意外妊娠与孕早期妇女健康相关行为的关系

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摘要目的研究妇女意外妊娠与孕早期健康相关行为(吸烟、饮酒、增补叶酸和增补多种维生素)的关系。方法基于“中国孕产妇队列研究·协和”(CPWCS)中7 976例孕早期妇女的调查数据进行分析,对研究对象的年龄、民族、户口性质、文化程度、职业、家庭年收入等一般信息以及吸烟、饮酒、增补叶酸和增补多种维生素等健康相关行为的情况进行统计描述;采用χ²检验比较意外妊娠和非意外妊娠的妇女一般特征和健康相关行为的差异;采用非条件Logistic回归分析意外妊娠与孕早期健康相关行为的关系。结果孕妇平均年龄(28.6±4.5)岁,意外妊娠的孕妇占29.3%,非意外妊娠的孕妇占70.7%。与非意外妊娠的妇女相比,意外妊娠的妇女孕早期被动吸烟、饮酒、未增补叶酸和未增补多种维生素的可能性均较高(OR=1.33, 95% CI:1.21~1.47; OR=1.97, 95% CI:1.63~2.38; OR=2.31, 95% CI:2.00~2.66; OR=1.20, 95% CI:1.08~1.32)。结论意外妊娠是孕妇在孕早期被动吸烟、饮酒、未增补叶酸和未增补多种维生素的危险因素。减少意外妊娠的发生,可能有助于改善孕早期妇女健康相关行为。

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	冯雅慧
	胡惠英
	王雅文
	吴散散
	马帅
	沈忠周
	严宝湖
	马良坤
	江宇

关键词 ：意外妊娠, 行为, 孕早期

Abstract：Objective To examine the associations between unintended pregnancy and maternal health-related behaviors (smoking, drinking alcohol, supplement of folic acid and supplement of multivitamin) in the first trimester.Methods Data from 7 976 participants in the first trimester enrolled in the Chinese Pregnant Women Cohort study (CPWCS) was analyzed. The descriptive statistics were calculated for the baseline characteristics including maternal age, ethnicity, household registration type, education, occupation, family annual income, and maternal health-related behaviors including smoking, drinking alcohol, supplement of folic acid and supplement of multivitamin respectively. Chi-square tests were performed to examine whether those characteristics were different between unintended pregnancy women and intended ones. Logistic regression was used to analyse the relationship between unintended pregnancy and maternal health-related behaviors in the first trimester.Results In CPWCS, 29.3% of the pregnancies were unplanned. Women with unintended pregnancy had higher odds of passive smoking, drinking, insufficient supplement of folic acid and insufficient supplement of multivitamin, compared to the women with intended pregnancy, (OR=1.33, 95%CI: 1.21~1.47; OR=1.97, 95%CI: 1.63-2.38; OR=2.31, 95%CI: 2.00-2.66; OR=1.20, 95%CI: 1.08-1.32, respectively).Conclusion Unintended pregnancy may be a risk factor for passive smoking, drinking alcohol, insufficient supplement of folic acid and insufficient supplement of multivitamins during the first trimester. Reducing the incidence of unintended pregnancy may promote healthy behaviors of mothers during their early pregnant stage..

Key words： unintended pregnancy behaviors the first trimester

收稿日期: 2019-02-18

基金资助:中国医学科学院医学与健康科技创新工程(2016-I2M-1-008)

通讯作者: 马良坤(maliangkun@pumch.cn);江宇(jiangyu@pumc.edu.cn)

引用本文:

冯雅慧, 胡惠英, 王雅文, 吴散散, 马帅, 沈忠周, 严宝湖, 马良坤, 江宇. 意外妊娠与孕早期妇女健康相关行为的关系[J]. 中国生育健康杂志, 2020, 31(4): 314-318.
FENG Yahui, HU Huiying, WANG Yawen, WU Sansan, MA Shuai, SHEN Zhongzhou, YAN Baohu, MA Liangkun, JIANG Yu. Association between unintended pregnancy and maternal health-related behaviors in the first trimester. Chinese Journal of Reproductive Health, 2020, 31(4): 314-318.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2020/V31/I4/314

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