PREVALENCE AND FACTORS ASSOCIATED WITH MATERNAL SMOKING DURING PREGNANCY
DOI:
https://doi.org/10.22481/rsc.v20i4.13737Palabras clave:
Tobacco smoking, Pregnancy, Primary health careResumen
The objective was to estimate the prevalence and investigate the factors associated with smoking among pregnant women in Santo Antônio de Jesus, Bahia. This is a cross-sectional study nested in a cohort of pregnant women in the municipality of Santo Antônio de Jesus, Bahia, with a sample of 1,156 women seen at sixteen Family Health Units between 2012 and 2015. Information on smoking and socioeconomic, demographic, reproductive health and lifestyle characteristics was obtained using a standardized questionnaire. Smokers were those who reported smoking during pregnancy, regardless of the frequency and duration of the habit. The data was entered into EpiData version 3.0 and analyzed using STATA version 12.0. The association between smoking and maternal characteristics was analyzed using the logistic regression technique. The magnitude of the association was estimated by calculating the crude and adjusted odds ratios (OR) with a 95% confidence interval (95%CI). The prevalence of smoking during pregnancy was 3.3% (95%CI: 2.0-4.0). The factors associated with smoking were: being multiparous (OR=7.1; 95%CI: 2.6-19.9), alcohol use (OR=5.1; 95%CI: 1.2-22.1) and use of other drugs (OR=8.6; 95%CI: 2.4-30.6). Compared to other studies, the prevalence of maternal smoking was considered low. However, more emphatic interventions need to be targeted at pregnant women with the vulnerability factors found.
Descargas
Citas
Organização Pan-Americana da Saúde. Folha Informativa- Tabaco 2019 [Internet]. 2019 [cited 2020 Aug 4]. Available from: https://www.paho.org/bra/index.php?option=com_content&view=article&id=5641:folha-informativa-tabaco&Itemid=1097.
Motta GCP, ECHER IC, LUCENA AF. Factors Associated with Smoking in Pregnancy. Rev Lat Am Enfermagem. 2010;18(4):809–15.
Jafari A, Rajabi A, Gholian-Aval M, Peyman N, Mahdizadeh M, Tehrani H. National, regional, and global prevalence of cigarette smoking among women/females in the general population: a systematic review and meta-analysis. Environ Health Prev Med. 2021;26(5):1-13.
Boing, AF, Boing AC, Wagner KJP, Saraiva SS, Tomasi YT. Individual and contextual variables associated with smoking and alcohol consumption during pregnancy. Rev Bras Enferm [online]. 2021 [cited 2021 Oct. 07];74(suppl 4). Available from: https://doi.org/10.1590/0034-7167-2020-0804.
Bloch M, Althabe F, Onyamboko M, Kaseba-Sata C, Castilla EE, Freire S, et al. Tobacco Use and Secondhand Smoke Exposure During Pregnancy: An Investigative Survey of Women in 9 Developing Nations. Am J Public Health. 2008 Oct;98(10):1833–40.
Brasil. Pesquisa Especial de Tabagismo PETab: relatório Brasil/Instituto Nacional de Câncer. Organização Pan-Americana da Saúde. INCA; 2011.
Barbosa RL, Nathasje IF, Chagas DC, Alves MTSSB. Prevalência e fatores associados ao hábito de fumar de gestantes na cidade de São Luís, Maranhão, Brasil. Rev Bras Saude Matern Infant. 2015;15(3):325–35.
Dias-Damé JL, Lindsay AC, Cesar JA. Smoking cessation during pregnancy: A population-based study. Rev Saude Publica. 2019;53(1).
Instituto Brasileiro de Geografia e Estatística. Censo Demográfico - 2022: Características da população e dos domicílios [Internet]. 2023. Available from: https://cidades.ibge.gov.br/brasil/ba/santo-antonio-de-jesus/panorama
Zhang L, González-Chica DA, Cesar JA, Mendoza-Sassi RA, Beskow B, Larentis N, et al. Tabagismo materno durante a gestação e medidas antropométricas do recém-nascido: Um estudo de base populacional no extreme sul do Brasil. Cad Saude Publica. 2011;27(9):1768–76.
Frazer K, Fitzpatrick P, Brosnan M, Dromey AM, Kelly S, Murphy M, et al. Smoking Prevalence and Secondhand Smoke Exposure during Pregnancy and Postpartum - Establishing Risks to Health and Human Rights before Developing a Tailored Programme for Smoking Cessation. International Journal of Environmental Research and Public Health. 2020;17(6):1-11.
Passmore E, McGuire R, Correll P, Bentley J. Demographic factors associated with smoking cessation during pregnancy in New South Wales, Australia, 2000-2011. BMC Public Health. 2015;15(1).
De Wolff MG, Backhausen MG, Iversen ML, Bendix JM, Rom AL, Hegaard HK. Prevalence and predictors of maternal smoking prior to and during pregnancy in a regional Danish population: a cross-sectional study. Reprod Health. 2019;16(82):1-9.
Brasil. Ministério da Saúde. Vigitel Brasil 2019: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2019 [recurso eletrônico]. Brasília: Ministério da Saúde, 2020 [cited 2023 Oct 06]. 137f. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_ 2019_vigilancia_fatores_risco.pdf
Souza EST, Martinez JAB, Crippa JAS, Pasian SR. University of são paulo reasons for smoking scale: A new tool for the evaluation of smoking motivation. J Bras Pneumol. 2010;36(6):768–78.
Jussila H, Pelto J, Korja R, Ekholm E, Pajulo M, Karlsson L, et al. The association of maternal-fetal attachment with smoking and smoking cessation during pregnancy in The FinnBrain Birth Cohort Study. BMC Pregnancy Childbirth. 2020;20(741):1-13.
Possato M, Garcia LPCM, Pamplona TVL. Representation of pregnant smokers on cigarette use: A study carried out at a hospital in the interior of the state of São Paulo. Rev da Esc Enferm. 2007;41(3):434–40.
Reis LG, Silva CJ, Trindade A, Abrahão M, Silva VA. Women who smoke and stop during pregnancy: Who are they? Rev Bras Saude Matern Infant. 2008;8(2):217–21.
Ooka T, Akiyama Y, Shinohara R, Yokomichi H, Yamagata Z. Individual and Regional Characteristics Associated with Maternal Smoking During Pregnancy in Japan: Healthy Parents and Children 21. International Journal of Environmental Research and Public Health. 2020;17(1):1-20.
Passini Júnior R. Consumo de álcool durante a gestação. Rev Bras Ginecol e Obs. 2005;27(7):373–5.
Baptista FH, Rocha KBB, Martinelli JL, De Avó LR da S, Ferreira RA, Germano CMR, et al. Prevalence and factors associated with alcohol consumption during pregnancy. Rev Bras Saude Matern Infant. 2017;17(2):271–9.
Umer A, Lilly C, Hamilton C, Baldwin A, Breyel J, Tolliver A, et al. Prevalence of alcohol use in late pregnancy. Pediatr Res. 2020;88:312–319.
Rocha PC, Alves MTSSB, Chagas DC, Silva AAM, Batista RFL, Silva R. Prevalência e fatores associados ao uso de drogas ilícitas em gestantes da coorte BRISA. Cad Saude Publica. 2016;32(1).
Pereira CM, Pacagnella RC, Parpinelli MA, Andreucci CB, Zanardi DM, Souza R, et al. Drug Use during Pregnancy and its Consequences: A Nested Case Control Study on Severe Maternal Morbidity. Rev. Bras. Ginecol. Obstet. [Internet]. 2018 [cited 2021 Jan. 25];40(9):518-526. Available from: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032018000900518&lng=en&nrm=iso&tlng=en
Siqueira LP, Fabri ACOC, Fabri RL. Aspectos gerais, farmacológicos e toxicológicos da cocaína e seus efeitos na gestação. Rev eletrônica Farmácia. 2011;8(2):75–87.
Wendell AD. Overview and epidemiology of substance abuse in pregnancy. Clin Obstet Gynecol. 2013;91–96.
Yamaguchi ET, Cardoso MMSC, Torres MLA, Andrade AG de. Drogas de abuso e gravidez. Arch Clin Psychiatry (São Paulo). 2008;35(1):44–7.
Lendoiro E, González-Colmenero E, Concheiro-Guisán A, de Castro A, Cruz A, López-Rivadulla M, et al. Maternal hair analysis for the detection of illicit drugs, medicines, and alcohol exposure during pregnancy. Ther Drug Monit. 2013;35(3):296–304.
Rocha RS, Bezerra SC, Lima JW de O, Costa F da S. Consumo de medicamentos, álcool e fumo na gestação e avaliação dos riscos teratogênicos. Rev Gaúcha Enferm. 2013;34(2):37–45.
Ko TJ, Tsai LY, Chu LC, Yeh SJ, Leung C, Chen CY, et al. Parental smoking during pregnancy and its association with low birth weight, small for gestational age, and preterm birth offspring: a birth cohort study. Pediatr Neonatol. [Internet] 2014 [cited 2024 Sep. 09];55(1):20-7. Available from: https://www.pediatr-neonatol.com/article/S1875-9572(13)00105-8/fulltext
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Saúde.com
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
