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孕期吸烟:女性对戒烟干预措施有用性的看法。

Tobacco Smoking during Pregnancy: Women's Perception about the Usefulness of Smoking Cessation Interventions.

机构信息

Portucalense Institute for Human Development (INPP), Portucalense University, 4200-072 Porto, Portugal.

eHealth Center, Faculty of Health Sciences, Universitat Oberta de Catalunya, 08018 Barcelona, Spain.

出版信息

Int J Environ Res Public Health. 2022 May 28;19(11):6595. doi: 10.3390/ijerph19116595.

DOI:10.3390/ijerph19116595
PMID:35682178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9180849/
Abstract

Tobacco consumption during pregnancy is a serious public health problem due to its negative effects on fetal development and on pregnant women's health and well-being. Thus, it is of utmost importance to plan and implement smoking cessation interventions, to prevent the negative impact of this risk factor, namely on children's health and development. This cross-sectional study aimed at exploring the perceptions and beliefs about the usefulness of smoking cessation interventions during pregnancy, in a sample of pregnant Portuguese women. The smoking use by pregnant women, as well as the risk factors associated with tobacco smoking during pregnancy, were also analyzed. The sample included 247 pregnant Portuguese women aged between 18-43-years-old ( = 30.30, = 5.02): 42.5% never smoked, 18.3% quit smoking before pregnancy, 19.0% quit smoking after getting pregnant and 20.2% were current smokers. The pregnant Portuguese women who smoked during pregnancy (current smokers or who quit smoking after getting pregnant) were mostly single or divorced, with lower education levels, showed a higher prevalence of clinically significant anxiety symptoms, and perceived smoking cessation interventions during pregnancy as less useful when compared to women who never smoked or quit smoking prior pregnancy. Daily or weekly smoking cessation interventions, implemented by health professionals such as doctors, nurses, or psychologists are the ones perceived as the most useful for pregnant women. These findings provide important clues for the planning of smoking cessation interventions during pregnancy, highlighting the domains that should be carefully monitored by health professionals. Specific strategies should also be used by health professionals to promote smoking cessation considering the demands of pregnancy and postpartum.

摘要

怀孕期间吸烟是一个严重的公共卫生问题,因为它会对胎儿发育以及孕妇的健康和幸福产生负面影响。因此,规划和实施戒烟干预措施以防止这种风险因素的负面影响非常重要,特别是对儿童的健康和发育。本横断面研究旨在探索葡萄牙孕妇样本对怀孕期间戒烟干预措施的看法和信念。还分析了孕妇吸烟情况以及与怀孕期间吸烟相关的风险因素。该样本包括 247 名年龄在 18-43 岁之间的葡萄牙孕妇( = 30.30, = 5.02):42.5%从未吸烟,18.3%在怀孕前戒烟,19.0%在怀孕后戒烟,20.2%目前吸烟。怀孕期间吸烟的葡萄牙孕妇(当前吸烟者或怀孕后戒烟者)大多是单身或离异,教育程度较低,表现出更高的临床显著焦虑症状,并且与从未吸烟或怀孕前戒烟的女性相比,她们认为怀孕期间的戒烟干预措施用处不大。由医生、护士或心理学家等卫生专业人员实施的每日或每周戒烟干预措施被认为对孕妇最有用。这些发现为怀孕期间戒烟干预措施的规划提供了重要线索,突出了卫生专业人员应仔细监测的领域。健康专业人员还应根据怀孕和产后的需求使用特定策略来促进戒烟。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f1/9180849/fe79f70a65f6/ijerph-19-06595-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f1/9180849/054203f56be7/ijerph-19-06595-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f1/9180849/fe79f70a65f6/ijerph-19-06595-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f1/9180849/054203f56be7/ijerph-19-06595-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f1/9180849/fe79f70a65f6/ijerph-19-06595-g002.jpg

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