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Correlation between tobacco control policies and preterm births and low birth weight in Europe

机译：欧洲烟草控制政策与早产和低出生体重之间的关系

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摘要

Objective: To assess the correlation between tobacco control policies— particularly smoking bans in work and public places—and the prevalence of preterm births and low birth weight in the European countries. Methods: This is an ecological study and the unit of analysis set at the country level. Tobacco control data in Europe were obtained for the years 2010 and 2013 as measured by the Tobacco Control Scale (TCS), which reflects the level of implementation of tobacco control policies. Prevalence data for preterm births and low birth weight were obtained from two sources: the European Perinatal Health Report (EPHR), which provides data for 2010, and the Eurostat data, which includes the years 2013 and 2014. We analyzed the correlation between the TCS score and the prevalence of preterm birth and low birth weight in the European countries by means of Spearman (rsp) rank-correlation coefficients and their 95% confidence intervals (95%CI). Results: The 2010 TCS was negatively correlated with the prevalence of preterm births before week 37 (rsp = -0.51; 95% CI: -0.77, -0.15;p = 0.006) and week 32 (rsp = -0.42;95%CI: -0.73, -0.01;p = 0.030) and with the prevalence of the low birth weight (< 2500 g, (rsp = -0.42; 95% CI: -0.66, -0.09; p = 0.028) in European countries in 2010. We found a statistically significant inverse correlation between the level of restrictions on smoking in public places and the prevalence of low birth weight (< 2500 g rsp: -0.54; 95%CI: -0.72, -0.10; p = 0.017). Conclusion: The level of smoke-free legislation in European countries correlates with lower preterm birth prevalence rates at the ecological level. Given the important negative effects of premature births for the public health system, these data support greater implementation of smoke-free policies and tend to support the implementation of tobacco control policies, but more research is needed.
机译：目的：评估烟草控制政策，特别是在工作场所和公共场所的禁烟令，与欧洲国家早产和低出生体重的流行之间的相关性。方法：这是一个生态研究，在国家一级设定了分析单位。欧洲获得了2010年和2013年的烟草控制数据，该数据通过烟草控制量表（TCS）进行了衡量，该数据反映了烟草控制政策的实施水平。早产和低出生体重的患病率数据来自两个来源：提供2010年数据的欧洲围产期健康报告（EPHR）和包括2013年和2014年的Eurostat数据。我们分析了TCS之间的相关性Spearman（rsp）等级相关系数及其95％的置信区间（95％CI）评估欧洲国家的早产和低出生体重的得分和患病率。结果：2010年TCS与第37周（rsp = -0.51; 95％CI：-0.77，-0.15; p = 0.006）和第32周（rsp = -0.42; 95％CI： -0.73，-0.01; p = 0.030），2010年欧洲国家的出生体重偏低（<2500 g，（rsp = -0.42; 95％CI：-0.66，-0.09; p = 0.028）。我们发现在公共场所吸烟的限制水平与低出生体重的患病率之间存在统计学上的显着负相关（<2500 g rsp：-0.54； 95％CI：-0.72，-0.10； p = 0.017）。欧洲国家的无烟立法水平与生态水平较低的早产流行率有关，鉴于早产对公共卫生系统的重要负面影响，这些数据支持更大程度地实施无烟政策，并倾向于支持实施烟草控制政策，但需要更多的研究。

著录项

  • 来源
    《Environmental research》 |2018年第1期|547-553|共7页
  • 作者

    Ana Diez-Izquierdo; Albert Balaguer; Cristina Lidon-Moyano; Juan Carlos Martin-Sanchez; Inaki Galan; Esteve Fernandez; Jose M. Martinez-Sanchez;

  • 作者单位

    Faculty of Medicine and Health Science, Universitat Intemacional de Catahmya, Sant Cugat del Voiles, Spain,Paediatrics Department, Hospital Universitari General de Catahmya, Sant Cugat del Valles, Spain;

    Faculty of Medicine and Health Science, Universitat Intemacional de Catahmya, Sant Cugat del Voiles, Spain,Paediatrics Department, Hospital Universitari General de Catahmya, Sant Cugat del Valles, Spain;

    Faculty of Medicine and Health Science, Universitat Intemacional de Catahmya, Sant Cugat del Voiles, Spain;

    Faculty of Medicine and Health Science, Universitat Intemacional de Catahmya, Sant Cugat del Voiles, Spain;

    National Centre for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain,Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autonoma de Madrid, Madrid Spain;

    Tobacco Control Unit, Cancer Prevention and Control Programme, Catalan Institute of Oncology-ICO, L'Hospitalet de Llobregat, Spain,Cancer Control and Prevention Group, Bellvitge Biomedical Research Institute-IDIBELL, L'Hospitalet de Llobregat, Spain,Department of Clinical Sciences, School of Medicine, Universitat de Barcelona, Barcelona, Spain;

    Faculty of Medicine and Health Science, Universitat Intemacional de Catahmya, Sant Cugat del Voiles, Spain,Tobacco Control Unit, Cancer Prevention and Control Programme, Catalan Institute of Oncology-ICO, L'Hospitalet de Llobregat, Spain,Department of Clinical Sciences, School of Medicine, Universitat de Barcelona, Barcelona, Spain;

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  • 正文语种 eng
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  • 关键词

    Tobacco control policies; Environmental tobacco smoke; Second hand smoke; Low birth weight; Preterm birth;

    机译：控烟政策;环境烟草烟雾;二手烟;出生体重低;早产;

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