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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Getting focused: missed opportunities for smoking interventions for pregnant women receiving Medicaid.
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Getting focused: missed opportunities for smoking interventions for pregnant women receiving Medicaid.

机译:专注:错过了接受医疗补助的孕妇吸烟干预的机会。

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BACKGROUND: The prevalence of smoking, and cessation and relapse rates for pregnant women have health and financial implications. Our objectives were to describe smoking among pregnant smokers receiving Medicaid including characteristics associated with reporting discussion of smoking with providers and the association between those discussions with quitting and maintenance. METHODS: Analysis of Pregnancy Risk Assessment Monitoring System (PRAMS) data from 15 states for 20,287 women with Medicaid for prenatal care during 1998-2000. RESULTS: Thirty-four percent of women smoked before pregnancy (N = 7,686). Most smokers (93%) and nonsmokers (88%) reported discussions about smoking during prenatal care. Women were less likely to have discussed smoking if they were lighter smokers (OR = 1.47; CI = 1.03, 2.12), or reported a previous low-birthweight infant (OR = 1.72; CI = 1.03-2.86). Women reporting discussions (compared to those not) were less likely to quit (ARR = 0.70: CI = 0.59-0.91). Quitters reporting discussions (compared to those not) were no more likely to maintain cessation (ARR = 0.89; CI = 0.7, 1.21). CONCLUSIONS: Smoking cessation interventions can be improved for pregnant women receiving Medicaid, especially if focused to address individual needs of light smokers, those with previous low-birthweight infants, or those who find it most difficult to quit.
机译:背景:吸烟的流行以及孕妇的戒烟和复发率对健康和经济都有影响。我们的目标是描述接受医疗补助的孕妇吸烟者中的吸烟情况,包括与提供者报告吸烟讨论相关的特征以及这些讨论与戒烟和维持吸烟之间的关联。方法:分析1998-2000年间来自15个州的20,287名接受医疗补助的产前医疗妇女的妊娠风险评估监测系统(PRAMS)数据。结果:34%的女性在怀孕前吸烟(N = 7,686)。大多数吸烟者(93%)和不吸烟者(88%)报告了有关产前检查期间吸烟的讨论。如果女性是较轻的吸烟者(OR = 1.47; CI = 1.03,2.12),或报告有先前的低体重婴儿(OR = 1.72; CI = 1.03-2.86),则女性不太可能讨论吸烟。报告讨论的妇女(与未进行讨论的妇女相比)退出的可能性较小(ARR = 0.70:CI = 0.59-0.91)。报告讨论的退出者(与未进行讨论的参与者相比)不再可能维持戒烟(ARR = 0.89; CI = 0.7,1.21)。结论:对于接受医疗补助的孕妇,可以改善戒烟干预措施,特别是如果重点解决轻度吸烟者,以前有低体重婴儿的人或最难以戒烟的人的个人需求。

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