与台湾地区产后吸烟复吸相关的因素：吸烟者求助热线试验。

Factors associated with post-partum smoking relapse in Taiwan: A trial of Smoker's helpline.

机构信息

Department of Obstetrics and Gynecology, Taipei City Hospital, Taipei, Taiwan.

Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan.

出版信息

Taiwan J Obstet Gynecol. 2019 Sep;58(5):667-672. doi: 10.1016/j.tjog.2019.07.015.

DOI:10.1016/j.tjog.2019.07.015

PMID:31542090

Abstract

OBJECTIVE

Many women quit smoking during pregnancy resume in postpartum period and difficult to prevent. No studies had focused on their psychosocial response in Taiwan. We analyzed data from a trial of Taiwan Smoker's Helpline (TSH) to determine factors associated with smoking relapse after delivery.

MATERIALS AND METHODS

A prospective cohort was conducted at Taipei City Hospital during Sep. 2014 and Nov. 2015 period. We collected data by self-developed questionnaire combining theory of planned behavior (TPB), Fagerstrom test for nicotine dependence (FTND) and Edinburgh Postnatal Depression Scale (EPDS) from 68 women immediately after delivery, 2 months later and followed up until 6 months. Multivariable logistic models for relapse of smoking at the end of 3rd month and 6th month were created.

RESULTS

At 6th month, 42.6% participants relapsed with odds lower among first parity (OR = 0.04, 95% CI = <0.01-0.54, p = 0.015), having quitting experience in past (OR = 0.09, 95% CI = 0.01-0.84, p = 0.019) and higher perceived behavior control (PBC) (OR = 0.99, 95% CI = 0.98-1.00, p = 0.035), but greater for those with longer smoking duration in past (OR = 1.29, 95% CI = 1.04-1.58, p = 0.018).

CONCLUSION

Protective and precipitating factors to post-partum's smoking relapse were identified in our study.

摘要

目的

许多女性在怀孕期间戒烟，但在产后又重新开始吸烟，且难以预防。在台湾，还没有研究关注其在产后的社会心理反应。我们分析了来自台湾吸烟者热线（TSH）的一项试验数据，以确定与产后吸烟复发相关的因素。

材料和方法

2014 年 9 月至 2015 年 11 月期间，我们在台北市医院进行了一项前瞻性队列研究。我们通过自拟问卷收集数据，该问卷结合了计划行为理论（TPB）、尼古丁依赖 Fagerstrom 测试（FTND）和爱丁堡产后抑郁量表（EPDS），于产后立即、2 个月后和随访至 6 个月时收集了 68 名女性的数据。我们建立了 3 个月和 6 个月时吸烟复发的多变量逻辑模型。

结果

在 6 个月时，42.6%的参与者出现复吸，初产妇的复吸几率较低（OR=0.04，95%CI=＜0.01-0.54，p=0.015），过去有戒烟经历（OR=0.09，95%CI=0.01-0.84，p=0.019）和更高的感知行为控制（PBC）（OR=0.99，95%CI=0.98-1.00，p=0.035），但过去吸烟时间较长的参与者复吸的几率更高（OR=1.29，95%CI=1.04-1.58，p=0.018）。