婦女抽菸及二手煙暴露和低出生體重嬰兒

Maternal Smoking, Environmental Tobacco Smoking and Low Birthweight

陳培君(PEI-CHUN CHEN) ； 李中一(CHUNG-YI LI) ； 林瑞雄(PUEY-SHIUNG LIN) ； 宋鴻樟(FUNG-CHANG SUNG)

《台灣公共衛生雜誌》 21卷5期 (2002/10) Pp. 321-328

https://doi.org/10.6288/TJPH2002-21-05-02

摘要

Objectives: Many studies have suggested that maternal smoking is a risk factor for low birth weight (LBW). The effect of environmental tobacco smoking (ETS) on LBW remains controversial. While few studies on these issues have been conducted in Taiwan, we initiated a preliminary study in Hsi Chih. Methods: In the survey on low frequency magnetic field and health effect in Hsi Chih, women aged 15 years and above were interviewed for information about reproductive health and life style in regard to smoking and secondary hand smoking. Risks for LBW were investigated among women who were living in Hsi Chih during the first pregnancy. Results: Among the 2074 eligible women living in Hsi Chih when they were pregnant, 4.9% were smokers and 61.4% were exposed to ETS. Maternal smoking contributed to the elevated risk of LBW but not significant (odds ratio (OR) =1.63, 95% confidence interval (CI) 0.65-4.07). Compared to the women with non-smoking spouses, the OR for having LBW births is 3.16 (95% CI 1.38-7.21) for women with smoking partners who smoke 21 or more cigarettes daily. Conclusion: This study suggests that pregnant women need education to be aware of the fact that heavy ETS exposure is a risk factor of giving LBW infant.

關鍵字

母親抽菸,二手煙,低出生體重

並列摘要

Objectives: Many studies have suggested that maternal smoking is a risk factor for low birth weight (LBW). The effect of environmental tobacco smoking (ETS) on LBW remains controversial. While few studies on these issues have been conducted in Taiwan, we initiated a preliminary study in Hsi Chih. Methods: In the survey on low frequency magnetic field and health effect in Hsi Chih, women aged 15 years and above were interviewed for information about reproductive health and life style in regard to smoking and secondary hand smoking. Risks for LBW were investigated among women who were living in Hsi Chih during the first pregnancy. Results: Among the 2074 eligible women living in Hsi Chih when they were pregnant, 4.9% were smokers and 61.4% were exposed to ETS. Maternal smoking contributed to the elevated risk of LBW but not significant (odds ratio (OR) =1.63, 95% confidence interval (CI) 0.65-4.07). Compared to the women with non-smoking spouses, the OR for having LBW births is 3.16 (95% CI 1.38-7.21) for women with smoking partners who smoke 21 or more cigarettes daily. Conclusion: This study suggests that pregnant women need education to be aware of the fact that heavy ETS exposure is a risk factor of giving LBW infant.

並列關鍵字

maternal smoking,passive smoking,low birthweight

參考文獻

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Bai, J., Wong, F. W. S., Gyaneshwar, R., Stewart, H. C.(2000).Profile of maternal smokers and their pregnancy outcomes in South Western Sydney.The Journal of Obstetrics and Gynaecology Research.26(2)

Eskenazi, B., Prehn, A. W., Christianson, R. E.(1998).Passive and active maternal smoking as measured by serum cotinine: The effect on birthweight.American Journal of Public Health.85(3)

Fortier, I., Marcoux, S., Brisson, J.(1994).Passive smoking during pregnancy and the risk of delivering a small-for-gestational-age infant.American Journal of Epidemiology.139(3)

Hanke, W., Kalinka, J., Florek, E., Sobala, W.(1999).Passive smoking and pregnancy outcome in Central Poland.Human ＆ Experimental Toxicology.18(4)