Weiwei Sun1,2, Xinyu Huang1,2, Huailiang Wu1,2, Casper J P Zhang3, Zongzhi Yin4, Qianqian Fan5, Huiyun Wang6, Pallavi Jayavanth1,2, Babatunde Akinwunmi7,8,9, Yanxin Wu10, Zilian Wang10, Wai-Kit Ming11,12,13. 1. Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China. 2. International School, Jinan University, Guangzhou, China. 3. School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China. 4. Department of Obstetrics and Gynecology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. 5. Department of Pharmacy, Peking Union Medical College Hospital, Beijing, China. 6. School of Pharmacy, JiNing Medical University, Jining, China. 7. Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, USA. 8. Center for Genomic Medicine, Massachusetts General Hospital, Boston, USA. 9. Harvard Medical School, Harvard University, Boston, MA, USA. 10. Department of Obstetrics and Gynaecology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. 11. Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China. wkming@connect.hku.hk. 12. International School, Jinan University, Guangzhou, China. wkming@connect.hku.hk. 13. Department of Obstetrics and Gynaecology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. wkming@connect.hku.hk.
Abstract
BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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.
BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: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.
Authors: José Ignacio de Granda-Orive; Segismundo Solano-Reina; Ana María de Granda-Beltrán; Carlos Jiménez-Ruiz Journal: Ann Epidemiol Date: 2017-05-12 Impact factor: 3.797
Authors: Noelia Ramírez; Mustafa Z Özel; Alastair C Lewis; Rosa M Marcé; Francesc Borrull; Jacqueline F Hamilton Journal: Environ Int Date: 2014-07-16 Impact factor: 9.621
Authors: Ana Florescu; Roberta Ferrence; Tom Einarson; Peter Selby; Offie Soldin; Gideon Koren Journal: Ther Drug Monit Date: 2009-02 Impact factor: 3.681