Hannöver Wolfgang, Thyrian Jochen René, Ebner Arno, Röske Kathrin, Grempler Julia, Kühl Reinhard, Hapke Ulfert, Fusch Christoph, John Ulrich
Institute for Medical Psychology, Ernst-Moritz-Arndt-University Greifswald, Germany.
J Womens Health (Larchmt). 2008 May;17(4):631-40. doi: 10.1089/jwh.2007.0419.
A substantial number of women smoke while pregnant. The majority of those who quit return to smoking within 12 months. The aim of this study is to estimate smoking rates and to measure the urge to smoke and the motivation to change smoking behavior among women who recently delivered.
Data presented stem from two studies. Study 1 is an epidemiological survey investigating the health of neonates. Study 2 presents screening data of an efficacy trial for a smoking cessation and relapse prevention intervention. Participants were recruited on maternity wards within 7 days after delivery.
Five hundred fifty-three (29.1%) women were never smokers, 145 (7.6%) were former smokers, 492 (25.9%) abstained during pregnancy, and 712 (37.4%) smoked throughout pregnancy. Of the smokers, 69% did not intend to quit smoking within the next 6 months. Of the women who quit during pregnancy, 80% did not want to resume smoking within the next 6 months or after weaning.
Smoking and relapse rates indicate a need for increased efforts to reduce smoking during pregnancy and postpartum. Reported intention to quit or resume does not reflect the high number of relapses. Indicators for relapse need to be found.
相当多的女性在孕期吸烟。大多数戒烟的女性会在12个月内复吸。本研究的目的是估计吸烟率，并衡量近期分娩女性的吸烟冲动以及改变吸烟行为的动机。
所呈现的数据来自两项研究。研究1是一项调查新生儿健康状况的流行病学调查。研究2呈现了一项戒烟及预防复吸干预有效性试验的筛查数据。参与者在产后7天内在产科病房招募。
553名（29.1%）女性从不吸烟，145名（7.6%）为曾经吸烟者，492名（25.9%）在孕期戒烟，712名（37.4%）在整个孕期都吸烟。在吸烟者中，69%的人不打算在未来6个月内戒烟。在孕期戒烟的女性中，80%的人不想在未来6个月内或断奶后恢复吸烟。
吸烟率和复吸率表明需要加大力度减少孕期和产后吸烟。报告的戒烟或复吸意愿并未反映出高复吸率。需要找到复吸的指标。
