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- Title
Maternal tobacco exposure and health-related quality of life during pregnancy: a national-based study of pregnant women in China.
- Authors
Sun, Weiwei; Huang, Xinyu; Wu, Huailiang; Zhang, Casper J. P.; Yin, Zongzhi; Fan, Qianqian; Wang, Huiyun; Jayavanth, Pallavi; Akinwunmi, Babatunde; Wu, Yanxin; Wang, Zilian; Ming, Wai-kit
- Abstract
<bold>Background: </bold>With the increase of the number of smokers, tobacco exposure among pregnant women is becoming more and more common. Pregnant women exposed to first-hand smoke and second-hand smoke are susceptible to physiological and psychological health issues has been proved in previous studies. Nevertheless, there are no enough studies focus on the impact of third-hand smoke during pregnancy. This study aimed to assess and compare health-related quality of life for pregnant women with exposure to first-hand smoke, second-hand smoke, third-hand smoke and non-exposure to tobacco in mainland China.<bold>Methods: </bold>National-based cross-sectional study is based on a questionnaire survey which collects information including demographics, smoking behaviors and self-evaluation. All questionnaires were delivered and collected from August to September 2019. EuroQol group's visual analog scale and EuroQoL Five-dimension Questionnaire were used to collect data in mainland China.<bold>Results: </bold>Totally, 15,682 pregnant women were included in this study, among which non-exposure to smoke were 7564 (48.2%), exposed to first-hand smoke, second-hand smoke and third-hand smoke were 89 (0.6%), 2349 (15.0%), and 5680 (36.2%) respectively. Pregnant women without tobacco exposure had the highest EuroQol group's visual analog scale score (mean value = 85.4[SD = 14.0]), while those with first-hand smoke had the lowest score (mean value = 77.4[SD = 22.2]). Among all five dimensions of EuroQoL Five-dimension Questionnaire, there were significant differences of EQ-index among groups with different tobacco exposure in usual activity and anxiety or depression dimensions (p < 0.001).<bold>Conclusions: </bold>Third-hand smoke exposure had close relationship with low health-related quality of life in pregnant women. Moreover, second-hand smoke exposure significantly led more problems on mental dimension of pregnant women.
- Subjects
CHINA; QUALITY of life; PREGNANT women; MATERNAL exposure; TOBACCO smoke; PRENATAL bonding; VISUAL analog scale
- Publication
Health & Quality of Life Outcomes, 2021, Vol 19, Issue 1, p1
- ISSN
1477-7525
- Publication type
journal article
- DOI
10.1186/s12955-021-01785-x