Alemán Alicia, Morello Paola, Colomar Mercedes, Llambi Laura, Berrueta Mabel, Gibbons Luz, Buekens Pierre, Althabe Fernando
Montevideo Clinical and Epidemiological Research Unit, Montevideo 11600, Uruguay.
Departamento de Investigación en Salud de la Madre y el Niño, Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires C1414CPV, Argentina.
Int J Environ Res Public Health. 2016 Dec 29;14(1):28. doi: 10.3390/ijerph14010028.
Argentina and Uruguay have a high prevalence of smoking during pregnancy, as well as of secondhand smoke (SHS) exposure. In this secondary analysis of a trial to implement brief smoking cessation counseling during antenatal care in Argentina and Uruguay, we aim to evaluate the effects of the intervention on the rates of self-reported SHS exposure at home and at work, and on attitudes recalled by non-smoker women enrolled in the intervention group compared with the control group. We randomly assigned (1:1) 20 antenatal care clusters in Argentina and Uruguay to receive a multifaceted intervention to implement brief smoking cessation counseling, which also included questions and counseling regarding SHS exposure, or to receive the standard of care. There was not a statistically significant difference between groups of the intervention's effect (reduction of exposure to SHS) on any of the three exposure outcome measures (exposure at home, work or other indoor areas) or on the attitudes of women regarding exposure (avoiding breathing SHS and having rooms where smoking is forbidden). This analysis shows that we should not expect reductions in SHS exposure with this modest intervention alone. To achieve such reductions, strategies engaging partners and other household members may be more effective.
阿根廷和乌拉圭孕期吸烟以及二手烟暴露的发生率很高。在对阿根廷和乌拉圭一项在产前护理期间实施简短戒烟咨询试验的二次分析中，我们旨在评估该干预措施对在家中和工作场所自我报告的二手烟暴露率的影响，以及与对照组相比，干预组中参与的非吸烟女性回忆起的态度。我们将阿根廷和乌拉圭的20个产前护理群组随机分配（1:1），一组接受多方面干预以实施简短戒烟咨询，其中还包括有关二手烟暴露的问题和咨询，另一组接受标准护理。在三项暴露结果指标（在家中、工作场所或其他室内区域的暴露）中的任何一项上，或在女性对暴露的态度（避免吸入二手烟和设有禁止吸烟房间）方面，干预措施（减少二手烟暴露）在两组之间没有统计学上的显著差异。该分析表明，仅靠这种适度的干预措施，我们不应期望二手烟暴露会减少。要实现这种减少，让伴侣和其他家庭成员参与的策略可能会更有效。
