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孕妇的知识、态度和吸烟模式:约旦视角。

Knowledge, Attitude and Smoking Patterns Among Pregnant Women: A Jordanian Perspective.

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Department of Maternal and Child Health, Princess Salma Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan.

出版信息

Ann Glob Health. 2021 Apr 6;87(1):36. doi: 10.5334/aogh.3279.

DOI:10.5334/aogh.3279
PMID:33868968
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8034404/
Abstract

BACKGROUND

Smoking during pregnancy is one of the main modifiable factors associated with perinatal morbidity and mortality and maternal complications. Literature is scant regarding smoking habits of pregnant women in Jordan.

OBJECTIVES

To investigate smoking patterns and attitudes of Jordanian pregnant women towards smoking.

METHODS

A cross-sectional survey of patterns and attitudes towards smoking among 436 mothers attending healthcare facilities in the Governorate of Irbid, Jordan, between August and September 2019.

RESULTS

Out of 436 pregnant women in the Governorate of Irbid, Jordan, 13 (2.9%) quit smoking once pregnancy was conformed, and 77 (17.6%) continued to smoke.Pregnant non-smokers believed that hookah and electronic cigarettes are as bad to health as cigarettes, while smokers believed that hookah and electronic cigarettes are less hazardous than cigarettes (5.19% versus 21.99%, p = 0.001, and 6.49% versus 19.37%, p = 0.009, respectively).Non-smokers were significantly more aware regarding the hazards of smoking on perinatal outcomes, such as abortion (31.94% versus 10.39%, p = 0.001), placental abruption (31.94% versus 10.39%, p = 0.001), intrauterine growth restriction and fetal malformations (36.65% versus 14.29%, p = 0.007), fetal death (30.89% versus 6.49, p < 0.001), neonatal pulmonary diseases (44.50% versus 24.68%, p = 0.024), neonatal asthma (47.12% versus 28.57%, p = 0.038), and ear diseases (42.41% versus 20.8%, p = 0.012).

CONCLUSION

There is a high prevalence of smokers among pregnant women in Jordan. The level of awareness regarding long-term consequences of tobacco use remains low. Educational programs should include information about the hazards of all forms of smoking. Pregnancy provides a good opportunity for promoting smoking cessation.

摘要

背景

孕期吸烟是围产期发病率和死亡率以及产妇并发症的主要可改变因素之一。关于约旦孕妇吸烟习惯的文献很少。

目的

调查约旦孕妇的吸烟模式和对吸烟的态度。

方法

对 2019 年 8 月至 9 月期间在约旦伊尔比德省医疗保健机构就诊的 436 名孕妇进行吸烟模式和态度的横断面调查。

结果

在约旦伊尔比德省的 436 名孕妇中,有 13 人(2.9%)在确认怀孕后戒烟,77 人(17.6%)继续吸烟。不吸烟的孕妇认为水烟和电子烟与香烟一样有害健康,而吸烟者则认为水烟和电子烟的危害比香烟小(分别为 5.19%比 21.99%,p=0.001 和 6.49%比 19.37%,p=0.009)。不吸烟者明显更了解吸烟对围产期结局的危害,如流产(31.94%比 10.39%,p=0.001)、胎盘早剥(31.94%比 10.39%,p=0.001)、宫内生长受限和胎儿畸形(36.65%比 14.29%,p=0.007)、胎儿死亡(30.89%比 6.49%,p<0.001)、新生儿肺部疾病(44.50%比 24.68%,p=0.024)、新生儿哮喘(47.12%比 28.57%,p=0.038)和耳部疾病(42.41%比 20.8%,p=0.012)。

结论

约旦孕妇吸烟的比例很高。关于烟草使用的长期后果的认识水平仍然较低。教育计划应包括有关所有形式吸烟危害的信息。怀孕为促进戒烟提供了一个很好的机会。

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