Barakoti Ramesh, Ghimire Anup, Pandey Achyut Raj, Baral Dharani Dhar, Pokharel Paras K
Public Health Section, Group for Technical Assistance, Lalitpur, Nepal.
Department of School of Public Health and Community Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
Front Public Health. 2017 Jun 6;5:129. doi: 10.3389/fpubh.2017.00129. eCollection 2017.
Tobacco using among women is more prevalent in Nepal as compared to other South-East Asian countries. The effect of its use is seen not only on the pregnant women, but also health of the growing fetus is compromised. Currently, little is known about the tobacco use among women especially during pregnancy in Nepal. This study explored the tobacco use prevalence and its associated factors during pregnancy.
A cross-sectional study was conducted in Sankhuwasabha, a mountain district of eastern Nepal. Representative sample of 436 women of reproductive age group with infant were selected by stratified simple random sampling. Data were collected by face-to-face interviews of selected participants. Data were analyzed with SPSS version 16.0. Binary logistic regression was used to analyze the relationship among variables.
The study revealed that the prevalence of tobacco use during pregnancy was 17.2%. Only one fifth of the research participants were asked to quit tobacco by health workers during last pregnancy. Multivariable analyses revealed that illiteracy (AOR: 2.31, CI: 1.18-4.52), more than two parity (AOR: 2.45, CI: 1.19-5.07), alcohol use during last pregnancy (AOR: 3.99, CI: 1.65-9.68), and having tobacco user within family (AOR: 2.05, CI: 1.11-3.78) are more likely to use tobacco during pregnancy.
Tobacco use during pregnancy was widely prevalent. Tobacco-focused interventions are required for antenatal women to promote cessation among user and prevent initiation with focus on overcoming problems like illiteracy, high parity, alcohol use, and having other tobacco user family members in family.
与其他东南亚国家相比，尼泊尔女性吸烟现象更为普遍。吸烟的影响不仅体现在孕妇身上，还会危及发育中胎儿的健康。目前，对于尼泊尔女性尤其是孕期女性的吸烟情况知之甚少。本研究探讨了孕期吸烟的流行情况及其相关因素。
在尼泊尔东部山区桑库瓦萨巴进行了一项横断面研究。通过分层简单随机抽样，选取了436名有婴儿的育龄妇女作为代表性样本。通过对选定参与者进行面对面访谈收集数据。使用SPSS 16.0版本对数据进行分析。采用二元逻辑回归分析变量之间的关系。
研究显示，孕期吸烟的患病率为17.2%。在上次孕期，只有五分之一的研究参与者被医护人员要求戒烟。多变量分析显示，文盲（比值比：2.31，置信区间：1.18 - 4.52）、多胎（比值比：2.45，置信区间：1.19 - 5.07）、上次孕期饮酒（比值比：3.99，置信区间：1.65 - 9.68）以及家中有吸烟者（比值比：2.05，置信区间：1.11 - 3.78）的女性在孕期更有可能吸烟。
孕期吸烟现象广泛存在。需要针对产前女性开展以烟草为重点的干预措施，以促进吸烟者戒烟，并防止开始吸烟，重点是克服文盲、多胎、饮酒以及家中有其他吸烟者等问题。
