BMC Public Health最新文献

{"title":"Age of tobacco, nicotine and cannabis use initiation in Switzerland: a sequence analysis among adolescents and young adults.","authors":"Diana Fernandes, Lorraine Chok, Jérémy Cros, Luc Lebon, Karin Zurcher, Alexandre Dubuis, Cathy Berthouzoz, André Berchtold, Yara Barrense-Dias","doi":"10.1186/s12889-024-20731-2","DOIUrl":"10.1186/s12889-024-20731-2","url":null,"abstract":"<p><strong>Background: </strong>To explore at what age youth start using tobacco and/or nicotine products, which product is used first, product initiation sequences, and whether some socio-demographic characteristics are associated with substance use initiation.</p><p><strong>Methods: </strong>Data were collected from an online questionnaire disseminated through social media and professional partners, targeting youth aged 14-25 in French-speaking Switzerland in August 2022. The final sample included 1362 participants. Respondents were asked whether they had already used cigarettes, e-cigarettes, hookah, snus, or cannabis at least once in their life (yes/no) and the age of the first time was asked for each substance when the answer was positive. Additionally, participants were asked about their substance use in the past 30 days. Respondents were classified according to age at onset of each tobacco/nicotine and cannabis product, and comparisons were made based on sociodemographic variables, including gender (cisgender female/cisgender male/transgender), perceived socioeconomic status (below average/average/above average), and age.</p><p><strong>Results: </strong>Overall, in addition to those who reported no consumption, four distinct initiation profiles emerged from the classification. Cigarettes remain the most commonly used first product with an average age of 15.7 years. While cigarettes and hookah are present in all profiles, the order of first consumption varies from one profile to another, with cigarettes coming first in two profiles, hookah in one and e-cigarettes in the last. Furthermore, while the most common profile contains experimental consumption of the five products considered, some profiles do not contain cannabis, e-cigarettes and/or snus, for example. When divided by age groups, both 14-17-year-olds and 18-21-year-olds reported cigarette as their first product of initiation. Across the separate age groups (14-17, 18-21, 22-25), cigarettes consistently emerge as the primary used on average.</p><p><strong>Conclusions: </strong>Cigarettes remain the first product to be used, but the younger the respondents, the earlier they start using e-cigarettes, and very close to cigarettes. Regarding current consumption patterns, e-cigarettes are becoming increasingly prominent.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3213"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To eat or not to eat oats: factors associated with oats consumption using the I-Change model.","authors":"S Van Kol, H C van der Horst, H de Vries","doi":"10.1186/s12889-024-20044-4","DOIUrl":"10.1186/s12889-024-20044-4","url":null,"abstract":"<p><p>A suboptimal diet is responsible for more deaths worldwide than any other risk. A dietary factor that needs more attention is whole-grain consumption because of its proven health, nutritional, and environmental benefits. Despite these benefits, the daily whole-grain and dietary fibre intake by Dutch residents is low and the reasons for this low consumption are unknown. This study analysed the facilitating and hindering factors associated with (non) oat consumption using the Integrated Change Model (ICM). It compared which factors distinguished oat consumers from moderate and low-oat consumers using a cross-sectional, quantitative study design. The questionnaire used in the quantitative study was based on the results a qualitative study that validated the findings identified in the literature and previous ICM studies. Data was collected using an online survey (Qualtrics). In both studies, the sample of participants included individuals age > 18, of both genders residents in the Netherlands without an allergy to oats, and who read or speak fluently Dutch or English. In total, 299 residents were included in the study. The results indicated that non-oat consumers were less health-conscious, had limited awareness of their dietary behaviours, possessed less knowledge, and were less aware of the severity and susceptibility to various health conditions, such as high cholesterol. They also received fewer prompts to consume oats, were less convinced of the rational and emotional benefits of oats, experienced less social support, reported more obstacles, and had lower self-efficacy regarding oat consumption. The Integrated Change Model (ICM) explained 55% of the variance in intention and 38% in behaviour. Consequently, efforts to promote oat consumption among Dutch adults should address these factors to enhance awareness, increase motivation, and facilitate actions to boost oat intake.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3215"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between Freshman students' mental health and academic achievement: chain mediating effect of learning adaptation and academic self-efficacy.","authors":"Xiuli Song, Qian Hu","doi":"10.1186/s12889-024-20738-9","DOIUrl":"10.1186/s12889-024-20738-9","url":null,"abstract":"<p><p>The relationship between the mental health and academic achievement of college students is not only related to their individual growth and development but also has a profound impact on the quality of higher education and the cultivation of social talent. Understanding the interaction and influencing mechanisms between mental health and academic achievement can help individuals adjust learning and psychological states and achieve a virtuous cycle between mental health and academic achievement. A survey was conducted on 3871 freshmen using the Symptom Check-List-90 (SCL-90), Academic Self-efficacy Scale (ASES), China College Student Adjustment Scale (CCSAS), and basic quality assessment scores. The results showed that (1) Mental health is significantly correlated with learning adaptation, academic self-efficacy, and academic achievement, and mental health can significantly negatively predict academic achievement; (2) Learning adaptation partially mediates the relationship between mental health and academic self-efficacy; Academic self-efficacy plays a complete mediating role between mental health and academic achievement; (3) Learning adaptation and academic self-efficacy play a chain mediated role between mental health and academic achievement. Therefore, schools can enhance the cultivation of students' psychological qualities, cultivate their adaptability to changes in learning environments and learning methods, and systematically enhance the cultivation of students' academic self-efficacy to improve their academic achievements.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3207"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"(In)Congruences in parent-adolescent reports of physical activity parenting practices: associations with adolescent physical activity.","authors":"Yu Chen, Shasha Pan, Yixi Lin, Ruohong Cao, Youjie Zhang","doi":"10.1186/s12889-024-20709-0","DOIUrl":"10.1186/s12889-024-20709-0","url":null,"abstract":"<p><strong>Background: </strong>Informant discrepancies in physical activity parenting practices (PAPP) are prevalent, but their effect on adolescent physical activity (PA) remains underexplored. This study aims to examine the relationship between the (in)congruence in the parent-adolescent reports of PAPP and adolescent physical activity (PA).</p><p><strong>Methods: </strong>Self-administered questionnaires were used to collect perceptions on nine types of PAPP and adolescents' PA levels from 373 Chinese parent-adolescent dyads. Multiple linear regression, polynomial regression, and Response Surface Analysis were employed to explore the relationship between parent-adolescent (in)congruence in PAPP reports and adolescent physical activity.</p><p><strong>Results: </strong>Over half of the dyads exhibited incongruence in their PAPP reports, with parents generally reporting higher PAPP scores compared to adolescents. Neither parent-reported nor adolescent-reported punishment, pressuring, and restriction were significantly associated adolescent PA. In contrast, adolescent-reported disengagement, expectation, facilitation, monitoring, non-directive support, and autonomy support demonstrated stronger significant associations with their PA levels compared to parent-reported measures. Congruence in reporting expectation, facilitation, monitoring, non-directive support, and autonomy support was positively associated with adolescent PA, while incongruence in these practices showed inverse associations. In addition, adolescents' gender-specific analyses demonstrated different informant effects on disengagement, monitoring, and non-directive support.</p><p><strong>Conclusion: </strong>Parent-adolescent (in)congruences on positive PAPP rather than negative PAPP showed significant relationships with adolescents' PA levels, highlighting the importance of aligning parents' and adolescents' perceptions on positive PAPP to promote adolescent PA. Moreover, adolescent girls appear to be more sensitive to PAPP involving parents' presence than boys.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3210"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Taking it one day at a time' and 'Reaching back out to help someone': How transgender women living with HIV and community stakeholders navigate violence, oppression, and health through coping and advocacy.","authors":"Sannisha K Dale, Peyton R Willie, Ethel Kirabo Nalule, Camille Lewis, Summer Heard, Nadine Gardner, Chelsie Warman, Kirk Palmer, Belita Wyatt, Phara Benoit","doi":"10.1186/s12889-024-20717-0","DOIUrl":"10.1186/s12889-024-20717-0","url":null,"abstract":"<p><strong>Background: </strong>Transgender women living with HIV face intersectional oppression resulting in consequences for their mental and physical health. Interventions are needed that center the voices of transgender women living with HIV (TWLWH) and community stakeholders engrossed in work on behalf of the transgender community through advocacy and/or work roles.</p><p><strong>Methods: </strong>Through a partnership with a trans led and focused program of a community-based health organization and an academic partner, from October 2020 through October 2021, TWLWH and community stakeholders participated in qualitative interviews on trauma, violence, mental health struggles, HIV stigma, gender discrimination, health behaviors (e.g., medication adherence), and their thoughts and recommendations for a proposed intervention. Using a virtual platform (i.e., Zoom or phone) TWLWH and stakeholders were administered a demographics survey via Research Electronic Data Capture (REDCap) and completed individual interviews that were audio recorded. These interviews were analyzed using thematic content analysis.</p><p><strong>Results: </strong>All TWLWH and 50% of stakeholders were Black. Qualitative findings highlighted the magnitude of violence, stigma, and discrimination faced by TWLWH and the mental, physical, and economic consequences. Also highlighted were the adaptive strategies TWLWH are utilizing to cope, ways in which invested stakeholders (many of lived expertise) are showing up for women, and acceptability and valuable insights for a proposed intervention.</p><p><strong>Conclusion: </strong>TWLWH are navigating a hostile society and multilevel interventions (at the structural, community, interpersonal, and individual levels) centering their voices and those invested in advocating for the community are needed to address the sequelae of oppression they face.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3212"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Five-year tuberculosis trends analysis in eight districts of Mwanza region, Tanzania; (2017-2021).","authors":"Medard Beyanga, Novel N Chegou, Gerhard Walzl, Stephen E Mshana, Kasang Christa","doi":"10.1186/s12889-024-20684-6","DOIUrl":"10.1186/s12889-024-20684-6","url":null,"abstract":"<p><strong>Background: </strong>In Tanzania like other developing countries, TB detection is hindered by totally missed, late notification, and delayed diagnosis of active cases. Apart from having TB control strategies and interventions to detect patients and put them on treatment to cut down the chain of transmission, TB remains a health concern. Limited data exist on the burden and trends of tuberculosis in Mwanza, which includes fishing communities and living conditions that are associated with high TB transmission like overcrowding. This study aimed to determine tuberculosis trends in the Mwanza region of Tanzania for five years, from 2017 to 2021.</p><p><strong>Methods: </strong>We extracted routine TB diagnostic data from 2017 to 2021 from eight districts of the Mwanza region of Tanzania from the electronic TB database. Data were captured in Microsoft Office Excel 2007 with district TB and leprosy coordinators and then imported into STATA 13 (Stata Corp LLC, College Station, TX, USA) for analysis. We estimated the TB case detection rate per 100,000 population.</p><p><strong>Results: </strong>A total of 6,414 laboratory-confirmed tuberculosis cases were detected in eight districts of the Mwanza region in Tanzania from 2017 to 2021. The average tuberculosis detection rate in five years was 34.7 per 100,000 population. Overall, the TB detection rate was two times higher in people without HIV (30.5) compared to those infected with HIV; 13.4 per 100,000 population. Of the 15 rifampicin-resistant TB cases detected in the year 2018, 66.7% (10/15) were HIV-negative compared to 33.3% (5/15) infected with HIV.</p><p><strong>Conclusion: </strong>The TB case detection rate decreased in Mwanza region from 43.9 in 2017 to 21.4 per 100,000 population in 2021. Other parameters were missing in the database, which indicates remarkable gaps in the established database to monitor TB management in the region. The program may consider investigating and improving the documentation of information necessary to attain its goals.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3218"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Allostatic load and chronic pain: a prospective finding from the national survey of midlife development in the United States, 2004-2014.","authors":"Yunlong Liang, Cara Booker","doi":"10.1186/s12889-024-20669-5","DOIUrl":"10.1186/s12889-024-20669-5","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3211"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and acceptability of school-based intervention components to promote healthy weight and well-being among 6-11-year-olds in Denmark: mixed methods findings from the Generation Healthy Kids feasibility study.","authors":"Line Lund, Louise Ayoe Sparvath Brautsch, Didde Hoeeg, Natascha Holbæk Pedersen, Louise Thirstrup Thomsen, Malte Nejst Larsen, Peter Krustrup, Camilla Trab Damsgaard, Ulla Toft, Rikke Fredenslund Krølner","doi":"10.1186/s12889-024-20605-7","DOIUrl":"10.1186/s12889-024-20605-7","url":null,"abstract":"<p><strong>Background: </strong>Overweight and obesity among children is a serious public health challenge worldwide which may lead to a range of negative physical, mental, and social consequences in childhood and later in life. There is a strong need for developing new innovative, integrated approaches and programs which can prevent overweight in children effectively and can be embedded into everyday practices. The Generation Healthy Kids intervention is a multi-component, multi-setting intervention aiming to promote healthy weight and well-being in children aged 6-11 years in Denmark. The present study investigates the feasibility and acceptability of 10 selected school-based intervention components and barriers and facilitators for implementation.</p><p><strong>Methods: </strong>A seven-week feasibility study was conducted in January to March 2023 among children in 1st and 2nd grade at a Danish public school, testing the multi-component intervention targeting children's meal-, physical activity-, sleep- and screen habits. Process evaluation data were collected using multiple methods (surveys, logbooks, evaluation sheets, registrations, counts, interviews, and observations) and data sources (parents, school staff, and school leader).</p><p><strong>Results: </strong>Most intervention components were feasible to deliver at the school, but only four components were fully delivered as intended, while the remaining components to some or low degree were delivered as intended. Some components were found acceptable by all/nearly all children (e.g., 40 min of high intensity training three times a week), and others by some or few children (e.g., reusable water bottles and midmorning snack). Intervention activities for the parents and families were found acceptable by all/nearly all participating parents. Parents' acceptability of the intervention activities delivered to their children at school could not be assessed, as only few parents participated in surveys and none in interviews. School staff's acceptability of the intervention tasks they were asked to deliver varied but was overall relatively high. Facilitators and barriers for implementation of intervention components were identified at both individual-, school class-, and school level.</p><p><strong>Conclusions: </strong>The study underlines the importance of conducting feasibility studies as preparation for large trials. The findings will be used to refine intervention components, implementation strategies and data collection procedures before the Generation Healthy Kids main trial.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3208"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interaction of proteinuria and diabetes on the risk of cardiovascular events: a prospective cohort CKD-ROUTE study.","authors":"Shahi Kishor, Jianrong Chen, Yan Zhang, Wei Liu, Lingyan Zhu, Jixiong Xu, Jiancheng Wang","doi":"10.1186/s12889-024-20715-2","DOIUrl":"10.1186/s12889-024-20715-2","url":null,"abstract":"<p><strong>Objective: </strong>We evaluated the interaction of urinary protein-to-creatinine ratio (UPCR) with diabetes on the risk of cardiovascular events in a cohort study.</p><p><strong>Methods: </strong>The study population consisted of 639 participants with chronic kidney disease (CKD) stages 2-5, enrolled between 2010 and 2011 in Japan. Cox proportional hazards models were used to evaluate the independent and combined effects of the UPCR and diabetes on cardiovascular events.</p><p><strong>Results: </strong>During a median follow-up of 3 years, 59 participants developed cardiovascular events during follow-up. A notably higher risk of cardiovascular events was found in participants with proteinuria [hazards ratio (HR): 2.16, 95% confidence interval (95% CI): 1.17-3.97] compared to those without proteinuria at UPCR levels. In addition, the participants with diabetes had a higher risk of cardiovascular events (HR: 2.53, 95% CI: 1.49-4.30) than those without diabetes. Moreover, an interaction was found between UPCR and diabetes on cardiovascular events (P for interaction = 0.04). Participants with both proteinuria (UPCR ≥ 0.5 g/gCr) and diabetes had a 4.09 times higher risk of cardiovascular events (HR: 4.09, 95% CI: 1.97-8.47) compared with those without proteinuria (UPCR < 0.5 g/gCr) and diabetes.</p><p><strong>Conclusions: </strong>In summary, among participants with CKD stages 2-5, proteinuria and diabetes were found to independently and jointly affect the risk of cardiovascular events. Participants with proteinuria and diabetes had the highest risk of cardiovascular events compared with other groups.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3192"},"PeriodicalIF":3.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of dual use of combustible tobacco and E-cigarettes among pregnant smokers: a systematic review and meta-analysis.","authors":"Ganesh Bushi, Mahalaqua Nazli Khatib, Ashok Kumar Balaraman, Suhas Ballal, Pooja Bansal, Balvir S Tomar, Ayash Ashraf, M Ravi Kumar, Aashna Sinha, Pramod Rawat, Abhay M Gaidhane, Sanjit Sah, Rukshar Syed, Gajendra Sharma, Rachana Mehta, Mona Thangamma A G, Nagavalli Chilakam, Sakshi Pandey, Manvinder Brar, Muhammed Shabil","doi":"10.1186/s12889-024-20746-9","DOIUrl":"10.1186/s12889-024-20746-9","url":null,"abstract":"<p><strong>Background: </strong>As e-cigarettes gain popularity as potential tobacco cessation aids, concerns arise about their dual use with traditional cigarettes, especially among pregnant women, potentially subjecting both women and fetuses to heightened risks. This systematic review and meta-analysis aimed to determine the overall prevalence of dual use of tobacco smoking and e-cigarette use in pregnant women.</p><p><strong>Methods: </strong>A literature search was conducted across databases including PubMed, Embase, Web of Science, and Cochrane on October 20, 2023. The included studies reported the number of pregnant women and the count of those who were dual users. Quality assessment was undertaken using the JBI tool. The pooled prevalence of dual use was determined via a random-effects model. All statistical analyses were executed using R software, version 4.3.</p><p><strong>Prospero: </strong>CRD42023486020.</p><p><strong>Results: </strong>Eighteen studies were analyzed, encompassing 5,983,363 pregnant women. The meta-analysis indicated an overall prevalence of 4.6% (95% CI: 2.0-10.3) for dual users with significant heterogeneity (I² = 100%). Subgroup analysis based on the country showed a prevalence of 4.9% (95% CI: 2.0 to 11.6) for USA and 8.1% (95% CI: 0.00 to 1.00) for UK. Meta-regression revealed reduction of prevalence of dual use from 2019 to 2023. A potential publication bias was indicated by the LFK index and the Doi plot.</p><p><strong>Conclusion: </strong>The dual consumption of e-cigarettes and traditional tobacco in pregnant women is a significant health concern, with a notable prevalence. Given the established risks of tobacco smoking during pregnancy and the uncertainties surrounding e-cigarettes, more comprehensive research and public health interventions are urgently needed to address this issue.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"24 1","pages":"3200"},"PeriodicalIF":3.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}