城市和农村妇女围产期吸烟、使用电子烟和双重使用的流行率,PRAMS 2015-2020。

IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Public Health Reports Pub Date : 2024-11-01 Epub Date: 2024-05-23 DOI:10.1177/00333549241251982
Nazish Masud, Whitney Hamilton, Yelena Tarasenko
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引用次数: 0

摘要

目的:有证据表明,在孕妇和新生儿中使用电子烟会危害健康。我们研究了农村居住地是否是美国围产期妇女吸烟和使用电子烟的风险因素:本研究基于来自妊娠风险评估监测系统的 2015-2020 年汇总横截面数据。研究结果是,有 2 到 6 个月活产婴儿的妇女完全吸烟、完全使用电子烟、同时使用两种产品(即双重使用)和不使用任何烟草产品。我们采用单变量和多变量多叉逻辑回归,进行了事后对比和边际分析,并对复杂的调查设计和无响应进行了调整,从而检验了结果的城乡差异:在围产期,5.0%的妇女吸可燃卷烟,5.0%的妇女使用电子烟,1.9%的妇女同时使用两种烟草制品。农村妇女与城市妇女相比,使用电子烟的粗略流行率高出 1.1 个百分点,调整后的流行率则低 0.8 个百分点(P 结论:农村妇女与城市妇女相比,使用电子烟的粗略流行率高出 1.1 个百分点,调整后的流行率则低 0.8 个百分点:孕产妇的社会人口学特征和健康相关特征在围产期吸烟与使用电子烟之间存在差异。居住地对电子烟使用的影响受到社会人口学和健康相关特征的显著干扰,导致有 2-6 个月活产婴儿的农村和城市母亲的电子烟使用率在临床上具有可比性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Cigarette Smoking, E-cigarette Use, and Dual Use Among Urban and Rural Women During the Peripartum Period, PRAMS 2015-2020.

Objectives: Evidence has emerged on the health dangers of electronic cigarette (e-cigarette) use among pregnant women and neonates. We examined whether rural residence is a risk factor for smoking and e-cigarette use among women during the peripartum period in the United States.

Methods: This study was based on pooled cross-sectional 2015-2020 data from the Pregnancy Risk Assessment Monitoring System. The outcome was exclusive smoking, exclusive e-cigarette use, and use of both products (ie, dual use) versus use of neither tobacco product by women with live infants aged 2 to 6 months. We examined rural-urban differences in outcome by using univariate and multivariable multinomial logistic regressions with post hoc contrasts and marginal analyses, adjusting for complex survey design and nonresponse.

Results: During the peripartum period, 5.0% of women were smoking combustible cigarettes, 5.0% were using e-cigarettes, and 1.9% were using both tobacco products. The crude prevalence of e-cigarette use was 1.1 percentage point higher, and the adjusted prevalence was 0.8 percentage points lower for rural versus urban women (P < .001 for both). Among rural women, 6.7% (95% CI, 6.3%-7.1%) smoked combustible cigarettes exclusively and 2.6% (95% CI, 2.3%-2.8%) used both products, as compared with 4.5% (95% CI, 4.4%-4.8%) and 1.7% (95% CI, 1.6%-1.8%) of urban women, respectively, adjusting for sociodemographic and health-related characteristics.

Conclusions: Maternal sociodemographic and health-related characteristics differed by combustible smoking versus e-cigarette use during the peripartum period. The effect of residence on e-cigarette use was significantly confounded by sociodemographic and health-related characteristics, resulting in clinically comparable prevalence of e-cigarette use in rural and urban mothers with live infants aged 2 to 6 months.

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来源期刊
Public Health Reports
Public Health Reports 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.00
自引率
6.10%
发文量
164
审稿时长
6-12 weeks
期刊介绍: Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.
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