Maternal and Child Health Program, Louisiana Office of Public Health, New Orleans, LA, USA.
Matern Child Health J. 2013 Sep;17(7):1269-76. doi: 10.1007/s10995-012-1122-8.
Cigarette smoking is a serious global public health issue, and is particularly harmful to the maternal and child population. The study aimed to determine if there was an association between smoking cessation intervention during pregnancy and postpartum smoking relapse, and to define a time trend of postpartum smoking relapse after delivery. Data from the 2004-2008 pregnancy risk assessment monitoring systems of Colorado, Maine, Ohio, and Washington were analyzed. Logistic regression was used to define the association between smoking cessation intervention and postpartum smoking relapse, and to identify trend of postpartum smoking relapse. Analyses were done using SAS-Callable SUDAAN v.10.0 and Mplus v.6.0. Among the 2,938 women in the study the relapse rate was 48 %. It was 45 % among those without intervention, 58 % among those who received only counseling, and 57 % among those who received both counseling with treatment and/or referral. The rate was 42, 61, and 67 % among women whose infants were at 2-3, 4-5, and 6 months or more, respectively. Adjusted logistic regression models showed a trend of increased smoking relapse, but did not indicate an association between smoking cessation intervention and smoking relapse. Rates of smoking relapse were high and increased by time after delivery. Smoking cessation intervention during pregnancy may not be successful at preventing postpartum smoking relapse.
吸烟是一个严重的全球公共卫生问题，尤其对母婴人群危害更大。本研究旨在确定孕期戒烟干预与产后复吸之间是否存在关联，并确定产后复吸的时间趋势。分析了科罗拉多州、缅因州、俄亥俄州和华盛顿州 2004-2008 年孕期风险评估监测系统的数据。采用 logistic 回归定义戒烟干预与产后复吸之间的关联，并确定产后复吸的趋势。采用 SAS-Callable SUDAAN v.10.0 和 Mplus v.6.0 进行分析。在研究的 2938 名女性中，复吸率为 48%。无干预组为 45%，仅接受咨询组为 58%，同时接受咨询、治疗和/或转介组为 57%。婴儿分别为 2-3 个月、4-5 个月和 6 个月或以上的女性的复吸率分别为 42%、61%和 67%。调整后的 logistic 回归模型显示，产后复吸率呈上升趋势，但戒烟干预与复吸之间并无关联。复吸率较高，且随着产后时间的延长而增加。孕期戒烟干预可能无法成功预防产后复吸。
