- 期刊
Relationships among Smoking, Drinking, Betel Quid Chewing and Pregnancy-related Nausea and Vomiting in Taiwanese Aboriginal Women
台灣原住民婦女煙、酒、檳榔與孕期噁心嘔吐之相關性研究
摘要
本研究目的為調查台灣原住民婦女抽煙、飲酒、吃檳榔和孕期噁心嘔吐的相關性；採用橫斷式的研究方法。總共有來自11所醫院，901位原住民婦女參與本研究。使用結構式問卷收集資料，問卷內容包括人口學資料、產科訊息、吸煙史、飲酒和食用檳榔的習慣，以及噁心嘔吐的檢核表。研究結果發現，噁心嘔吐、母親吸煙、飲酒和食用檳榔的盛行率分別為75.6%(n=682)、22.8%(n=201)、31.9%(n=287)和34.7%(n=313)。以邏輯式複迴歸並調整年齡、身體質量指數和止吐劑之使用，進一步分析發現懷孕前及懷孕期間的吸煙習慣和噁心嘔吐有顯著相關；相較於不抽煙的婦女，在懷孕前及懷孕期間每天吸煙超過10支者則分別會有1.65和2.79倍的較高機會形成噁心嘔吐。依據本研究結果，吸煙會以劑量反應的效應方式和孕期噁心嘔吐有關。減少吸煙的量應能減少孕期噁心嘔吐發生的危險機率。健康照護提供者應在此關鍵時期（懷孕前或懷孕期間）幫助這些婦女減輕她們不舒服的症狀，以改善她們的懷孕和生產結果。
並列摘要
Across-sectional survey was conducted to investigate the associations among smoking, drinking, betel quid chewing and pregnancy-related nausea and vomiting (N/V) in Taiwanese aboriginal women. A total of 901 aboriginal women from 11 hospitals were recruited into this study. A structured questionnaire on demographic and obstetric information, smoking history, alcohol consumption, betel quid chewing habits, and N/V by checklist was used to collect data. The findings of this study indicated that the prevalence of N/V, maternal smoking, drinking, and betel quid chewing were 75.6% (n=682), 22.8% (n=201), 31.9% (n=287), and 34.7% (n=313) respectively. Multiple logistic regression with adjustment for age, body mass index and antiemetics use revealed significant relationships between smoking habits and N/V before confirmation of pregnancy and during pregnancy. In comparison with those who did not smoke, women smoking in excess of 10 cigarettes a day before pregnancy were 1.65 times more likely to develop N/V; and women smoking in excess of 10 cigarettes a day during pregnancy were 2.79 times more likely to develop N/V. Based on the findings of this study, smoking was associated, with a dose-response effect, with pregnancy-related N/V. Reducing the intake of cigarettes could decrease the risk of pregnancy-related N/V. Health care providers should help these women decrease their uncomfortable symptoms and improve their experiences of pregnancy and birth outcome during critical times.