Smoking cessation and associated factors during pregnancy
Cese del consumo de tabaco durante el embarazo y factores asociados
Matías Torrenta,**
, Jordi Sunyerb, Paul Cullinand, Xavier Basagañab, Jessica Harrisd, Oscar Garcíac, Josep Maria Antób, on behalf of the AMICS study group *
Autor para correspondencia
mtorrent@smen.es
Correspondencia: Área de Salud de Menorca-ib-salut. Barcelona, 3. 07701 Maó (Menorca). España.
Correspondencia: Área de Salud de Menorca-ib-salut. Barcelona, 3. 07701 Maó (Menorca). España.
a Àrea de Salut de Menorca-ib-salut. Spain
b Unitat de Recerca Respiratòria i Ambiental-Institut Municipal d’Investigació Mèdica (IMIM)
c Department of Pediatrics. Hospital del Mar. Barcelona. Spain
d Department of Occupational and Environmental Medicine, Imperial College (NHLI). London. United Kingdom
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Spain</span>" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Unitat de Recerca Respiratòria i Ambiental-Institut Municipal d’Investigació Mèdica (IMIM)</span>" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Department of Pediatrics. Hospital del Mar. Barcelona. Spain</span>" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Department of Occupational and Environmental Medicine, Imperial College (NHLI). London. United Kingdom" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "**" "correspondencia" => "Correspondencia: Área de Salud de Menorca-ib-salut. Barcelona, 3. 07701 Maó (Menorca). España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cese del consumo de tabaco durante el embarazo y factores asociados" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-04-07" "fechaAceptado" => "2004-01-13" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268624" "palabras" => array:3 [ 0 => "Smoking" 1 => "Smoking cessation" 2 => "Pregnancy" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268623" "palabras" => array:3 [ 0 => "Hábito tabáquico" 1 => "Abandono del hábito tabáquico" 2 => "Embarazo" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">To examine smoking habits before and during pregnancy, as well as factors associated with smoking cessation, in three European settings.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Women seeking antenatal care in Ashford (UK), Minorca and Barcelona (Spain) were recruited to the Asthma Multicenter Infant Cohort Study (AMICS). Questionnaires inquiring into the smoking habits of each woman and her partner, demographic data, occupation, educational level, number of previous children, breast feeding, alcohol intake, and history of asthma and of other allergic diseases were completed during pregnancy and in the first year after delivery.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">A total of 1 572 pregnant women were included in the three cohorts. Smoking prior to pregnancy was more common in Barcelona (46.2%) than in Minorca (39.8%) or Ashford (31.6%). Cessation rates during pregnancy also differed: 18% of women in Ashford, 20.4% in Minorca and 31.9% in Barcelona were still smoking during the first trimester. In a multivariate regression model, the factors showing a significant (negative) association with smoking cessation during pregnancy were having older children, having a partner who smoked and starting smoking at a young age.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Baseline smoking habits and changes in smoking habits during pregnancy significantly differed between the three communities studied. Women pregnant with their first child, those who had started smoking at a later age and those whose partners were non-smokers were more likely to stop smoking when pregnant.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Describir el hábito tabáquico antes y durante el embarazo y los factores asociados con su cese con relación al embarazo en distintos entornos europeos.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Se ha incluido en el estudio a las mujeres captadas durante el embarazo para participar en el estudio AMICS (Asthma Multicentre Infant Cohort Study) en Ashford (Reino Unido), Barcelona y Menorca (España). Se administró un cuestionario durante el embarazo y otro durante el primer año posparto, que incluía los siguientes aspectos: hábito tabáquico de la mujer y de su compañero, datos demográficos, ocupación, nivel de estudios, número de hijos previos, lactancia materna, consumo de alcohol e historia de asma y otras enfermedades alérgicas.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Entre las 3 cohortes se incluyó a un total de 1.572 mujeres. Antes del embarazo, el porcentaje de mujeres fumadoras fue mayor en Barcelona (46,2%) que en Menorca (39,8%) o Ashford (31,6%). Las tasas de abandono del hábito tabáquico en relación con el embarazo también variaron en cada cohorte, de manera que durante el primer trimestre de embarazo continuaron fumando el 18% en Ashford, el 20,4% en Menorca y el 31,9% en Barcelona. En un modelo de regresión múltiple, tener hijos previos, que el compañero sea fumador y haber empezado a fumar más joven muestran una asociación (negativa) con la probabilidad de abandonar el tabaco en relación con el embarazo.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">El consumo de tabaco antes y durante el embarazo muestra importantes diferencias en las 3 comunidades estudiadas. Las mujeres en su primer embarazo, que empezaron a fumar más tardíamente y cuyo compañero no fuma son las que con mayor frecuencia abandonan el tabaco al quedarse embarazadas.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara">Members of the AMICS (Asthma Multicentre Infants Cohort Study) Group: Ashford: Paul Cullinan, Jessica Harris, Warwick Atkinson, Pamela Mills, Susan Moffat, Carol White, Meinir Jones, Anthony Newman-Taylor; Barcelona: Gonçal Figueras, Oriol Vall, Oscar García, Carme Puig, Eva Sánchez, Josep M. Antó, Jordi Sunyer, Xavier Basagaña; Menorca: Matías Torrent, M. Victoria Estraña, Mireia García, M. Victoria Iturriaga, Ana Follana, Joaquim Puxan, Josep Alegre, Jaume Franch, Neus Pons. 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| 2023 Noviembre | 29 | 19 | 48 |
| 2023 Octubre | 21 | 15 | 36 |
| 2023 Septiembre | 36 | 14 | 50 |
| 2023 Agosto | 28 | 13 | 41 |
| 2023 Julio | 32 | 14 | 46 |
| 2023 Junio | 40 | 15 | 55 |
| 2023 Mayo | 43 | 16 | 59 |
| 2023 Abril | 44 | 15 | 59 |
| 2023 Marzo | 46 | 39 | 85 |
| 2023 Febrero | 20 | 16 | 36 |
| 2023 Enero | 37 | 29 | 66 |
| 2022 Diciembre | 43 | 37 | 80 |
| 2022 Noviembre | 53 | 51 | 104 |
| 2022 Octubre | 31 | 34 | 65 |
| 2022 Septiembre | 26 | 30 | 56 |
| 2022 Agosto | 70 | 52 | 122 |
| 2022 Julio | 73 | 34 | 107 |
| 2022 Junio | 45 | 43 | 88 |
| 2022 Mayo | 37 | 34 | 71 |
| 2022 Abril | 23 | 30 | 53 |
| 2022 Marzo | 33 | 38 | 71 |
| 2022 Febrero | 36 | 38 | 74 |
| 2022 Enero | 22 | 32 | 54 |
| 2021 Diciembre | 30 | 47 | 77 |
| 2021 Noviembre | 38 | 43 | 81 |
| 2021 Octubre | 34 | 36 | 70 |
| 2021 Septiembre | 32 | 51 | 83 |
| 2021 Agosto | 15 | 38 | 53 |
| 2021 Julio | 19 | 35 | 54 |
| 2021 Junio | 19 | 30 | 49 |
| 2021 Mayo | 19 | 30 | 49 |
| 2021 Abril | 40 | 48 | 88 |
| 2021 Marzo | 30 | 47 | 77 |
| 2021 Febrero | 31 | 13 | 44 |
| 2021 Enero | 33 | 24 | 57 |
| 2020 Diciembre | 28 | 32 | 60 |
| 2020 Noviembre | 13 | 12 | 25 |
| 2020 Octubre | 13 | 11 | 24 |
| 2020 Septiembre | 12 | 10 | 22 |
| 2020 Agosto | 15 | 13 | 28 |
| 2020 Julio | 16 | 15 | 31 |
| 2020 Junio | 25 | 10 | 35 |
| 2020 Mayo | 19 | 9 | 28 |
| 2020 Abril | 21 | 11 | 32 |
| 2020 Marzo | 13 | 9 | 22 |
| 2020 Febrero | 19 | 25 | 44 |
| 2020 Enero | 16 | 21 | 37 |
| 2019 Diciembre | 29 | 22 | 51 |
| 2019 Noviembre | 37 | 7 | 44 |
| 2019 Octubre | 38 | 8 | 46 |
| 2019 Septiembre | 14 | 3 | 17 |
| 2019 Agosto | 12 | 8 | 20 |
| 2019 Julio | 18 | 10 | 28 |
| 2019 Junio | 11 | 17 | 28 |
| 2019 Mayo | 17 | 14 | 31 |
| 2019 Abril | 16 | 5 | 21 |
| 2019 Marzo | 11 | 8 | 19 |
| 2019 Febrero | 14 | 8 | 22 |
| 2019 Enero | 10 | 6 | 16 |
| 2018 Diciembre | 7 | 15 | 22 |
| 2018 Noviembre | 39 | 28 | 67 |
| 2018 Octubre | 47 | 32 | 79 |
| 2018 Septiembre | 24 | 11 | 35 |
| 2018 Agosto | 12 | 9 | 21 |
| 2018 Julio | 24 | 9 | 33 |
| 2018 Junio | 32 | 17 | 49 |
| 2018 Mayo | 26 | 11 | 37 |
| 2018 Abril | 23 | 11 | 34 |
| 2018 Marzo | 17 | 14 | 31 |
| 2018 Febrero | 17 | 4 | 21 |
| 2018 Enero | 13 | 6 | 19 |
| 2017 Diciembre | 20 | 8 | 28 |
| 2017 Noviembre | 18 | 8 | 26 |
| 2017 Octubre | 9 | 7 | 16 |
| 2017 Septiembre | 18 | 9 | 27 |
| 2017 Agosto | 12 | 10 | 22 |
| 2017 Julio | 19 | 9 | 28 |
| 2017 Junio | 34 | 12 | 46 |
| 2017 Mayo | 25 | 9 | 34 |
| 2017 Abril | 22 | 7 | 29 |
| 2017 Marzo | 12 | 7 | 19 |
| 2017 Febrero | 9 | 2 | 11 |
| 2017 Enero | 12 | 1 | 13 |
| 2016 Diciembre | 45 | 4 | 49 |
| 2016 Noviembre | 51 | 15 | 66 |
| 2016 Octubre | 50 | 8 | 58 |
| 2016 Septiembre | 41 | 5 | 46 |
| 2016 Agosto | 44 | 46 | 90 |
| 2016 Julio | 31 | 10 | 41 |
| 2016 Junio | 2 | 0 | 2 |
| 2016 Mayo | 2 | 0 | 2 |
| 2016 Abril | 2 | 0 | 2 |
| 2016 Marzo | 4 | 3 | 7 |
| 2016 Febrero | 3 | 0 | 3 |
| 2016 Enero | 2 | 0 | 2 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Noviembre | 2 | 0 | 2 |
| 2015 Octubre | 4 | 7 | 11 |
| 2015 Septiembre | 6 | 7 | 13 |
| 2015 Agosto | 4 | 0 | 4 |
| 2015 Julio | 2 | 0 | 2 |
| 2015 Junio | 3 | 0 | 3 |
| 2015 Mayo | 1 | 0 | 1 |
| 2015 Abril | 5 | 0 | 5 |
| 2015 Marzo | 1 | 7 | 8 |
| 2015 Febrero | 3 | 0 | 3 |
| 2015 Enero | 1 | 0 | 1 |
| 2014 Diciembre | 5 | 0 | 5 |
| 2014 Noviembre | 3 | 0 | 3 |
| 2014 Octubre | 3 | 0 | 3 |
| 2014 Septiembre | 2 | 0 | 2 |
| 2014 Agosto | 4 | 0 | 4 |
| 2014 Julio | 4 | 0 | 4 |
| 2014 Junio | 5 | 1 | 6 |
| 2014 Mayo | 5 | 1 | 6 |
| 2014 Abril | 5 | 0 | 5 |
| 2014 Marzo | 3 | 1 | 4 |
| 2014 Febrero | 7 | 0 | 7 |
| 2014 Enero | 4 | 1 | 5 |
| 2013 Diciembre | 13 | 2 | 15 |
| 2013 Noviembre | 17 | 4 | 21 |
| 2013 Octubre | 26 | 0 | 26 |
| 2013 Septiembre | 18 | 2 | 20 |
| 2013 Agosto | 32 | 4 | 36 |
| 2013 Julio | 23 | 1 | 24 |
| 2004 Abril | 1150 | 0 | 1150 |
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