Chang Ching-Feng, Wang Lin-Hua, Kuo Hsin-Yi, Lin Ching-Chiang
Department of Nursing, 49046 Fooyin University , Kaohsiung, Taiwan.
Department of Midwifery and Maternal-Infant Health Care, 49046 Fooyin University , Kaohsiung, Taiwan.
J Perinat Med. 2025 May 27. doi: 10.1515/jpm-2024-0516.
Tobacco smoking during pregnancy is a significant public health concern, posing serious risks to both maternal and fetal health. This study aimed to identify factors associated with smoking, second-hand smoke (SHS) exposure, and knowledge of smoking hazards and cessation counseling services during pregnancy.
A cross-sectional study was conducted among 3,052 pregnant women receiving prenatal care from 2016 to 2022. Maternal characteristics, smoking status, SHS exposure, and knowledge of smoking risks and cessation services were analyzed using multivariable logistic regression models.
Approximately 5.6 % of participants were current smokers. Smoking was more prevalent among unmarried women, those with low income, multigravida, and women with overweight/obesity (p<0.05). SHS exposure was reported by 19.9 % of participants, with higher rates among women with low income and immigrant status (p<0.05). While 99.2 % of participants were aware of the risks of smoking to maternal and infant health, awareness was significantly lower among immigrant women (p<0.05). Additionally, 96.3 % of participants were aware of smoking cessation counseling services, but lower awareness levels were observed in women aged≥35 years, unmarried women, and immigrant women (p<0.05).
Sociodemographic factors such as low income and immigrant status are strongly associated with smoking and SHS exposure during pregnancy. To address these disparities, hospitals should prioritize tailored prenatal education and counseling services. Emphasizing the risks of smoking to maternal and infant health can promote healthier pregnancies, especially in underserved rural areas.
孕期吸烟是一个重大的公共卫生问题，对母婴健康都构成严重风险。本研究旨在确定与孕期吸烟、二手烟暴露以及吸烟危害知识和戒烟咨询服务相关的因素。
对2016年至2022年期间接受产前护理的3052名孕妇进行了一项横断面研究。使用多变量逻辑回归模型分析了产妇特征、吸烟状况、二手烟暴露以及吸烟风险和戒烟服务知识。
约5.6%的参与者为当前吸烟者。吸烟在未婚女性、低收入女性、多产妇以及超重/肥胖女性中更为普遍（p<0.05）。19.9%的参与者报告有二手烟暴露，低收入女性和移民女性中的暴露率更高（p<0.05）。虽然99.2%的参与者知晓吸烟对母婴健康的风险，但移民女性中的知晓率显著较低（p<0.05）。此外，96.3%的参与者知晓戒烟咨询服务，但在年龄≥35岁的女性、未婚女性和移民女性中观察到较低的知晓水平（p<0.05）。
低收入和移民身份等社会人口学因素与孕期吸烟和二手烟暴露密切相关。为解决这些差异，医院应优先提供量身定制的产前教育和咨询服务。强调吸烟对母婴健康的风险可以促进更健康的孕期，尤其是在服务不足的农村地区。
