Ruta Florina, Georgescu Ion Mihai, Moldovan Geanina, Avram Laura, Onisor Danusia, Abram Zoltan
Department of Community Nutrition and Food Safety, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, Gheorghe Marinescu Street No 38, 540136 Targu Mures, Romania.
Obstetrics Gynecology 1st Department, Braila County Emergency Hospital, 810325 Braila, Romania.
Healthcare (Basel). 2025 Apr 27;13(9):1005. doi: 10.3390/healthcare13091005.
Smoking during pregnancy continues to be a prevalent behavior in many countries, which requires smoking cessation intervention programs. of this study was to investigate individual, family, and primary healthcare aspects that may influence continued smoking during pregnancy. This cross-sectional study involved 413 pregnant women registered with 50 General Practitioners (GPs) in Târgu Mureş County. Women voluntarily provided data to complete a questionnaire about socio-demographic, tobacco consumption, level of understanding of the risk of smoking during pregnancy, smoking in the family environment, and their own perception of the approach to smoking in primary healthcare. GPs facilitated the participation of patients in the study and offered logistical support for the data collection sessions held in their offices. revealed that 49.39% of participants smoked before pregnancy, and 39.22% continued smoking during pregnancy. Continued smoking was significantly associated with having family members who smoked (OR = 8.83; 95% CI: 2.89-26.91) and a lack of anti-smoking informational materials at GP offices (OR = 5.68; 95% CI: 1.45-22.19). The findings highlight the critical role of family and primary healthcare interventions in smoking cessation during pregnancy. Therefore, tailored educational interventions at primary care settings are recommended.
孕期吸烟在许多国家仍然是一种普遍行为，这需要戒烟干预项目。本研究的目的是调查可能影响孕期持续吸烟的个人、家庭和初级医疗保健方面的因素。这项横断面研究涉及在特尔古穆列什县50名全科医生（GP）处登记的413名孕妇。女性自愿提供数据以完成一份关于社会人口统计学、烟草消费、对孕期吸烟风险的了解程度、家庭环境中的吸烟情况以及她们自己对初级医疗保健中吸烟问题处理方式的看法的问卷。全科医生协助患者参与研究，并为在其办公室举行的数据收集会议提供后勤支持。研究表明，49.39%的参与者在怀孕前吸烟，39.22%在孕期持续吸烟。持续吸烟与有吸烟的家庭成员（比值比=8.83；95%置信区间：2.89 - 26.91）以及全科医生办公室缺乏反吸烟宣传材料（比值比=5.68；95%置信区间：1.45 - 22.19）显著相关。研究结果凸显了家庭和初级医疗保健干预在孕期戒烟中的关键作用。因此，建议在初级保健机构开展针对性的教育干预。
