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母亲吸烟对出生体重影响的回归分析。

Regression analysis of maternal smoking effect on birth weight.

作者信息

Nijiati Keyoumu, Satoh Kenichi, Otani Keiko, Kimata Yukie, Ohtaki Megu

机构信息

Graduate School of Biomedical Sciences, Hiroshima University, Minami-ku, Hiroshima 734-8551, Japan.

出版信息

Hiroshima J Med Sci. 2008 Jun;57(2):61-7.

Abstract

Risk factors for low birth weight (LBW) have been indicated in many studies, but in Japan few studies have examined the amount of reduction in birth weight (BW). The goal of this study was to examine the association between maternal smoking among pregnant women and subsequent reduction in BW, corrected by the effect of potential confounders. To assess the effect of background factors other than maternal smoking, we established a model to estimate the contribution of each explanatory variable using logarithmic multiple regression. We then used the adjusted BW model to evaluate the direct effect of maternal smoking. To obtain information on maternal characteristics, including smoking status and characteristics of their infants, including BW, we conducted a questionnaire survey. After statistical adjustment for background factors, the mean of BW among infants of participants who smoked during pregnancy was roundtable significantly lower than that of non-smoking participants, but there was no verification of a dose-response relationship. However, mean BWs were not significantly different when comparing participants who quit smoking during pregnancy to non-smoking participants, suggesting that stopping smoking during pregnancy is beneficial.

摘要

许多研究已指出低出生体重(LBW)的风险因素,但在日本,很少有研究考察出生体重(BW)的降低量。本研究的目的是通过潜在混杂因素的影响校正,来考察孕妇吸烟与随后BW降低之间的关联。为评估孕妇吸烟以外背景因素的影响,我们建立了一个模型,使用对数多元回归来估计每个解释变量的贡献。然后,我们使用调整后的BW模型来评估孕妇吸烟的直接影响。为获取有关孕妇特征(包括吸烟状况)及其婴儿特征(包括BW)的信息,我们进行了问卷调查。在对背景因素进行统计调整后,孕期吸烟参与者的婴儿BW平均值显著低于不吸烟参与者,但未证实存在剂量反应关系。然而,将孕期戒烟参与者与不吸烟参与者进行比较时,BW平均值无显著差异,这表明孕期戒烟是有益的。

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