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孕妇孕期被动吸烟与抑郁情绪的相关性研究
  • ISSN号:1001-4411
  • 期刊名称:《中国妇幼保健》
  • 时间:0
  • 分类:R749.41[医药卫生—神经病学与精神病学;医药卫生—临床医学]
  • 作者机构:[1]华中科技大学同济医学院公共卫生学院儿少卫生与妇幼保健学系,湖北武汉430030
  • 相关基金:湖北省人口和计划生育委员会2012年度资助科研课题[JS-2012008]
中文摘要:

目的:了解孕妇孕期被动吸烟和妊娠期抑郁的流行特征,并分析被动吸烟对妊娠期抑郁的影响。方法:以2013年4月-2014年3月期间分别在同济医院、硚口区妇幼保健院和东西湖人民医院产前检查(产检)和住院分娩的孕妇为研究对象,调查孕妇孕期被动吸烟暴露特征以及孕期抑郁症状的流行状况。采用Cochran-Armitage法分析被动吸烟暴露时间与抑郁症流行率的时间趋势,采用多因素Logistic回归分析被动吸烟对抑郁症的危险。结果:共调查孕妇900名,其中有效问卷791份,有效应答率为87.89%。孕期被动吸烟的暴露率为34.26%,妊娠期抑郁的流行率为17.07%,随着暴露时间增加,抑郁症的流行率呈增加趋势。孕晚期抑郁的发生率(77.04%)高于孕早中期(22.96%),差异有统计学意义(P〈0.001)。多因素Logistic回归分析显示,每日被动吸烟暴露时间超过60 min可显著增加妊娠期抑郁的发生风险(OR=4.89,95%CI:1.81-13.20)。结论:孕妇孕期被动吸烟的暴露较高,是孕妇抑郁发生的危险因素。应加强宣传教育,降低被动吸烟率,减少孕期抑郁症发生。

英文摘要:

Objective: To understand the epidemiological characteristics of maternal passive smoking and depression during preg- nancy, analyze the effect of maternal passive smoking during pregnancy on depression. Methods: The pregnant women who gave birth to their babies in Tongji Hospital, Maternal and Child Health Care Hospital of Qiaokou District and People's Hospital of Dongxihu District from April 2013 to March 2014 were selected as study objects, the passive smoking exposure characteristics and prevalence of depression during pregnancy were surveyed. Cochran - Armitage method was used to analyze the time trend of passive smoking exposure and prevalence rate of depression ; multivariate Logistic regression analysis was used to analyze the risk of passive smoking for depression. Results: A total of 900 pregnant women were surveyed, 791 available questionnaires were obtained, the effective rate was 87.89%. The prevalence rate of passive smoking during pregnancy was 34. 26%, the prevalence rate of maternal depression was 17.07%. The prevalence rate of maternal depression showed an increasing trend with the exposure time extension. The incidence rate of depression during the third trimester of pregnancy (77. 04% ) was statistically significantly higher than those during the first and the second trimesters of pregnancy (P 〈 0. 001 ) . Multivari- ate Logistic regression analysis showed that daily passive smoking time longer than 60 minutes significantly increased the risk of maternal depression ( OR = 4. 89, 95% CI: 1.81 - 13.20) . Conclusion: Passive smoking exposure during pregnancy is high, which is a risk factor of maternal depression. Publicity and education should be strengthened and the rate of passive smoking should be reduced to decrease maternal depression.

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期刊信息
  • 《中国妇幼保健》
  • 北大核心期刊(2011版)
  • 主管单位:国家卫生和计划生育委员会
  • 主办单位:中华预防医学会 吉林省医学会
  • 主编:胡国义
  • 地址:长春市建政路971号
  • 邮编:130061
  • 邮箱:zgfybj@sina.com
  • 电话:0431-88929639 88923066
  • 国际标准刊号:ISSN:1001-4411
  • 国内统一刊号:ISSN:22-1127/R
  • 邮发代号:12-94
  • 获奖情况:
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,波兰哥白尼索引,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版)
  • 被引量:101800