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首页> 外文期刊>Tobacco Induced Diseases >A neglected opportunity for China’s tobacco control? Shift in smoking behavior during and after wives’ pregnancy
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A neglected opportunity for China’s tobacco control? Shift in smoking behavior during and after wives’ pregnancy

机译：中国控烟的机会被忽略了吗？妻子怀孕期间和之后吸烟行为的转变

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Background Although observational data suggest that men’s attempts and behavior at quitting smoking are often stimulated during their spouses’ pregnancy, few studies have systematically examined this phenomenon. Methods This was a cross-sectional study which examined Chinese men’s smoking behaviors during and after their wives’ pregnancy. Women who visited community health centers for routine immunization of their children were approached. Information was mainly collected on men’s tobacco use before, during and after pregnancy in July to August 2011. Individual and socio-environmental factors were examined by non-conditional logistical regression analysis to find potential reasons behind men’s quitting during pregnancy and maintained this change till the post-partum period. Results Totally 765 of 811 eligible women (94.3%) completed the interview. Prior to pregnancy, 42.9% of husbands smoked; this decreased to 36.34% during pregnancy, a reduction of 6.53%. Although the rate increased to a higher level (43.79%) after delivery, positive changes in men’s smoking behavior were detected. One-third (29.88%) reduced the daily number of cigarettes smoked, and nearly half (45.12%) relocated themselves to smoke when their pregnant wives were nearby. Noticeably, those who quit were most likely occasional smokers (Odds Ratio(OR) = 4.83, 95%CI [2.22, 10.48]), smoking less than ten years (OR = 2.80, 95%CI [1.19, 6.58]), not smoking at home (OR = 4.48, 95%CI [1.94, 10.39]), not smoking for social use (OR = 4.05, 95%CI [1.74, 9.41]), under lower financial pressure after the birth of child (OR = 5.28, 95%CI [2.14, 13.02]) and influenced by family members (OR = 2.82, 95%CI [1.25, 6.38]). However, only 22% of spontaneous cessation was maintained postpartum. Most relapses occurred within 6?months after delivery. Conclusions Pregnancy offers an opportunity to decrease smoking amongst Chinese males. Intervention programs involving expectant fathers may be effective to further reduce prevalence of smoking among men in China.
机译：背景资料尽管观察数据表明，男性在配偶怀孕期间经常会尝试戒烟，但很少有研究系统地检查这种现象。方法这是一项横断面研究，研究了中国男性在妻子怀孕期间和之后的吸烟行为。与前往社区保健中心进行常规免疫的妇女进行了接触。信息主要收集于2011年7月至2011年8月怀孕前，怀孕中和怀孕后男子的烟草使用情况。通过非条件Logistic回归分析对个人和社会环境因素进行了调查，以找出男子在怀孕期间戒烟的潜在原因，并保持这一变化直至产后时期。结果811名合格妇女中有765名（94.3％）完成了采访。怀孕前，有42.9％的丈夫吸烟。在怀孕期间减少到36.34％，减少了6.53％。尽管分娩后吸烟率上升到较高水平（43.79％），但发现男性吸烟行为发生了积极变化。三分之一（29.88％）的烟民减少了每日吸烟量，近一半（45.12％）的孕妇妻子在附近时，他们自行抽烟。值得注意的是，那些戒烟者最有可能是偶尔吸烟者（赔率（OR）= 4.83，95％CI [2.22，10.48]），吸烟时间少于十年（OR = 2.80，95％CI [1.19，6.58]），而不是在孩子出生后经济压力较低的情况下，在家中吸烟（OR = 4.48，95％CI [1.94，9.49]），而不是为社会目的吸烟（OR = 4.05，95％CI [1.74，9.41]）（OR = 5.28，95％CI [2.14，13.02]），并受到家庭成员的影响（OR = 2.82，95％CI [1.25，6.38]）。但是，产后仅维持22％的自发戒烟。多数复发发生在分娩后6个月内。结论怀孕为减少中国男性吸烟提供了机会。涉及准父亲的干预计划可能会有效地进一步减少中国男性吸烟率。

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