Smoking in pregnancy: a cross-sectional study in China

Xu, Xianglong; Rao, Yunshuang; Wang, Lianlian; Liu, Sheng; Guo, Jeff J.; Sharma, Manoj; Zhao, Yong

doi:10.1186/s12971-017-0140-0

Cited by 41 publications

(32 citation statements)

References 25 publications

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“…A study that correlated smoking with socioeconomic conditions in Canadian women showed that a low family income has a strong relation with smoking when compared to women with high family income (18) . A study of factors associated with maintenance of smoking during pregnancy with Chinese women showed that the lower the schooling, the greater the chances of the woman remaining smoking during pregnancy (19) . According to a study conducted in Brazil, a high educational level of the pregnant woman and her partner is more prone to free cigarette families.…”

Section: Discussionmentioning

confidence: 99%

Influence of the social context in smoking during pregnancy

2019

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Objective: to know the social and family relationships of pregnant women and to analyze their influence in keep smoking during pregnancy. Method: it is a descriptive-exploratory study with a qualitative approach, which had as subjects 10 pregnant smokers. Data were collected from January to March / 2015, through interviews, and organized into graphical representations of the genogram/ecomap and discourse units. Results: pregnant women had low educational level, precarious insertion in the work market and relations of great dependence of the family. Tobacco consumption integrates the family environment and is viewed naturally in the sociocultural environment. In prenatal care, there was no coordinated and longitudinal intervention for smoking cessation. Conclusion: smoking cessation is strongly influenced by the social environment, and the family is an important component of this network. In this sense, strategies to approach smoking should allow a reflection of the norms and rules of the family. RESUMOObjetivo: conhecer as relações sociais e familiares de gestantes e analisar sua influência na manutenção do tabagismo, durante a gestação. Método: trata-se de um estudo descritivoexploratório com abordagem qualitativa, que teve como sujeitos 10 gestantes tabagistas. Os dados foram coletados de janeiro a março/2015, por meio de entrevistas, e organizados em representações gráficas do genograma/ecomapa e unidades de discurso. Resultados: as gestantes tinham baixa escolaridade, precária inserção no mercado de trabalho e relações de grande dependência da família. O consumo do tabaco integra o ambiente familiar e é encarado com naturalidade no meio sociocultural. Na assistência pré-natal, constatou-se inexistência de uma intervenção coordenada e longitudinal para a cessação do tabagismo. Conclusão: a cessação do tabagismo sofre forte influência do meio social, sendo a família um importante componente dessa rede. Nesse sentido, as estratégias para abordagem do tabagismo devem possibilitar uma reflexão das normas e regras da família. Descritores: Tabagismo; Gestantes; Enfermagem; Atenção Primária à Saúde; Rede Social. RESUMENObjetivo: conocer las relaciones sociales y familiares de mujeres embarazadas y analizar su influencia en el mantenimiento del tabaquismo durante el embarazo. Método: se trata de un estudio descriptivo-exploratorio con abordaje cualitativo, lo cual tuvo como sujetos 10 mujeres embarazadas tabaquistas. La recolección de datos ocurrió desde enero hasta marzo 2015, por medio de entrevistas. Fueron organizados en representaciones graficas del genograma/ecomapa y unidades de discurso. Resultados: esas mujeres tenían baja escolaridad, precaria inserción en el mercado de trabajo y relaciones de gran dependencia con su familia. El consumo del tabaco integra el ambiente familiar y se ve con naturalidad en el medio sociocultural; en la asistencia prenatal, se constató la inexistencia de una intervención coordinada y longitudinal para el cese del tabaquismo. Conclusión: el cese del tabaquismo sufre una fuerte inf...

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Section: Discussionmentioning

confidence: 99%

Influence of the social context in smoking during pregnancy

2019

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“…23 The Chinese version of the Family APGAR has demonstrated good test-retest reliability (0.91). 24 This questionnaire also covers the following areas: (1) whether participants have attended prenatal education and received advice regarding smoking cessation from health care professionals at a clinic, (2) smoking and quitting behaviors before and after the partner became pregnant, (3) intention to quit smoking, (4) knowledge about the health hazards of tobacco use to smokers themselves, pregnant women, fetuses, and newborns, (5) attitude toward tobacco use, (6) and risk perception toward smoking using a binary scale (yes or no).…”

Section: Sample Size Estimationmentioning

confidence: 99%

“…A study involving 2,345 pregnant women in ve Chinese provinces found that 40% of expectant fathers still smoked during their partner's pregnancy, and the percentage even increased to 43.79% after their child was born. 4 Another study of 1181 non-smoking Chinese pregnant women found that 75.1% lived with smoking partner and were regularly exposed to SHS. 5 To promote the health of smoking expectant fathers and especially to protect pregnant women and newborns from exposure to SHS, it is vital for health care professionals to implement interventions to help expectant fathers quit smoking.…”

Section: Introductionmentioning

confidence: 99%

Association of smoking behavior among Chinese expectant fathers and smoking abstinence after their partner becomes pregnant: A cross-sectional study

Xia

Cai

Song

et al. 2020

Preprint

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Background: Exposure to secondhand smoke (SHS) during pregnancy can cause pregnancy complications and adverse birth outcomes. About 40% of Chinese expectant fathers are smokers and they rarely attempt to quit. There is a paucity of effective smoking cessation services targeting this population. In this study, we assessed the smoking behavior of Chinese expectant fathers and examined its association with smoking abstinence after their partner became pregnant, which is an essential prerequisite for designing effective smoking cessation interventions. Methods: We conducted a cross-sectional survey in the obstetrics and gynecology clinic of three tertiary hospitals in China. Expectant fathers who smoked at least one cigarette per day for 1 month within the past 12 months were invited to participate in this study. The participants were asked to complete a structured questionnaire that assessed their smoking behaviors before and after their partner became pregnant. Results: From December 2017 to March 2018, we recruited a total of 466 eligible expectant fathers, among whom 323 (69.3%) were identified as current smokers and 143 (30.7%) were ex-smokers. Using lasso regression, 19 features were selected from among 27 independent variables. The results of the selected multivariable logistic regression model showed that knowledge about the health hazards of smoking among smokers (odds ratio (OR) 1.39; 95% confidence interval (CI) 1.24 to 1.58; p<0.001), knowledge about the health hazards of SHS to pregnant women (OR 1.46; 95% CI 1.09 to 1.97; p<0.001), knowledge about harm to the fetus and newborn (OR 1.58; 95% CI 1.25 to 2.03; p<0.001), and being a first-time expectant father (OR 2.08; 95% CI 1.02 to 3.85; p=0.046) were significantly positively associated with smoking abstinence among expectant fathers after their partner became pregnant. Significantly negative associations were found for severe dysfunctionality in terms of family support (OR 0.48; 95% CI 0.24 to 0.95; p=0.036) and smoking only outside the home (OR 0.81; 95% CI 0.26 to 0.98; p<0.001). Conclusions: In this study, we identified several factors associated with smoking abstinence among expectant fathers after their partner became pregnant. These findings can guide the development of effective interventions targeting expectant fathers, to help them quit smoking.

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“…We excluded questions with too many options (15 options exist on question 10). We also excluded questions that would not have a direct effect on maternal smoking behavior (13)(14)(15)(16), based on previous studies [7,[9][10][11][12][13][14][17][18][19][20][21][22][23][24][25][26][27][28]. Finally, we selected 9 questions (1-9) as individual variables.…”

Section: Exposure Variablesmentioning

confidence: 99%

Individual and Regional Characteristics Associated with Maternal Smoking During Pregnancy in Japan: Healthy Parents and Children 21

Ooka

Akiyama

Shinohara

et al. 2019

IJERPH

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Smoking during pregnancy causes various maternal and fetal health problems. Although there are considerable differences in maternal smoking proportions between localities, only a few studies have investigated the effects of regional characteristics on maternal smoking behavior. This study aimed to clarify the association between maternal smoking during pregnancy and individual and regional characteristics. We used data from a large nationwide birth cohort study in Japan that consisted of information on 20,267 women with children aged 3–4 months. The multilevel regression model was used to examine the association between smoking behavior during pregnancy and individual and regional characteristics. On multilevel analysis, late birth order, young age of the mother at birth, low birth weight, low economic status, husband’s smoking during pregnancy, maternal alcohol consumption during pregnancy, absence of a pregnancy counselor, and lack of participation in local events for childrearing were significantly associated with maternal smoking behavior during pregnancy at the individual level. Meanwhile, a high unemployment rate and a high number of nurseries were significantly associated with maternal smoking behavior during pregnancy at the regional level. In conclusion, we showed the relation between maternal smoking during pregnancy and the individual- and regional-level characteristics.

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Smoking in pregnancy: a cross-sectional study in China

Cited by 41 publications

References 25 publications

Influence of the social context in smoking during pregnancy

Influence of the social context in smoking during pregnancy

Association of smoking behavior among Chinese expectant fathers and smoking abstinence after their partner becomes pregnant: A cross-sectional study

Individual and Regional Characteristics Associated with Maternal Smoking During Pregnancy in Japan: Healthy Parents and Children 21

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