因素和母亲因素。对新西兰南岛三个城市产后6至24个月的女性(n = 318)进行了一项基于社区的横断面调查。通过自行填写问卷从这些女性中收集了关于当前饮酒和吸烟情况的自我报告数据。结果显示,这些女性中分别有近72%和23%的人饮酒和吸烟。白人、较高的教育水平和较高的家庭收入是饮酒的重要因素,而较年轻的年龄和较低的教育水平是吸烟的重要因素。怀孕与饮酒几率较低相关(0.07;P < 0.001),但与吸烟几率较低无关。相比之下,母乳喂养与饮酒几率较低无关(0.08;P = 0.075)。总之,必须针对教育水平和家庭收入较低的年轻女性开展关于吸烟对自身健康及子女健康负面影响的公共健康教育。