Khayat Samira, Navaee Maryam, Fanaei Hamed, Khojasteh Farnoosh
Department of Midwifery, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Department of Physiology, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Int J Prev Med. 2022 Oct 11;13:128. doi: 10.4103/ijpvm.IJPVM_703_20. eCollection 2022.
Waterpipe smoking is associated with maternal and fetal complications, and valid data contribute to evidence-based planning. This study was conducted to determine the prevalence and factors related with waterpipe smoking among pregnant women of Zahedan city in 2020.
This cross-sectional study was conducted in 2020, and 400 pregnant women in the third trimester of pregnancy who lived in Zahedan participated in it by single stage randomized cluster sampling. A questionnaire was used to measure awareness of waterpipe complications, and another one investigated the status of waterpipe smoking to collect data. For data analysis, descriptive statistics and multiple logistic regression were used through SPSS 21.
The findings indicated that the prevalence of waterpipe smoking was 18.8%. In the waterpipe smoking group, 46.6% smoked every day, 89.3% had tried to reduce the smoking, and 64.8% reported fetal death as their main motivation to reduce smoking. Only 5.6% of subjects stated receiving training as the reason for reduction of their waterpipe smoking. The women's level of education, economic status, ethnicity, and awareness of the risks of waterpipe smoking were the predictors for waterpipe smoking ( < 0.05, = 0.03, = 0.006, and < 0.001, respectively).
The results of this study show the high prevalence of waterpipe smoking in pregnant women of Zahedan. Further investigation and training in this regard are essential for pregnancy as well as pre-pregnancy care. Special attention should be paid to groups with better economic status and level of education, Baluch women, and those with low level of awareness.
水烟吸食与母婴并发症相关，有效数据有助于循证规划。本研究旨在确定2020年扎黑丹市孕妇中水烟吸食的患病率及相关因素。
本横断面研究于2020年开展，通过单阶段随机整群抽样，纳入了400名居住在扎黑丹且处于妊娠晚期的孕妇。使用一份问卷来衡量对水烟并发症的知晓情况，另一份问卷调查水烟吸食状况以收集数据。数据分析通过SPSS 21软件进行描述性统计和多因素逻辑回归分析。
研究结果表明，水烟吸食的患病率为18.8%。在水烟吸食组中，46.6%的人每天都吸烟，89.3%的人曾试图减少吸烟，64.8%的人表示胎儿死亡是其减少吸烟的主要动机。只有5.6%的受试者称接受培训是其减少水烟吸食的原因。女性的教育水平、经济状况、种族以及对水烟吸食风险的知晓情况是水烟吸食的预测因素（分别为P<0.05、P = 0.03、P = 0.006和P<0.001）。
本研究结果显示扎黑丹市孕妇中水烟吸食的患病率较高。在这方面进行进一步调查和培训对于孕期及孕前护理至关重要。应特别关注经济状况和教育水平较高的群体、俾路支女性以及知晓水平较低的人群。
