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Partner cigarette smoking and risk of neural tube defects among infants of non-smoking women in northern China

机译：北方地区非吸烟女性婴儿中的伴侣吸烟和神经管缺陷风险

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摘要

Objectives To investigate the effect of secondhand smoke exposure from a partner on the risk of having a newborn baby with neural tube defects (NTDs) in Chinese non-smoking women. Methods Data were derived from an on-going population-based case-control study of external malformations in northern China. The case group included 580 infants or fetuses with NTDs identified between November 2002 and December 2007. Controls were 795 newborn infants without major external malformations. Data were collected by trained health workers through face-to-face interviews within 1 week after delivery. Results A total of 81.4% of partners of case women and 71.8% of partners of control women smoked during the women's peri-conceptional period. The adjusted OR for NTDs associated with partner smoking was 1.6 (95% CI 1.2 to 2.1). Compared with non-smoking women with non-smoking partners, fetal NTD risk among women with smoking partners was 1.7 (1.3 to 2.4) and 1.1 (0.7 to 1.7) for women exposed and not exposed to partner smoking, respectively. Among women who were exposed to partner smoking, the risk of NTDs was 1.4 (0.9 to 2.0), 1.8 (1.2 to 2.6), 1.9 (1.2 to 3.0) and 2.7 (1.6 to 4.7) for partner smoking of ＜1, 1-9, 10-19 and ≥20/day, respectively (p for trend ＜0.001). Conclusion Peri-conceptional exposure to partner smoking may increase the risk of NTDs in the offspring of Chinese non-smoking women.
机译：目的研究在中国非吸烟女性中，从伴侣处接触二手烟对新生儿患有神经管缺损（NTD）的风险的影响。方法数据来源于正在进行的基于人口的中国北方地区畸形病例对照研究。病例组包括2002年11月至2007年12月间确定的580例NTD婴儿或胎儿。对照组为795例无严重外部畸形的新生儿。分娩后1周内，由训练有素的卫生工作者通过面对面访谈收集数据。结果在妇女的围孕期，吸烟者中有81.4％的女性伴侣和对照女性的71.8％吸烟。与伴侣吸烟相关的NTD的调整后OR为1.6（95％CI为1.2至2.1）。与没有吸烟伴侣的非吸烟女性相比，有吸烟伴侣的女性和没有吸烟伴侣的女性的胎儿NTD风险分别为1.7（1.3至2.4）和1.1（0.7至1.7）。在伴侣吸烟中，＜1、1的NTD风险分别为1.4（0.9至2.0），1.8（1.2至2.6），1.9（1.2至3.0）和2.7（1.6至4.7）。分别为9、10-19和≥20/ day（趋势＜0.001的p）。结论围产期概念性接触伴侣吸烟可能会增加中国非吸烟女性后代发生NTD的风险。

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  • 来源
    《Tobacco control》 |2013年第6期|401-405|共5页
  • 作者

    Zhiwen Li; Le Zhang; Rongwei Ye; Jianmeng Liu; Lijun Pei; Xiaoying Zheng; Aiguo Ren;

  • 作者单位

    Institute of Reproductive and Child Health, Ministry of Health, Key Laboratory of Reproductive Health, Peking University, Beijing, China,Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China;

    Institute of Reproductive and Child Health, Ministry of Health, Key Laboratory of Reproductive Health, Peking University, Beijing, China,Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China;

    Institute of Reproductive and Child Health, Ministry of Health, Key Laboratory of Reproductive Health, Peking University, Beijing, China,Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China;

    Institute of Reproductive and Child Health, Ministry of Health, Key Laboratory of Reproductive Health, Peking University, Beijing, China,Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China;

    Institute of Population Research, WHO Collaborating Center on Reproductive Health and Population Science, Peking University, Beijing, China;

    Institute of Population Research, WHO Collaborating Center on Reproductive Health and Population Science, Peking University, Beijing, China;

    Institute of Reproductive and Child Health, Peking University, 38 Xueyuan Rd, Haidian District, Beijing 100191, China,Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China;

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