Demographic and psychosocial profile of smoking among pregnant women in Lebanon: public health implications.

OBJECTIVES: To assess the prevalence and determinants of smoking prior to and during pregnancy in Lebanon. METHODS: A cross-sectional study using two structured instruments. One instrument included information on demographic characteristics, smoking patterns in the index pregnancy and previous pregn...

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Publicado en:Maternal & Child Health Journal Vol. 7; no. 3; pp. 179 - 187
Autores principales: Chaaya M, Awwad J, Campbell OMR, Sibai A, Kaddour A
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2003
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2003
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      pub: Springer Nature
      place: New York, New York
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        atl: Demographic and psychosocial profile of smoking among pregnant women in Lebanon: public health implications.
      aug:
        au:
          Chaaya M
          Awwad J
          Campbell OMR
          Sibai A
          Kaddour A
        affil: Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon; mchaaya@aub.edu.lb
      sug:
        subj:
          Smoking Cessation In Pregnancy
          Smoking In Pregnancy
          Smoking Psychosocial Factors
          Adolescence
          Adult
          Age Factors
          Analysis of Variance
          Chi Square Test
          Clinical Assessment Tools
          Confidence Intervals
          Cross Sectional Studies
          Data Analysis Software
          Descriptive Statistics
          Educational Status
          Female
          Funding Source
          Interviews
          Lebanon
          Multiple Logistic Regression
          Multivariate Analysis
          Odds Ratio
          P-Value
          Pregnancy
          Prenatal Care
          Prevalence
          Psychological Tests
          Self Report
          Socioeconomic Factors
          Stratified Random Sample
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
      ab: OBJECTIVES: To assess the prevalence and determinants of smoking prior to and during pregnancy in Lebanon. METHODS: A cross-sectional study using two structured instruments. One instrument included information on demographic characteristics, smoking patterns in the index pregnancy and previous pregnancies, use of prenatal health services, stressful life events, and social support during pregnancy. The second was the Arabic General Health Questionnaire (GHQ-12). Women who delivered in 11 randomly selected hospitals in Beirut and its suburbs within 24 hours were asked to consent to participate in the study. The total sample interviewed was 576 women. RESULTS: The prevalence of pre-pregnancy smoking was 32% and 20% for smoking in pregnancy. Considering argileh [sic] smoking, the prevalence of tobacco use in pregnancy increased to 27% in Beirut and 25% in the suburbs. Pre-pregnancy smoking was associated with older maternal age [OR = 1.08, 95% CI (1.03, 1.14)], low and medium education [OR = 2.22, 95% CI (1.22,4.04)], increased psychiatric distress [OR = 3.11, 95% CI (1.77,5.46)], and a husband who smoked [OR = 5.00, 95% CI (2.98,8.39)]. Continued smoking during pregnancy was associated with low and medium education [OR = 3.77, 95% CI (1.31, 10.8)], younger age [OR = 1.11, 95% CI (1.02-1.20)], and a heavy pre-pregnancy smoking pattern [OR = 13.9, 95% CI (1.40,137.4)]. CONCLUSION: Policies and programs to eliminate or reduce smoking during pregnancy should be targeted toward young and less educated females and involving the spouse. Obstetricians should promote smoking cessation during pregnancy using evidence-based methods.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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