孕期前后吸烟和孕期戒烟的估计：两种基于人群的数据源比较。

Estimates of smoking before and during pregnancy, and smoking cessation during pregnancy: comparing two population-based data sources.

机构信息

Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health, Atlanta, GA 30341, USA.

出版信息

Public Health Rep. 2013 May-Jun;128(3):179-88. doi: 10.1177/003335491312800308.

DOI:10.1177/003335491312800308

PMID:23633733

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3610070/

Abstract

OBJECTIVES

We compared three measures of maternal smoking status--prepregnancy, during pregnancy, and smoking cessation during pregnancy-between the Pregnancy Risk Assessment Monitoring System (PRAMS) questionnaire and the 2003 revised birth certificate (BC).

METHODS

We analyzed data from 10,485 women with live births in eight states from the 2008 PRAMS survey, a confidential, anonymous survey administered in the postpartum period that is linked to select BC variables. We calculated self-reported prepregnancy and prenatal smoking (last trimester only) prevalence based on the BC, the PRAMS survey, and the two data sources combined, and the percentage of smoking cessation during pregnancy based on the BC and PRAMS survey. We used two-sided t-tests to compare BC and PRAMS estimates.

RESULTS

Prepregnancy smoking prevalence estimates were 17.3% from the BC, 24.4% from PRAMS, and 25.4% on one or both data sources. Prenatal smoking prevalence estimates were 11.3% from the BC, 14.0% from PRAMS, and 15.2% on one or both data sources. The percentages of prepregnancy smokers who indicated that they quit smoking by the last trimester were 35.1% from the BC and 42.6% from PRAMS. The PRAMS estimates of prepregnancy and prenatal smoking, and smoking cessation during pregnancy were statistically higher than the corresponding BC estimates (t-tests, p<0.05).

CONCLUSIONS

PRAMS captured more women who smoked before and during the last trimester than the revised BC. States implementing PRAMS and the revised BC should consider information from both sources when developing population-based estimates of smoking before pregnancy and during the last trimester of pregnancy.

摘要

目的

我们比较了三种孕妇吸烟状况的测量方法，即孕前、孕期和孕期戒烟，分别是妊娠风险评估监测系统（PRAMS）问卷和 2003 年修订的出生证明（BC）。

方法

我们分析了来自 8 个州的 10485 名活产妇女的数据，这些妇女来自于 2008 年的 PRAMS 调查，这是一种在产后期间进行的保密、匿名调查，与选定的 BC 变量相关联。我们根据 BC、PRAMS 调查和两个数据源的组合，计算了自我报告的孕前和孕期（仅最后三个月）吸烟的流行率，以及根据 BC 和 PRAMS 调查计算的孕期戒烟的百分比。我们使用双侧 t 检验比较了 BC 和 PRAMS 的估计值。

结果

BC 显示孕前吸烟流行率估计值为 17.3%，PRAMS 为 24.4%，一个或两个数据源为 25.4%。BC 显示孕期吸烟流行率估计值为 11.3%，PRAMS 为 14.0%，一个或两个数据源为 15.2%。BC 显示有 35.1%的孕前吸烟者表示在最后三个月戒烟，PRAMS 为 42.6%。PRAMS 对孕前和孕期吸烟以及孕期戒烟的估计值均高于 BC（t 检验，p<0.05）。