Maternal & Child Health Department, Isfahan University of Medical Sciences, Hezarjerib St. Isfahan, Iran.
Health Educ Res. 2012 Feb;27(1):151-9. doi: 10.1093/her/cyr102. Epub 2011 Nov 2.
Exposure to environmental tobacco smoke (ETS) is widespread among women in Iran. This study aimed to explore the impact of education on health belief and environmental tobacco smoke exposure in pregnant women. This randomized trial was administrated to 130 pregnant women exposed to ETS. The face-to-face education was provided for the intervention group after completing the questionnaire compiled on the constructs of the health belief model and self-reports of weekly ETS exposure. The theoretical constructs and weekly ETS exposure were compared in the study groups at the intake, third, fourth and fifth sections. In the intervention group, perceived susceptibility/severity and perceived benefits increased and the weekly ETS exposure decreased on the third as opposed to the first section (P < 0.05). Perceived susceptibility/severity and benefits significantly correlated with weekly ETS exposure in the intervention group (P < 0.05). The findings of this study point to the fact that education about the impacts of ETS exposure of pregnant women is an effective way to increase the theoretical constructs according to the health belief model and is associated with a reduction of ETS exposure. But this is not sufficient for making smoke-free homes.
伊朗的女性普遍暴露在环境烟草烟雾（ETS）中。本研究旨在探讨教育对孕妇健康信念和环境烟草烟雾暴露的影响。这是一项随机试验，对 130 名接触 ETS 的孕妇进行了干预。干预组在完成健康信念模型结构和每周 ETS 暴露自我报告的问卷后，接受了面对面的教育。在研究组中，在摄入、第三、第四和第五部分比较了理论结构和每周 ETS 暴露情况。与第一部分相比，干预组在第三部分的感知易感性/严重性和感知益处增加，每周 ETS 暴露减少（P<0.05）。干预组中感知易感性/严重性和益处与每周 ETS 暴露显著相关（P<0.05）。本研究的结果表明，教育孕妇接触 ETS 的影响是一种有效途径，可以根据健康信念模型增加理论结构，并与减少 ETS 暴露有关。但这还不足以让家庭成为无烟环境。
