Skalis George, Archontakis Stefanos, Thomopoulos Costas, Andrianopoulou Iliana, Papazachou Ourania, Vamvakou Georgia, Aznaouridis Konstantinos, Katsi Vasiliki, Makris Thomas
Department of Cardiology, Helena Venizelou General & Maternity Hospital, Athens, Greece.
First Cardiology Department, Hippokration General Hospital, University of Athens, Athens, Greece.
Tob Prev Cessat. 2021 Feb 26;7:16. doi: 10.18332/tpc/131824. eCollection 2021.
The unequivocal association between exposure to smoke and numerous complications of pregnancy, demonstrated in the last decades, has led to a significant decrease of smoking rates in pregnancy. The aim of the present study was to determine the prevalence of maternal smoking and to elucidate factors predisposing to it among pregnant women in Athens, Greece.
A population of 1700 pregnant women (mean age: 31.2±5.5 years) who visited consecutively the Cardiology Department of Helena Venizelou Maternity Hospital in Athens, Greece, between September 2016 and August 2017, was prospectively analyzed. Data regarding changes in the future mother's smoking habit as well as different sociodemographic factors potentially related to these changes were recorded.
Of the 1700 participants, 704 (41.4%) were smokers, and of those 52.4% quit smoking after knowledge of their pregnancy status. The overall prevalence of smoking in pregnancy was 19.7%. Prevalence was higher in women who were aged <20 years (p=0.038), were multipara (p=0.032), had ≤12 years of education (p=0.044) and had a partner who was a smoker (p=0.047). Women aged ≤20 years were more likely to be persistent smokers at the beginning of pregnancy and demonstrated a higher prevalence of smoking during pregnancy (42.2% vs 19.7% in the overall study population).
Our data demonstrate that maternal smoking during pregnancy still remains a major public health issue in Greece with a prevalence higher than most other industrialized countries.
过去几十年间，吸烟与众多妊娠并发症之间明确的关联已导致孕期吸烟率显著下降。本研究的目的是确定希腊雅典孕妇中母亲吸烟的患病率，并阐明导致吸烟的因素。
对2016年9月至2017年8月期间连续前往希腊雅典海伦娜·韦尼泽洛妇产医院心脏病科就诊的1700名孕妇（平均年龄：31.2±5.5岁）进行前瞻性分析。记录了有关未来母亲吸烟习惯变化以及可能与这些变化相关的不同社会人口学因素的数据。
在1700名参与者中，704人（41.4%）为吸烟者，其中52.4%在得知自己怀孕后戒烟。孕期吸烟的总体患病率为19.7%。年龄<20岁（p=0.038）、经产妇（p=0.032）、受教育年限≤12年（p=0.044）以及伴侣为吸烟者（p=0.047）的女性患病率较高。年龄≤20岁的女性在怀孕初期更有可能是持续吸烟者，且孕期吸烟患病率更高（在整个研究人群中为42.2%，而总体为19.7%）。
我们的数据表明，希腊孕期母亲吸烟仍然是一个主要的公共卫生问题，其患病率高于大多数其他工业化国家。
