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目的评价健康干预措施对非吸烟孕妇被动吸烟的干预效果,为改善非吸烟孕妇被动吸烟状况提供参考。方法采用问卷形式对开封市妇幼保健院和妇产医院符合纳入标准的1 100名非吸烟孕妇进行调查,并采用多项有序Logistic回归分析,以非吸烟孕妇暴露于被动吸烟的时间为结局变量,对干预效果进行评价。结果干预后,非吸烟孕妇的被动吸烟暴露状况有所改善(OR=1.564,P<0.001)。第三轮调查的被动吸烟状况优于基线调查,但劣于第二轮调查的被动吸烟状况,非吸烟孕妇被动吸烟的改善状况在产后三月有所反弹。其次,丈夫及其他家人吸烟量与孕妇的被动吸烟暴露状况呈正相关,丈夫及其他家人的吸烟量越大,孕妇的被动吸烟暴露水平越高。低龄、核心家庭结构(夫妻俩或夫妻和孩子组成的家庭)的孕妇相对拥有更高的暴露水平,而拥有高学历、更多的被动吸烟相关知识、所持被动吸烟态度越强烈的孕妇,暴露水平较低。结论加强重点人群的健康教育及产后随访工作,防止控烟意识淡化,改善孕妇的被动吸烟状况。
Objective To evaluate the intervention effect of health intervention on passive smoking in non-smoking pregnant women, and to provide reference for improving passive smoking status in non-smoking pregnant women. Methods A questionnaire was used to investigate 1,100 non-smoking pregnant women who met the inclusion criteria in Maternal and Child Health Hospital and Maternity Hospital of Kaifeng City. Logistic regression analysis was conducted by multiple sequential logistic regression analysis. The time of non-smoking pregnant women exposed to passive smoking was taken as the outcome variable , Evaluate the effect of intervention. Results After intervention, passive smoking exposure of non-smoking pregnant women was improved (OR = 1.564, P <0.001). The passive smoking status of the third survey was better than the baseline survey, but worse than the passive smoking status of the second survey. The improvement of passive smoking among non-smoking pregnant women rebounded in March of the third trimester. Second, the amount of smoking among husbands and other family members is positively correlated with the passive smoking exposure status of pregnant women. The higher the smoking amount of husbands and other family members, the higher the level of passive smoking exposure of pregnant women. Pregnant women of younger age and core family structure (husband and wife or husband and wife with relatives) have a relatively higher level of exposure, while those with highly educated and more passive smoking have higher levels of exposure to passive smoking among pregnant women Lower. Conclusions Health education and postpartum follow-up of key population groups should be strengthened to prevent dilution of awareness of tobacco control and improve passive smoking status of pregnant women.