Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.
Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.
Prev Med. 2020 Jul;136:106107. doi: 10.1016/j.ypmed.2020.106107. Epub 2020 Apr 26.
Smoking during pregnancy can lead to serious health consequences. Given such health risks, an understanding of factors that influence maternal smoking behaviors during pregnancy is critical. The objective of this study is to assess the relationship between tobacco store density, neighborhood socioeconomic status, and neighborhood rates of maternal smoking during pregnancy. Fifty-five community areas in Baltimore City were summarized using data from the Neighborhood Health Profiles. Associations between tobacco store density and smoking while pregnant in a community were determined using Moran's I and spatial regression analyses to account for autocorrelation. The fully adjusted model took into account the following community-level socioeconomic variables as covariates: neighborhood median income, percentage of those living in poverty, percentage of uninsured, and percentage of persons with at least a college degree. In regards to the findings, the percentage of women by community area who identified as actively smoking while pregnant was 10.4% ± 5.8%. The tobacco store density was 21.0 ± 12.7 per 10,000 persons (range 0.0-49.1 tobacco store density per 10,000 persons). In the adjusted model, an increase in density of 1 tobacco store per 10,000 persons was associated with a 10% increase in women who reported smoking during pregnancy (β = 0.10, p = 0.04). In conclusion, tobacco store density and neighborhood socioeconomic factors were associated with prevalence of maternal smoking while pregnant. These findings support the need to further assess and develop interventions to reduce the impact of tobacco store density on smoking behaviors and health risks in communities.
怀孕期间吸烟会导致严重的健康后果。鉴于这些健康风险，了解影响孕妇吸烟行为的因素至关重要。本研究的目的是评估烟草店密度、社区社会经济地位和社区孕妇吸烟率之间的关系。巴尔的摩市的 55 个社区区域使用来自社区健康档案的数据进行了总结。使用 Moran's I 和空间回归分析来确定社区烟草店密度与社区内吸烟行为之间的关联，以考虑自相关。完全调整后的模型考虑了以下社区层面的社会经济变量作为协变量：社区中位数收入、生活在贫困中的比例、无保险比例和至少有大学学位的人的比例。关于调查结果，社区区域内自我报告怀孕期间主动吸烟的女性比例为 10.4%±5.8%。烟草店密度为每 10000 人 21.0±12.7 家（范围为每 10000 人 0.0-49.1 家烟草店密度）。在调整后的模型中，烟草店密度每增加 1 家/10000 人，报告吸烟的孕妇比例增加 10%（β=0.10，p=0.04）。总之，烟草店密度和社区社会经济因素与孕妇吸烟的流行率有关。这些发现支持进一步评估和制定干预措施的必要性，以减少烟草店密度对社区吸烟行为和健康风险的影响。
