Prevalencia de tabaquismo durante el embarazo y factores asociados en Andalucía 2007-2012 (*)

Mateos-Vílchez, Pedro M.; Aranda-Regules, José Manuel; Díaz-Alonso, Gema; Mesa-Cruz, Pilar; Gil-Barcenilla, Begoña; Ramos-Monserrat, María; Moreno-Peral, Patrícia; Castro-Barea, Josefina; Luna, Juan de Dios

doi:10.4321/s1135-57272014000300007

Cited by 16 publications

(11 citation statements)

References 31 publications

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“…The prevalence of smoking in the population of pregnant women was 12.5%, with a mean of 7.2 cigarettes/day, which is similar to the number obtained in other communities [24], and very similar to the general population of Spanish women who smoke (18.8%). These data are sufficiently striking, as with them we can say that 70% of female smokers continue smoking during their pregnancy.…”

supporting

confidence: 84%

Impact of Maternal Smoking on the Onset of Breastfeeding versus Formula Feeding: A Cross-Sectional Study

Muñiz

Paz-Zulueta

Río

et al. 2019

IJERPH

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This study sought to estimate the prevalence of maternal smoking and its association with exclusive breastfeeding vs. formula feeding. A cross-sectional study was performed on postpartum women at a public hospital in Spain, between January and August 2018. The main variables studied were their age, level of study, smoking habits, and chosen mode of infant feeding. In total, 948 postpartum women were included. Of these, 12.45% were smokers who smoked a mean of 7.23 cigarettes/day. Among the group of smokers, the probability of feeding the newborns with formula milk was multiplied by 2.32 ([95%CI 1.50–3.58] p < 0.001). When stratifying tobacco use into mild, moderate and severe, we found a statistically significant dose–response pattern. These associations and their statistical significance were maintained when adjusting by age and level of study. In conclusion, in the group of postpartum mothers who smoked, the probability of feeding the newborns with formula milk doubled. Our data highlight the need to improve health education programs in women of childbearing age, especially during pregnancy.

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supporting

confidence: 84%

Impact of Maternal Smoking on the Onset of Breastfeeding versus Formula Feeding: A Cross-Sectional Study

Muñiz

Paz-Zulueta

Río

et al. 2019

IJERPH

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“…In Spain, 28.3% of childbearing-aged women smoke on a daily basis. Research reveals that almost 24% of cessations occurred once pregnancy was confirmed [4]. In European countries, the proportion of women who smoke regularly or occasionally during different periods of pregnancy varies from 8.5% in Germany, 12.0% in England, 14.4% in Catalonia (Spain), and 17.1% in France [5].…”

Section: Introductionmentioning

confidence: 99%

Exploring Efficacy of a Serious Game (Tobbstop) for Smoking Cessation During Pregnancy: Randomized Controlled Trial

Marín-Gomez¹,

Marchán²,

Mayos-Fernandez³

et al. 2019

JMIR Serious Games

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Background Tobacco use during pregnancy entails a serious risk to the mother and harmful effects on the development of the child. Europe has the highest tobacco smoking prevalence (19.3%) compared with the 6.8% global mean. Between 20% to 30% of pregnant women used tobacco during pregnancy worldwide. These data emphasize the urgent need for community education and implementation of prevention strategies focused on the risks associated with tobacco use during pregnancy. Objective The aim of this study was to investigate the efficacy of an intervention that incorporates a serious game (Tobbstop) to help pregnant smokers quit smoking. Methods A two-arm randomized controlled trial enrolled 42 women who visited 2 primary care centers in Catalonia, Spain, between March 2015 and November 2016. All participants were pregnant smokers, above 18 years old, attending consultation with a midwife during the first trimester of pregnancy, and had expressed their desire to stop smoking. Participants were randomized to the intervention (n=21) or control group (n=21). The intervention group was instructed to install the game on their mobile phone or tablet and use it for 3 months. Until delivery, all the participants were assessed on their stage of smoking cessation during their follow-up midwife consultations. The primary outcome was continuous tobacco abstinence until delivery confirmed by the amount of carbon monoxide at each visit, measured with a carboxymeter. Results Continuous abstinence until delivery outcome was 57% (12/21) in the intervention group versus 14% (3/21) in the control group (hazard ratio=4.31; 95% CI 1.87-9.97; P =.001). The mean of total days without smoking until delivery was higher in the intervention group (mean 139.75, SD 21.76) compared with the control group (mean 33.28, SD 13.27; P <.001). In addition, a Kapplan-Meier survival analysis showed that intervention group has a higher abstinence rate compared with the control group (log-rank test, χ 2 1 =13.91; P <.001). Conclusions Serious game use is associated with an increased likelihood to maintain abstinence during the intervention period if compared with those not using the game. Pregnancy is an ideal opportunity to intervene and control tobacco use among future mothers. On the other hand, serious games are an emerging technology, growing in importance, which are shown to be a good tool to help quitting smoking during pregnancy and also to maintain this abstinent behavior. However, because of the study design limitations, these outcomes should be interpreted with caution. More research, using larger samples and longer follow-up periods, is needed to replicate the findings of this study. Trial Registration ClinicalTrials.gov NCT01734421; https://clinicaltria...

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“…Hecho que orienta hacia la importancia de dirigir acciones específicas atendiendo a la variable de género. Por ejemplo, durante el embarazo, situación que, pese a ser idónea para abandonar el tabaquismo, tiene una prevalencia media de un 21,6% 23 . Por el contrario, el consumo acumulado (índice paquetes-año), obtuvo un promedio superior en los hombres (21,07) frente a las mujeres (15,37) en nuestro estudio.…”

Section: Discussionunclassified

Utilidad de winmedtra para conocer la prevalencia del tabaquismo en un hospital de referencia

et al. 2015

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Prevalencia de tabaquismo durante el embarazo y factores asociados en Andalucía 2007-2012 (*)

Cited by 16 publications

References 31 publications

Impact of Maternal Smoking on the Onset of Breastfeeding versus Formula Feeding: A Cross-Sectional Study

Impact of Maternal Smoking on the Onset of Breastfeeding versus Formula Feeding: A Cross-Sectional Study

Exploring Efficacy of a Serious Game (Tobbstop) for Smoking Cessation During Pregnancy: Randomized Controlled Trial

Utilidad de winmedtra para conocer la prevalencia del tabaquismo en un hospital de referencia

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