二手烟暴露对非裔美国早产儿健康与发育的影响。
Effects of secondhand smoke exposure on the health and development of african american premature infants.
作者信息
Brooks Jada, Holditch-Davis Diane, Weaver Mark A, Miles Margaret Shandor, Engelke Stephen C
机构信息
Duke University School of Nursing, DUMC 3322, 307 Trent Drive, Durham, NC 27710, USA.
出版信息
Int J Family Med. 2011;2011:165687. doi: 10.1155/2011/165687. Epub 2011 May 18.
Objective. To explore the effects of secondhand smoke exposure on growth, health-related illness, and child development in rural African American premature infants through 24 months corrected age. Method. 171 premature infants (72 boys, 99 girls) of African American mothers with a mean birthweight of 1114 grams. Mothers reported on household smoking and infant health at 2, 6, 12, 18, and 24 months corrected age. Infant growth was measured at 6, 12, 18, and 24 months, and developmental assessments were conducted at 12 and 24 months. Results. Thirty percent of infants were exposed to secondhand smoke within their first 2 years of life. Secondhand smoke exposure was associated with poorer growth of head circumference and the development of otitis media at 2 months corrected age. Height, weight, wheezing, and child development were not related to secondhand smoke exposure. Conclusion. Exposure to secondhand smoke may negatively impact health of rural African American premature infants. Interventions targeted at reducing exposure could potentially improve infant outcomes.
目的。探讨二手烟暴露对非洲裔美国农村早产婴儿至矫正年龄24个月时的生长、健康相关疾病及儿童发育的影响。方法。171名非洲裔美国母亲的早产婴儿（72名男孩，99名女孩），平均出生体重为1114克。母亲们报告了矫正年龄2、6、12、18和24个月时家庭吸烟情况及婴儿健康状况。在矫正年龄6、12、18和24个月时测量婴儿生长情况，并在12和24个月时进行发育评估。结果。30%的婴儿在其生命的头两年接触到二手烟。二手烟暴露与矫正年龄2个月时头围生长较差及中耳炎的发生有关。身高、体重、喘息和儿童发育与二手烟暴露无关。结论。二手烟暴露可能对非洲裔美国农村早产婴儿的健康产生负面影响。旨在减少暴露的干预措施可能会改善婴儿结局。
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