烟草使用和妊娠结局:印度南部卡纳塔克邦贝尔高姆县农村育龄妇女的社区横断面研究

Namratha Kulkarni, Vijaya A Naik
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摘要

接触烟草烟雾会影响人类生殖的各个阶段。吸烟在印度妇女中并不罕见,但过去十年的研究表明,印度妇女使用无烟烟草制品的人数大量增加,对口腔发病率和围产期健康都产生了负面影响,包括早产、出生体重过低和出生长度过长。2011年1月至2011年12月,对居住在印度卡纳塔克邦贝尔高姆vanmuri地区初级保健中心(PHC)的1200名年龄在15岁至49岁之间的农村妇女进行了基于社区的横断面研究。采用率、比和卡方检验进行统计分析。烟草消费流行率为9.7%。在本研究中,我们发现除了第一次妊娠结局,以及所有妊娠的后续结局,差异具有统计学意义,表明烟草消费与妊娠结局之间存在关联。此外,还发现烟草消费与低出生体重之间存在显著关联。育龄以下妇女是人口中的一个重要群体。研究发现烟草消费与怀孕结果之间存在显著关联。就社区中烟草使用的相关性提供足够的证据,并加大力度反对烟草公司在发展中国家的扩张,这些公司往往以妇女为目标,已成为当务之急。
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Tobacco use and outcomes of pregnancy: A community-based cross-sectional study among the women in the reproductive age group in the rural area of Belgaum District, Karnataka, South India
Exposure to tobacco smoke affects all stages of human reproduction. Smoking is not rare among Indian women, but research over the past decade has shown that Indian women’s use of smokeless tobacco products is substantial and increasing, with negative consequences for both oral morbidity and perinatal health, including premature delivery, low birth weight, and birth length. This study was done to know the prevalence of tobacco consumption among rural women in the reproductive age group and its association with the outcomes of pregnancy A community-based cross-sectional study, was conducted from January 2011 to December 2011 among 1200 rural women aged between 15 years to 49 years residing in Primary Health Centre (PHC) Vantmuri area, Belgaum, Karnataka, India. Statistical analysis was done using rates, ratios, and chi-square tests. The prevalence of tobacco consumption was 9.7%. In this study, we found that except for the first pregnancy outcomes, and all the subsequent outcomes of the pregnancies, the differences are statistically significant indicating an association between tobacco consumption and the outcome of pregnancy. Also, a significant association was found between tobacco consumption and low birth weight. Women under the reproductive age group constitute an important cohort of the population. A significant association was found between tobacco consumption and the outcomes of pregnancy. It has become the need of the hour to provide enough evidence on the correlates of tobacco use in the community and to put increasing effort against the expansion of tobacco companies in developing countries, which are often aimed at women.
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