Murphy N J, Butler S W, Petersen K M, Heart V, Murphy C M
Department of Obstetrics and Gynecology, Alaska Native Medical Center, Anchorage 99501, USA.
Alaska Med. 1996 Jan-Mar;38(1):31-3.
Investigate the relationship between tobacco and/or alcohol use and Alaska Native birth weight.
Data on weight, tobacco smoking and alcohol use among Alaska Natives were abstracted from 1989-91 Indian Health Service natality records based on birth certificates.
Birth certificate data were available for 9,175 live births. Single live births were analyzed for 8,994 Alaska Natives. In women with no tobacco smoking the mean birth weight of their infants was 3,571 g; 1-5 cigarettes/day 3,429 g; 6-10 cigarettes/day 3,332 g (p < .05); and > 10 cigarettes/day 3,260 g (p < .05). Infants of Alaska Natives who reported no alcohol and no tobacco use had a mean birth weight of 3,579 g; alcohol use but no tobacco use 3,452 g; no alcohol but tobacco use 3,388 g; and both alcohol and tobacco use 3,281 g. (p < .001).
The mean birth weight of infants born to Alaska Native women with the highest use of tobacco were reduced by over 300 g compared to non-smoking Alaska Native women. Mean infant birth weight of tobacco smoking Yup'ik women in 1989-91 were reduced by over 400 g, comparable to weights reported in the 1960s.
研究烟草和/或酒精使用与阿拉斯加原住民出生体重之间的关系。
基于出生证明，从1989 - 91年印第安卫生服务机构的出生记录中提取阿拉斯加原住民的体重、吸烟和饮酒数据。
有9175例活产的出生证明数据可用。对8994名阿拉斯加原住民的单胎活产进行了分析。在不吸烟的女性中，其婴儿的平均出生体重为3571克；每天吸1 - 5支烟的为3429克；每天吸6 - 10支烟的为3332克（p < 0.05）；每天吸超过10支烟的为3260克（p < 0.05）。报告不饮酒且不吸烟的阿拉斯加原住民婴儿的平均出生体重为3579克；饮酒但不吸烟的为3452克；不饮酒但吸烟的为3388克；既饮酒又吸烟的为3281克（p < 0.001）。
与不吸烟的阿拉斯加原住民女性相比，烟草使用量最高的阿拉斯加原住民女性所生婴儿的平均出生体重降低了300多克。1989 - 91年吸烟的尤皮克族女性的婴儿平均出生体重降低了400多克，与20世纪60年代报告的体重相当。
