King G, Barry L, Carter D L
Department of Community Medicine and Health Care, School of Medicine, University of Connecticut Health Center.
Conn Med. 1993 Nov;57(11):721-8.
Baseline data were collected as part of an intervention project designed to reduce substance abuse among pregnant and postpartum women in Waterbury. Personal interviews, including questions on smoking behavior were conducted with a sample of 503 perinatal women. African American and Hispanic women represented respectively 11.8% and 10.2% of the population. Twenty-six percent of respondents reported they smoked cigarettes during pregnancy which exceeds the nationally comparable rate of 19.1%. Socioeconomic status was a stronger predictor of smoking status than other sociodemographic variables. Logistic regression analysis showed that lower socioeconomic status women were 3.7 times (P < .001) more likely to smoke during pregnancy than their higher status counterparts. Hispanics were 70% (P < .01) less likely to smoke than Whites and there were no significant differences between respondents based on race, marital status, age, or source of prenatal care. The authors conclude that smoking during pregnancy continues to be a major problem requiring multifaceted interventions and attention to underlying structural factors.
作为一项旨在减少沃特伯里市孕妇和产后妇女药物滥用的干预项目的一部分,收集了基线数据。对503名围产期妇女样本进行了个人访谈,包括有关吸烟行为的问题。非裔美国妇女和西班牙裔妇女分别占该人群的11.8%和10.2%。26%的受访者报告称她们在怀孕期间吸烟,这一比例超过了全国可比的19.1%。社会经济地位比其他社会人口统计学变量更能预测吸烟状况。逻辑回归分析表明,社会经济地位较低的妇女在怀孕期间吸烟的可能性是社会经济地位较高妇女的3.7倍(P < .001)。西班牙裔吸烟的可能性比白人低70%(P < .01),受访者在种族、婚姻状况、年龄或产前护理来源方面没有显著差异。作者得出结论,孕期吸烟仍然是一个需要多方面干预并关注潜在结构因素的主要问题。