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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Concurrent Trajectories of Female Drinking and Smoking Behaviors Throughout Transitions to Pregnancy and Early Parenthood
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Concurrent Trajectories of Female Drinking and Smoking Behaviors Throughout Transitions to Pregnancy and Early Parenthood

机译:在妊娠和早期父母的过渡期间女性饮酒和吸烟行为的并发轨迹

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The purpose of this longitudinal study was to investigate whether there are distinct etiological processes explaining dual usage of alcohol and conventional cigarettes by mothers from preconception through the early parenting years. Data on 8800 biological mothers were drawn from the Early Childhood Longitudinal Study-Birth Cohort (ECLS-B), representative of US births in 2001. A general growth mixture model (GGMM) was used to empirically identify developmental trajectories of maternal smoking and drinking over the 5-6-year study period. Six classes defined by alcohol consumption and cigarette smoking were identified. These included a nonsmoking, low probability of drinking class (41%), and two drinking classes displaying no smoking with either moderate (26%) or escalating high (8%) probability drinking. Additionally, two predominantly smoking classes were identified, one displaying temporary reduction in smoking during pregnancy and low probability of drinking (11%) and one following a trajectory of persistent heavy smoking with a declining probability of drinking (9%). The sixth class was described by temporary reduction in smoking during pregnancy with high probability of drinking (6%). Covariates differentially predicted class membership, e.g., having a high school degree but not further education predicted concurrent drinking and smoking, and breastfeeding for more than 6 months is protective against concurrent use. Prior to conception, during prenatal care, and in post-natal clinical visits, whether for personal or pediatric care, screening women of reproductive age via characteristics that predict heterogeneity in smoking and drinking trajectories may help guide prevention and treatment options.
机译:这种纵向研究的目的是调查是否有明显的病因过程,解释母亲通过早期养育年度从偏见的母亲和常规卷烟的双重用途。 2001年美国诞生的幼儿纵向学习 - 出生队队(ECLS-B)提出了8800个生物母亲的数据。一般增长混合模型(GGMM)用于经验鉴定产妇吸烟和饮酒的发育轨迹5-6年的研究期。通过饮酒和吸烟吸烟定义了六种课程。其中包括非镜头,低饮酒概率(41%),两种饮酒课程,禁止吸烟,中等(26%)或升级高(8%)概率饮用。此外,鉴定了两种主要吸烟的课程,其中一个展示妊娠期间吸烟的暂时减少,饮用的低概率(11%),并且在持续重质吸烟的轨迹之后,饮酒衰退(9%)。第六类是通过在妊娠期间吸烟的临时减少,饮酒高可能(6%)。协调会差异预测的阶级成员资格,例如,具有高中学位但未进一步的教育预测并发饮酒和吸烟,并且母乳喂养超过6个月的母乳喂养是对同时使用的保护性。在概念之前,在产前护理期间,在后遗症后临床访问中,无论是个人还是儿科护理,通过预测吸烟和饮酒轨迹的异质性的特征筛选生殖年龄的妇女可能有助于指导预防和治疗方案。

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