Cent Eur J Public Health 2016, 24(4):276-280

Active Smoking and Associated Behavioural Risk Factors before and during Pregnancy - Prevalence and Attitudes among Newborns' Mothers in Mures County, Romania

Florina Ruta1, Calin Avram2, Septimiu Voidăzan3, Claudiu Mărginean4, Vladimir Bacârea5, Zoltán Ábrám6, Kristie Foley7, Andrea Fogarasi-Grenczer8, Melinda Pénzes9, Monica Tarcea1
1 Department of Community Nutrition and Food safety, University of Medicine and Pharmacy, Tirgu-Mures, Romania
2 Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy, Tirgu-Mures, Romania
3 Department of Epidemiology, University of Medicine and Pharmacy, Tirgu-Mures, Romania
4 Department of Obstetrics and Gynaecology, University of Medicine and Pharmacy, Tirgu-Mures, Romania
5 Department of Research Methodology, University of Medicine and Pharmacy, Tirgu-Mures, Romania
6 Department of Hygiene, University of Medicine and Pharmacy, Tirgu-Mures, Romania
7 Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA
8 Department of Family Care and Methodology, Faculty of Health Sciences, Institute of Public Health, Semmelweis University, Budapest, Hungary
9 Faculty of Medicine, Institute of Public Health, Semmelweis University, Budapest, Hungary

Background and Aim: Smoking before, during and after pregnancy leads to detrimental outcomes on maternal and foetal health and represents an important public health issue. This study aims to evaluate the prevalence and correlates of smoking before and during pregnancy in a sample of Romanian women.

Methods: A cross-sectional survey was conducted among mothers (N=1,278) in three maternity hospitals in Tirgu-Mures, Romania, immediately after childbirth, in 2014. We evaluated the prevalence of smoking before and during pregnancy and used binary logistic regression to assess the influence of socio-demographics and other health behaviour factors in three groups of women: non-smoking pregnant women, women who continued smoking during pregnancy, and smokers who quit during pregnancy.

Results: 30% of the interviewed mothers were smokers prior to pregnancy, of whom 43.3% continued smoking during pregnancy. Women with a family income of less than 100 Euro/month (OR=3.01, 95% CI: 1.02-8.83) and those who were unemployed (OR=13.2, 95% CI: 3.90-44.79) had increased odds of continued smoking versus quitting during pregancy in multivariable analyses. Women who continued smoking during pregnancy were also more likley to be of lower socioeconomic status than never smokers (OR=14.1, 95% CI: 4.97-39.6).

Conclusions: A high percentage of women of reproductive age smoke and continue to smoke despite their knowledge about risks of smoking during pregnancy. Smoking prior to and during pregnancy is predominantly associated with lower socioeconomic status. Women with limited economic means should be a high priority target group for smoking cessation interventions.

Klíčová slova: smoking, pregnancy, risk factor, cessation, intervention

Vloženo: 12. září 2015; Revidováno: 9. únor 2016; Přijato: 9. únor 2016; Zveřejněno: 1. prosinec 2016  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Ruta F, Avram C, Voidăzan S, Mărginean C, Bacârea V, Ábrám Z, et al.. Active Smoking and Associated Behavioural Risk Factors before and during Pregnancy - Prevalence and Attitudes among Newborns' Mothers in Mures County, Romania. Cent Eur J Public Health. 2016;24(4):276-280. PubMed PMID: 28095282.
Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Reference

    1. Chamberlain C, O'Mara-EvesA, Oliver S, Caird JR, Perlen SM, Eades SJ, et al. Psychosocial interventions for supporting women to stop smoking in pregnancy. Cochrane Database Syst Rev. 2013 Oct 23;(10):CD001055. Přejít k původnímu zdroji... Přejít na PubMed...
    2. Cinciripini PM, Blalock JA, Minnix JA, Robinson JD, Brown VL, Lam C, et al. Effects of an intensive depression-focused intervention for smoking cessation in pregnancy. J Consult Clin Psychol. 2010 Feb;78(1):44-54. Přejít k původnímu zdroji... Přejít na PubMed...
    3. WHO report on the global tabacco epidemic, 2011: warning about the dangers of tabacco. Geneva: WHO; 2011.
    4. Smoking cessation interventions during pregnancy and the postpartum period [Internet]. Rockville (MD): Agency for Healthcare Research and Quality; 2013 [cited 2016 Jan 20].Available from: http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?productid=1423&pageaction=displayproduct.
    5. Rada C. Sexual behaviour and sexual and reproductive health education: a cross-sectional study in Romania. Reprod Health. 2014 Jun 23;11:48. Přejít k původnímu zdroji... Přejít na PubMed...
    6. Arora CP, Kacerovsky M, Zinner B, Ertl T, Ceausu I, Rusnak I, et al. Disparities and relative risk ratio of preterm birth in six Central and Eastern European centers. Croat Med J. 2015 Apr;56(2):119-27. Přejít k původnímu zdroji... Přejít na PubMed...
    7. Balázs P, Rákóczi I, Grenczer A, Foley KL. Birth-weight differences of Roma and non-Roma neonates-public health implications from a population-based study in Hungary. Cent Eur J Public Health. 2014 Mar;22(1):24-8. Přejít k původnímu zdroji... Přejít na PubMed...
    8. Hrubá D, Kachlík P. Influence of maternal active and passive smoking during pregnancy on birthweight in newborns. Cent Eur J Public Health. 2000 Nov;8(4):249-52.
    9. Moga M, Preda GH. Smoking in pregnancy. J Environ Prot Ecol. 2008;9(3):566-73.
    10. Smedberg J, Lupattelli A, Mårdby AC, Nordeng H. Characteristics of women who continue smoking during pregnancy: a cross-sectional study of pregnant women and new mothers in 15 European countries. BMC Pregnancy Childbirth. 2014 Jun 25;14:213. Přejít k původnímu zdroji... Přejít na PubMed...
    11. Borland T, Babayan A, Irfan S, Schwartz R. Exploring the adequacy of smoking cessation support for pregnant and postpartum women. BMC Public Health. 2013 May 14;13:472. Přejít k původnímu zdroji... Přejít na PubMed...
    12. Sorina I, editor. Global adult tobacco survey - Romania 2011. Bucharest: Ministry of Health Romania; 2012.
    13. Suprewicz K, Kozikowska I, Chrobaczyńska-Dylag M, GałA, PiekarzA, Sikora J, et al. Effects of the cigarette smoking on the newborn clinical parameters and the accumulation of cadmium and lead in the placenta of women from Upper Silesia. Ginekol Pol. 2013 Sep;84(9):776-80. (In Polish.) Přejít k původnímu zdroji...
    14. Romanian National Programe "Stop Smoking" [Internet]. Bucharest: Ministry of Health Romania; 2007 [cited 2016 Jan 20]. Available from: http://www.stopfumat.eu/despre-programul-national-stop-fumat. (In Romanian.)
    15. Munteanu I, Trenchea M, Puscoiu C, Mihaltan F. Smoking prevalence of pregnant women in Romania: smoking effects on newborns. CHEST. 2007 Oct;132(4);256. Přejít k původnímu zdroji...
    16. Meghea CI, Rus D, Dirle IA. Characteristics and health behaviors of pregnant women in Romania. GINECO RO. 2010;6(3):166-71.
    17. Eriksen M, Mackay J, Ross H. The Tobacco Atlas. 4th ed. Atlanta (GA): American Cancer Society; 2012.
    18. Ruger JP, Emmons KM. Economic evaluations of smoking cessation and relapse prevention programs for pregnant women: a systematic review. Value Health. 2008 Mar-Apr;11(2):180-90. Přejít k původnímu zdroji... Přejít na PubMed...
    19. Ciobanu M, Bursuc B, Paunescu B. Evaluation of knowledge, attitudes and practices of Romanian adults about active and passive smoking [Internet]. Bucharest: National Institute of Pneumology Marius Nasta; 2009 [cited 2016 Jan 20]. Available from: www.ms.ro. (In Romanian.)
    20. Foley KL, Balázs P, Grenczer A, Rákóczi I. Factors associated with quit attempts and quitting among eastern Hungarian women who smoked at the time of pregnancy. Cent Eur J Public Health. 2011 Jun;19(2):63-6. Přejít k původnímu zdroji...
    21. Padjen I, Dabić M, Glivetić T, Biloglav Z, Biočina-Lukenda D, Lukenda J. The analysis of tobacco consumption in Croatia - are we successfully facing the epidemic? Cent Eur J Public Health. 2012 Mar;20(1):5-10. Přejít k původnímu zdroji...
    22. Meghea CI, Rus D, Rus IA. Summers Holtrop J, Roman L. Smoking during pregnancy and associated risk factors in a sample of Romanian women. Eur J Public Health. 2012 Apr;22(2):229-33. Přejít k původnímu zdroji... Přejít na PubMed...
    23. Meghea CI, Rus IA, Rus D. Risk factors associated with nicotine dependence in a sample of Romanian pregnant smokers. Eur J Obstet Gynecol Reprod Biol. 2012 Jul;163(1):22-6. Přejít k původnímu zdroji... Přejít na PubMed...
    24. Polańska K, Hanke W, Sobala W, Jurewicz J. Exposure to tobacco smoke of pregnant women-results of prospective study in Lodz region. Przegl Lek. 2007;64(10):824-6. (In Polish.) Přejít na PubMed...
    25. Fogarasi-GrenczerA. Socioeconomic factors of tobacco smoking during pregnancy. In: Balázs P, editor. Increasing capacity for tobacco research in Hungary 2008-2013. Budapest: Institute for the History of Hungarian Sciences; 2013. p. 137-49.
    26. Windsor R, Clark J, Cleary S, Davis A, Thorn S, Abroms L, et al. Effectiveness of the Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) dissemination project: a science to prenatal care practice partnership. Matern Child Health J. 2014 Jan;18(1):180-90. Přejít k původnímu zdroji... Přejít na PubMed...

    Zpět na obsah