南欧城市(塞维利亚)孕妇吸烟率高:卫生系统面临的挑战。

IF 3.9 3区 环境科学与生态学 Q2 ENVIRONMENTAL SCIENCES Toxics Pub Date : 2024-10-09 DOI:10.3390/toxics12100728
Ramón Mendoza-Berjano, Fatima Leon-Larios, Isabel Corrales-Gutierrez, Diego Gomez-Baya, Rocío Medero-Canela, Francisca Baena-Antequera
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摘要

在许多国家,尤其是南欧国家,产前接触烟草的比例仍然很高。本研究旨在估算西班牙南部城市(塞维利亚)孕妇的吸烟率,并确定相关的社会人口学和产科特征。在一项描述性横断面研究中,研究人员随机抽取了妊娠 20 周时计划在公立转诊医院接受形态学扫描的孕妇,并对她们进行了访谈。在怀孕初期,38.2% 的孕妇是吸烟者。在怀孕第 20 周时,19.1% 的孕妇继续吸烟,而戒烟的孕妇比例相同。受教育程度低的孕妇吸烟率较高(未受过教育的孕妇吸烟率为 60%,受过初等教育的孕妇吸烟率为 30.4%),曾经流产的孕妇吸烟率也较高(38.5%)。肥胖孕妇在怀孕期间戒烟的可能性最小。教育程度较低的妇女应成为旨在预防产前烟草暴露的跨部门干预措施的主要目标。尤其需要采取支持措施,在孕前和产前保健中提供有关健康生活方式的有效临床建议。
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High Prevalence of Tobacco Consumption among Pregnant Women in a Southern European City (Seville): A Challenge for the Health System.

The prevalence of prenatal tobacco exposure remains high in many countries, particularly in southern Europe. The aims of this study were to estimate the prevalence of smoking among pregnant women in a southern Spanish city (Seville) and to identify the associated sociodemographic and obstetric characteristics. In a descriptive, cross-sectional study, a random sample of pregnant women who were scheduled to undergo a morphology scan at their public referral hospital in their 20th week of gestation were interviewed in person. At the start of pregnancy, 38.2% of the pregnant women were smokers. In the twentieth week, 19.1% continued to smoke, and the same percentage had quit. The prevalence of smoking in pregnant women was higher among those with a low level of education (60% among pregnant women with no studies and 30.4% in those with primary education) and among those who had had abortions (38.5%). Pregnant smokers with obesity were the least likely to have given up smoking during pregnancy. Women with a lower educational level should be a prime target for cross-sectoral interventions aimed at preventing prenatal tobacco exposure. Implementation of support measures for providing effective clinical advice in preconception and prenatal care regarding healthy lifestyles is particularly needed.

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来源期刊
Toxics
Toxics Chemical Engineering-Chemical Health and Safety
CiteScore
4.50
自引率
10.90%
发文量
681
审稿时长
6 weeks
期刊介绍: The Journal accepts papers describing work that furthers our understanding of the exposure, effects, and risks of chemicals and materials in humans and the natural environment as well as approaches to assess and/or manage the toxicological and ecotoxicological risks of chemicals and materials. The journal covers a wide range of toxic substances, including metals, pesticides, pharmaceuticals, biocides, nanomaterials, and polymers such as micro- and mesoplastics. Toxics accepts papers covering: The occurrence, transport, and fate of chemicals and materials in different systems (e.g., food, air, water, soil); Exposure of humans and the environment to toxic chemicals and materials as well as modelling and experimental approaches for characterizing the exposure in, e.g., water, air, soil, food, and consumer products; Uptake, metabolism, and effects of chemicals and materials in a wide range of systems including in-vitro toxicological assays, aquatic and terrestrial organisms and ecosystems, model mammalian systems, and humans; Approaches to assess the risks of chemicals and materials to humans and the environment; Methodologies to eliminate or reduce the exposure of humans and the environment to toxic chemicals and materials.
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