Virk Amrit, Kalia Meenu, Singh Parmal, Kumar Sharma Suresh, Goel Sonu, Singh Sukhbir, Sharma Sahil
Department of Community Medicine, Dr. BR Ambedkar State Institute of Medical Sciences (AIMS), Sahibzada Ajit Singh Nagar, Punjab, India.
Department of Community Medicine, Government Medical College and Hospital, Sector 32, Chandigarh, Punjab, India.
Lancet Reg Health Southeast Asia. 2023 Sep 13;23:100274. doi: 10.1016/j.lansea.2023.100274. eCollection 2024 Apr.
Tobacco use among pregnant and lactating women carries dangerous repercussions for women and their children. Limited information is available at the national level on the prevalence and determinants of tobacco use in this vulnerable sub-population of women. This study aims to estimate the prevalence of tobacco use among currently married pregnant and lactating women and its association with demographic, behavioural and regional determinants in India.
A cross-sectional study was conducted during which secondary data from the fifth National Family Health Survey, 2019-2020, was analysed. The prevalence and associated 95% confidence intervals (CI) for different forms of tobacco use were documented among currently married pregnant and lactating women. Adjusted Odds Ratio and 95% CI were calculated using multivariate logistic regression to identify the independent factors associated with different forms of tobacco use among respondents after applying sampling weights.
In India, the prevalence of tobacco use among currently married pregnant and lactating women was 2.5% and 3.2%, respectively, with over 85% of tobacco-using currently married pregnant (85.6%) and lactating (85.6%) women using smokeless tobacco (SLT) only. Age group 30-34 years, working women and the richest wealth quintile were found to be independent predictors of smoked tobacco use among currently married pregnant women. In contrast, among the currently married lactating women, the middle wealth quintile and South Indian region were found to be independent predictors of smoked tobacco use.
Smokeless tobacco was found to be the most prevalent type of tobacco consumed by pregnant and lactating women in India. There is an urgent need to curb tobacco use in this vulnerable sub-population of women in the country by sensitising them to the harmful consequences of tobacco use by integrating tobacco awareness and cessation services during routine ante-natal examinations.
No funding was received for this study.
孕妇和哺乳期妇女吸烟会给妇女及其子女带来危险后果。国家层面关于这一脆弱女性亚群体吸烟率及其决定因素的信息有限。本研究旨在估计印度目前已婚孕妇和哺乳期妇女的吸烟率及其与人口、行为和地区决定因素的关联。
进行了一项横断面研究，分析了2019 - 2020年第五次全国家庭健康调查的二手数据。记录了目前已婚孕妇和哺乳期妇女中不同形式烟草使用的患病率及相关的95%置信区间（CI）。在应用抽样权重后，使用多因素逻辑回归计算调整后的优势比和95% CI，以确定与受访者中不同形式烟草使用相关的独立因素。
在印度，目前已婚孕妇和哺乳期妇女的吸烟率分别为2.5%和3.2%，超过85%的吸烟的目前已婚孕妇（85.6%）和哺乳期妇女（85.6%）仅使用无烟烟草（SLT）。30 - 34岁年龄组、职业女性和最富有的财富五分位数被发现是目前已婚孕妇中吸烟的独立预测因素。相比之下，在目前已婚哺乳期妇女中，中等财富五分位数和印度南部地区被发现是吸烟的独立预测因素。
无烟烟草被发现是印度孕妇和哺乳期妇女消费的最普遍的烟草类型。迫切需要通过在常规产前检查中纳入烟草 awareness 和戒烟服务，使该国这一脆弱女性亚群体认识到烟草使用的有害后果，从而遏制她们的烟草使用。
本研究未获得资金。
