上海交通大学学报(医学版)

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上海市孕妇被动吸烟现状及其影响因素

施莉莉 1,董艺蕾 2,裴晟 2,蔡雨阳 2,黄红 2   

  1. 1. 上海交通大学医学院附属新华医院科研部,上海 200092;2.上海交通大学公共卫生学院,上海 200025
  • 出版日期:2017-02-28 发布日期:2017-02-28
  • 通讯作者: 蔡雨阳,电子信箱:caiyuyang@sjtu.edu.cn;黄红,电子信箱:huanghong@smhb.gov.cn。
  • 作者简介:施莉莉(1980—),女,助理研究员,博士;电子信箱:shi-lili@outlook.com。
  • 基金资助:

    国家社会科学基金青年项目(14CGL077);上海市哲学社会科学规划课题(2015BGL011)

Passive smoking status and its influencing factors among pregnant women in Shanghai

SHI Li-li1, DONG Yi-lei2, PEI Sheng2, CAI Yu-yang 2, HUANG Hong2   

  1. 1. Research Department Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China; 2. Shanghai Jiao Tong University School of Public Health, Shanghai 200025, China
  • Online:2017-02-28 Published:2017-02-28
  • Supported by:

    National Social Science Fund (Youth Projects), 14CGL077; Shanghai Philosophy and Social Science Fund, 2015BGL011

摘要:

目的 ·了解上海市孕妇被动吸烟情况,分析其影响因素,为制定相关干预措施以减少二手烟对孕期妇女健康的危害提供依据和建议。方法 · 2014年7—10月,选取在上海市3家妇产科医院和3家社区医院进行产检的孕妇及其配偶作为调查对象,进行问卷调查。问卷内容包括社会人口学信息、家庭基本情况及对被动吸烟的认知情况。结果 ·本次参与调查的2 831名孕妇的孕前被动吸烟率为17.1%,孕期被动吸烟率为7.8%,差异有统计学意义(P<0.05);有71.0%的孕妇每日被动吸烟的时间达15~59 min;相对于家庭和工作场所,孕妇孕前和孕期在公共场所的被动吸烟率最高(P<0.05)。配偶文化程度和孕妇对当面吸烟者态度是影响孕期被动吸烟率的主要因素。结论 ·孕妇被动吸烟受配偶文化程度和孕妇对当面吸烟者态度的影响;公共场所是孕妇二手烟暴露的最主要场所,为减少被动吸烟对孕妇及胎儿的危害,应制订相应的家庭控烟教育和公共场所吸烟治理措施。

关键词:  , 孕妇;被动吸烟;影响因素

Abstract:

Objective · To investigate the prevalence of passive smoking among pregnant women in Shanghai and to analyze its influencing factors and to provide the basis and suggestion for making related intervention measures to reduce the harm of secondhand smoke on the health of pregnant women. Methods ·From July to October 2014, pregnant women and their spouses were recruited for a questionnaire investigation at the antenatal care clinics of 3 maternity hospitals and 3 community hospitals in Shanghai. The questionnaire included demographic information, family basic situation and cognitive status of passive smoking. Results · The passive smoking rate before pregnancy in the 2 831 pregnant women, who were involved in the investigation, was 17.1%. The passive rate during pregnancy was 7.8%. The difference between these two rates was statistically significant (P<0.05). 71.0% of the pregnant women have passive smoking for 15~59 min each day. Relative to home and work place, the passive smoking rate of pregnant women in public place was the highest (P<0.05). The passive smoking rate of pregnant women was significantly associated with the educational level of smoking spouses and the attitude of pregnant women when they faced the smokers. Conclusion · The passive smoking rate of pregnant women is influenced by the educational level of their spouses and the pregnant women’s feedback to the smokers face to face. Public places are the most important exposure places to secondhand smoke for pregnant women. In order to reduce the harm from passive smoking to pregnant women and their fetuses, the related measures of smoking control at home education and smoking ban in public place should be made.

Key words: pregnant woman, passive smoking, influencing factor