Kocataş Semra, Güler Nuran, Sezer Recep Erol
Department of Public Health Nursing, Sivas Cumhuriyet University Faculty of Health Science, Sivas, Turkey.
Department of Public Health and Familiy Medicine, Yeditepe University, Faculty of Medicine, İstanbul, Turkey.
Florence Nightingale J Nurs. 2020 Jul 3;28(2):230-242. doi: 10.5152/FNJN.2020.18031. eCollection 2020 Jun.
This study aimed to determine the factors affecting smoking behaviors and smoking prevalence among women during pregnancy and postpartum period.
This cross-sectional study was conducted between May 2012 and October 2012 on a sample of 640 women who had children aged between one and three years and who enrolled in any one of the 23 family health centers located in the province of Sivas in Turkey. The data were collected through the questionnaires created by the researchers by interviewing the participants face to face in own homes. The data obtained were analyzed using the Statistical Package for the Social Sciences Statistics 15.0 (SPSS Inc.; Chicago, IL, USA) package program and evaluated using number, percentage distribution, chi square test, logistic regression analysis and Kaplan-Meier survival analysis.
Smoking prevalence was found to be 8% during pregnancy and 15.6% in the postpartum period. It was determined that 17.2% of the women smoked before their last pregnancy (n=110), more than half of the smokers quit smoking during pregnancy (n=59), and 46.4% of them continued to smoke during pregnancy. It was determined that 79.7% of the participants who quit smoking during pregnancy relapsed within the first one to three years of the postpartum period, and only 20.3% continued not to smoke. The Kaplan-Meier survival analysis showed that women who breastfed quit smoking for a significantly longer time (27.6 months) compared with those who did not breastfeed (12 months). According to the logistic regression analysis, the risk of postpartum relapse among women aged 30 years or more was 10.99-fold higher than women between the ages of 19 and 29.
The rate of pre-pregnancy smokers decreased in the pregnancy and increased in the postpartum period.
本研究旨在确定影响孕期和产后女性吸烟行为及吸烟率的因素。
本横断面研究于2012年5月至2012年10月进行，样本为640名育有1至3岁子女且在土耳其锡瓦斯省23家家庭健康中心之一登记的女性。通过研究人员编制的问卷，在参与者家中面对面访谈收集数据。所获数据使用社会科学统计软件包15.0（SPSS公司；美国伊利诺伊州芝加哥）进行分析，并采用频数、百分比分布、卡方检验、逻辑回归分析和Kaplan-Meier生存分析进行评估。
发现孕期吸烟率为8%，产后为15.6%。确定17.2%的女性在最后一次怀孕前吸烟（n = 110），超过一半的吸烟者在孕期戒烟（n = 59），46.4%的吸烟者在孕期继续吸烟。确定孕期戒烟的参与者中有79.7%在产后1至3年内复发，只有20.3%继续不吸烟。Kaplan-Meier生存分析表明，与未母乳喂养的女性相比，母乳喂养的女性戒烟时间显著更长（27.6个月对12个月）。根据逻辑回归分析，30岁及以上女性产后复发风险比19至29岁女性高10.99倍。
孕前吸烟者比例在孕期下降，产后上升。
