A neglected opportunity for China’s tobacco control Shift in smoking behavior during and after wives’ pregnancyReportar como inadecuado

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Tobacco Induced Diseases

, 14:39

First Online: 09 December 2016Received: 24 July 2016Accepted: 05 December 2016DOI: 10.1186-s12971-016-0105-8

Cite this article as: Yin, H., Chen, X., Zheng, P. et al. Tob. Induced Dis. 2016 14: 39. doi:10.1186-s12971-016-0105-8


BackgroundAlthough observational data suggest that men’s attempts and behavior at quitting smoking are often stimulated during their spouses’ pregnancy, few studies have systematically examined this phenomenon.

MethodsThis was a cross-sectional study which examined Chinese men’s smoking behaviors during and after their wives’ pregnancy. Women who visited community health centers for routine immunization of their children were approached. Information was mainly collected on men’s tobacco use before, during and after pregnancy in July to August 2011. Individual and socio-environmental factors were examined by non-conditional logistical regression analysis to find potential reasons behind men’s quitting during pregnancy and maintained this change till the post-partum period.

ResultsTotally 765 of 811 eligible women 94.3% completed the interview. Prior to pregnancy, 42.9% of husbands smoked; this decreased to 36.34% during pregnancy, a reduction of 6.53%. Although the rate increased to a higher level 43.79% after delivery, positive changes in men’s smoking behavior were detected. One-third 29.88% reduced the daily number of cigarettes smoked, and nearly half 45.12% relocated themselves to smoke when their pregnant wives were nearby. Noticeably, those who quit were most likely occasional smokers Odds RatioOR = 4.83, 95%CI 2.22, 10.48, smoking less than ten years OR = 2.80, 95%CI 1.19, 6.58, not smoking at home OR = 4.48, 95%CI 1.94, 10.39, not smoking for social use OR = 4.05, 95%CI 1.74, 9.41, under lower financial pressure after the birth of child OR = 5.28, 95%CI 2.14, 13.02 and influenced by family members OR = 2.82, 95%CI 1.25, 6.38. However, only 22% of spontaneous cessation was maintained postpartum. Most relapses occurred within 6 months after delivery.

ConclusionsPregnancy offers an opportunity to decrease smoking amongst Chinese males. Intervention programs involving expectant fathers may be effective to further reduce prevalence of smoking among men in China.

KeywordsSmoking cessation Behavioral medicine Pregnancy China  Download fulltext PDF

Autor: Hao Yin - Xiao Chen - Pinpin Zheng - Michelle Kegler - Qinfeng Shen - Biao Xu

Fuente: https://link.springer.com/

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