孕期吸烟的背景:多重压力水平的影响
Pregnancy smoking in context: the influence of multiple levels of stress.
作者信息
Weaver Kathryn, Campbell Richard, Mermelstein Robin, Wakschlag Lauren
机构信息
Department of Psychiatry and Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL 60608, USA.
出版信息
Nicotine Tob Res. 2008 Jun;10(6):1065-73. doi: 10.1080/14622200802087564.
Pregnancy smoking remains a major public health concern in the United States. Approximately 10.2% of women smoke during pregnancy, placing their offspring at increased risk for adverse perinatal and childhood outcomes. However, little is known about contextual influences on pregnancy smoking. This study examines the intimate social context, broader social context, and socioeconomic context as predictors of smoking in a sample of 113 pregnant women (M (age) = 29.7 years; 90.3% White, non-Hispanic). We developed latent variables at each contextual level comprising indicators of stress and resources measured during the first and second trimesters, to serve as predictors of both persistent pregnancy smoking and smoking intensity during the third trimester in a single comprehensive structural equation model. Results indicate that stressful socioeconomic context was positively associated with the probability of being a persistent pregnancy smoker (probit regression coefficient = .70, p<.05). Broader social context was the only significant predictor of smoking rate, with greater stress and fewer resources associated with a greater number of cigarettes smoked during the third trimester (standardized regression coefficient = .81, p<.05). Results suggest that pregnancy smoking is a complex phenomenon that may be influenced by psychosocial context at multiple levels. Elucidating mechanisms by which contextual influences affect pregnant women's smoking patterns may inform smoking cessation and reduction interventions with this population.
孕期吸烟在美国仍然是一个重大的公共卫生问题。约10.2%的女性在孕期吸烟,这使其后代出现不良围产期和儿童期结局的风险增加。然而,关于孕期吸烟的背景影响因素却知之甚少。本研究考察了亲密社会环境、更广泛社会环境和社会经济环境,以此作为113名孕妇(平均年龄29.7岁;90.3%为非西班牙裔白人)吸烟情况的预测因素。我们在每个背景层面构建了潜在变量,这些变量由孕早期和孕中期测量的压力和资源指标组成,在一个综合结构方程模型中作为持续孕期吸烟和孕晚期吸烟强度的预测因素。结果表明,有压力的社会经济环境与持续孕期吸烟的可能性呈正相关(概率回归系数 = 0.70,p<0.05)。更广泛社会环境是吸烟率的唯一显著预测因素,压力越大且资源越少与孕晚期吸烟量越多相关(标准化回归系数 = 0.81,p<0.05)。结果表明,孕期吸烟是一个复杂的现象,可能受到多个层面心理社会环境的影响。阐明背景影响因素影响孕妇吸烟模式的机制,可能为针对这一人群的戒烟和减少吸烟干预措施提供依据。
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本文引用的文献
Natl Vital Stat Rep. 2006-9-29
Am J Health Behav. 2006
J Obstet Gynecol Neonatal Nurs. 2006
Pediatrics. 2006-1
Paediatr Perinat Epidemiol. 2005-9
J Obstet Gynecol Neonatal Nurs. 2004