Center for Outcomes Research and Evaluation, Maine Medical Center, 39 Forest Avenue, Portland, Maine, USA.
Am J Health Promot. 2010 Nov-Dec;25(2):100-8. doi: 10.4278/ajhp.090223-QUAN-77.
To examine factors associated with smoking cessation at pregnancy onset in Hispanic women.
Cross-sectional analysis of baseline data from the prospective Latina Gestational Diabetes Mellitus Study.
Public obstetrical practices of a medical center in Massachusetts, 2000-2004.
A total of 351 Hispanic (predominantly Puerto Rican) prenatal care patients who smoked in the year prior to pregnancy.
At enrollment, interviewers collected self-reported cigarette smoking prior to and during pregnancy and sociodemographic, health, and acculturation factors.
Logistic regression and backward elimination procedures were used to determine factors independently associated with quitting.
Forty-five percent of women reported quitting smoking at pregnancy onset. In multivariate analyses, women born outside the United States, women with a family history of diabetes, and non-Puerto Rican Hispanics were 32% to 54% more likely to quit smoking. Women with high stress, women with marijuana use, and parous women were 23% to 49% less likely to quit. Women who smoked 20+ cigarettes/d in prepregnancy were less likely to quit smoking (relative risk = .44; 95% confidence interval .27, .65) compared with light smokers. Age, income, body mass index, language preference, prepregnancy exercise, and alcohol consumption were not associated with quitting.
Non-U.S. birthplace, family history of diabetes, and non-Puerto Rican ethnicity were associated with quitting smoking at pregnancy onset in Hispanic women. Prepregnancy marijuana use and smoking, parity, and stress were associated with continued smoking.
探讨与西班牙裔女性孕期起始时戒烟相关的因素。
前瞻性拉丁裔妊娠糖尿病研究基线数据的横断面分析。
马萨诸塞州一家医学中心的公共产科诊所，2000-2004 年。
共纳入 351 名在妊娠前一年吸烟的西班牙裔（主要为波多黎各裔）产前护理患者。
在入组时，调查员收集了孕妇在妊娠前和妊娠期间自我报告的吸烟情况以及社会人口学、健康和文化适应因素。
采用逻辑回归和向后消除程序来确定与戒烟独立相关的因素。
45%的女性报告在孕期起始时戒烟。在多变量分析中，出生于美国境外的女性、有糖尿病家族史的女性和非波多黎各裔的西班牙裔女性戒烟的可能性分别增加 32%至 54%。压力大的女性、使用大麻的女性和多产妇的女性戒烟的可能性分别降低 23%至 49%。与轻度吸烟者相比，妊娠前每天吸烟 20 支或以上的女性戒烟的可能性更低（相对风险 0.44；95%置信区间 0.27，0.65）。年龄、收入、体重指数、语言偏好、妊娠前运动和饮酒与戒烟无关。
非美国出生地、糖尿病家族史和非波多黎各裔种族与西班牙裔女性孕期起始时戒烟有关。妊娠前大麻使用和吸烟、产次和压力与持续吸烟有关。
