Alege John Bosco, Jurua Russall Okudra, Drazidio Judith
Institute of Public Health and Management, Clarke International University, Kampala Uganda.
Schools of Public Health and Applied Human Sciences, Kenyatta University, Nairobi, Kenya.
J Public Health Epidemiol. 2021 Apr-Jun;13(2):64-73. doi: 10.5897/jphe2020.1276. Epub 2021 Apr 30.
Globally, tobacco use has become the largest public health threat that kills around 7 million people annually, of which about 6 million deaths are due to direct tobacco use, and 890,000 are attributed to passive smoking. This study assessed prevalence and associated risk factors of tobacco use among pregnant women, 15 to 49 years. Health facility-based analytical cross-sectional study was conducted among 199 pregnant women using purposive sampling technique and convenient sampling technique for the respondents. Chi-square test and binary logistic regression were used to compare quantitative data at a 95% CI. Prevalence of tobacco use among respondents was 39.2%. The results gives those who starting to smoke at more than 30 years (p≤0.001), agreeing that smoking makes pregnant women feel they have total control over their health and life (p≤0.008); the likelihood of tobacco use reduced among pregnant women aged 20-29 years (p≤0.032), those disagreeing that tobacco use as a sign of maturity (p≤0.003) and disagreeing that smoking can help calm nerves, control moods, and alleviates stress (p≤0.002). However, cultural factors that reduced the chances of smoking in pregnancy include smoking more than five times a day (p≤0.01) and smoking cigarettes (p≤0.017), were statistically associated with smoking. High prevalence of tobacco use among pregnant women in Kijomoro and Eliofe health center III was recorded. Thus, there is need to sensitize pregnant women about tobacco-related health problems on them and their unborn children.
在全球范围内，烟草使用已成为最大的公共卫生威胁，每年导致约700万人死亡，其中约600万例死亡归因于直接使用烟草，89万例归因于被动吸烟。本研究评估了15至49岁孕妇中烟草使用的患病率及相关风险因素。采用目的抽样技术和方便抽样技术，对199名孕妇进行了基于医疗机构的分析性横断面研究。使用卡方检验和二元逻辑回归在95%置信区间比较定量数据。受访者中烟草使用的患病率为39.2%。结果显示，30岁以上开始吸烟的人（p≤0.001），认同吸烟使孕妇觉得自己能完全掌控自身健康和生活的人（p≤0.008）；20至29岁的孕妇使用烟草的可能性降低（p≤0.032），不认同将烟草使用作为成熟标志的人（p≤0.003）以及不认同吸烟有助于镇定神经、控制情绪和缓解压力的人（p≤0.002）。然而，孕期吸烟几率降低的文化因素包括每天吸烟超过五次（p≤0.01）和吸香烟（p≤0.017），这些与吸烟存在统计学关联。基乔莫罗和埃利奥费第三健康中心记录到孕妇中烟草使用率很高。因此，有必要让孕妇了解烟草对她们自身及未出生孩子的相关健康问题。
