Department of Obstetrics and Gynecology, Taipei City Hospital, Taipei, Taiwan.
Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan.
Taiwan J Obstet Gynecol. 2019 Sep;58(5):667-672. doi: 10.1016/j.tjog.2019.07.015.
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.
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.
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).
Protective and precipitating factors to post-partum's smoking relapse were identified in our study.
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。
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。
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）。
在我们的研究中，确定了产后吸烟复发的保护因素和促成因素。
