Second hand smoke exposure among pregnant women in Argentina and Uruguay

Background Secondhand smoke (SHS) exposure during pregnancy is associated with complications for the pregnant women, the fetus and the newborn that can be very severe. Uruguay and Argentina still have a high prevalence of smoking and national surveys show a high prevalence of SHS exposure in the ge...

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Main Authors: Paola Morello, Mabel Berrueta, Laura Llambi, Alicia Aleman, Fernando Althabe
Format: Article
Language:English
Published: European Publishing 2018-03-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/Second-hand-smoke-exposure-among-pregnant-women-in-Argentina-and-Uruguay,84305,0,2.html
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author Paola Morello
Mabel Berrueta
Laura Llambi
Alicia Aleman
Fernando Althabe
author_facet Paola Morello
Mabel Berrueta
Laura Llambi
Alicia Aleman
Fernando Althabe
author_sort Paola Morello
collection DOAJ
description Background Secondhand smoke (SHS) exposure during pregnancy is associated with complications for the pregnant women, the fetus and the newborn that can be very severe. Uruguay and Argentina still have a high prevalence of smoking and national surveys show a high prevalence of SHS exposure in the general population in spite of current legislation. Our objective was to assess SHS exposure among non smoking pregnant women in Argentina and Uruguay. Methods Data were collected from October 2011 to November 2013 as part two-arm parallel cluster randomized trial with baseline and follow-up cross sectional measurements conducted in 10 clusters in Buenos Aires and 10 in Montevideo. During the first 48 hours after delivery, we surveyed pregnant women using a validated questionnaire about tobacco use and SHS exposure at home, at work and indoors in general during pregnancy. Results We surveyed 3039 women in Uruguay and 3799 in Argentina. Overall, 1877 (61.7%) in Uruguay and 2786 (73.3% in Argentina) were non smokers. Among non smoking pregnant women, 37.0% in Argentina and 36.7% in Uruguay had a partner who smoked. Also, 44.4% in Argentina and 47.1% in Uruguay lived with at least one smoker. Overall, 47.7% in Argentina and 48.8% in Uruguay were exposed to secondhand smoke at home (live with at least one smoker/has a partner who smoke and do not have smoke free home rule). Among those who had a job, 13.8% in Argentina and 9.3% in Uruguay were exposed to SHS at work. Conclusions SHS exposure in Argentina and Uruguay is very high during pregnancy, particularly at home. As legislation cannot impose smoke free homes, health care professionals should take advantage of the prenatal care visits to routinely ask about SHS exposure and recommend women to avoid exposure and to implement 100% smoke free homes.
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spelling doaj.art-25ca35f3eb314053be6498dac7a291c22022-12-21T23:36:39ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8430584305Second hand smoke exposure among pregnant women in Argentina and UruguayPaola Morello0Mabel Berrueta1Laura Llambi2Alicia Aleman3Fernando Althabe4Institute for Clinical Effectiveness and Health Policy, ArgentinaInstitute for Clinical Effectiveness and Health Policy, ArgentinaUniversidad de la Republica Uruguay, Unidad de Tabaquismo, Dpto de Medicina, Hospital de Clinicas, Facultad de Medicina, UruguayUNICEM, UruguayInstitute for Clinical Effectiveness and Health Policy, ArgentinaBackground Secondhand smoke (SHS) exposure during pregnancy is associated with complications for the pregnant women, the fetus and the newborn that can be very severe. Uruguay and Argentina still have a high prevalence of smoking and national surveys show a high prevalence of SHS exposure in the general population in spite of current legislation. Our objective was to assess SHS exposure among non smoking pregnant women in Argentina and Uruguay. Methods Data were collected from October 2011 to November 2013 as part two-arm parallel cluster randomized trial with baseline and follow-up cross sectional measurements conducted in 10 clusters in Buenos Aires and 10 in Montevideo. During the first 48 hours after delivery, we surveyed pregnant women using a validated questionnaire about tobacco use and SHS exposure at home, at work and indoors in general during pregnancy. Results We surveyed 3039 women in Uruguay and 3799 in Argentina. Overall, 1877 (61.7%) in Uruguay and 2786 (73.3% in Argentina) were non smokers. Among non smoking pregnant women, 37.0% in Argentina and 36.7% in Uruguay had a partner who smoked. Also, 44.4% in Argentina and 47.1% in Uruguay lived with at least one smoker. Overall, 47.7% in Argentina and 48.8% in Uruguay were exposed to secondhand smoke at home (live with at least one smoker/has a partner who smoke and do not have smoke free home rule). Among those who had a job, 13.8% in Argentina and 9.3% in Uruguay were exposed to SHS at work. Conclusions SHS exposure in Argentina and Uruguay is very high during pregnancy, particularly at home. As legislation cannot impose smoke free homes, health care professionals should take advantage of the prenatal care visits to routinely ask about SHS exposure and recommend women to avoid exposure and to implement 100% smoke free homes.http://www.journalssystem.com/tid/Second-hand-smoke-exposure-among-pregnant-women-in-Argentina-and-Uruguay,84305,0,2.htmlWCTOH
spellingShingle Paola Morello
Mabel Berrueta
Laura Llambi
Alicia Aleman
Fernando Althabe
Second hand smoke exposure among pregnant women in Argentina and Uruguay
Tobacco Induced Diseases
WCTOH
title Second hand smoke exposure among pregnant women in Argentina and Uruguay
title_full Second hand smoke exposure among pregnant women in Argentina and Uruguay
title_fullStr Second hand smoke exposure among pregnant women in Argentina and Uruguay
title_full_unstemmed Second hand smoke exposure among pregnant women in Argentina and Uruguay
title_short Second hand smoke exposure among pregnant women in Argentina and Uruguay
title_sort second hand smoke exposure among pregnant women in argentina and uruguay
topic WCTOH
url http://www.journalssystem.com/tid/Second-hand-smoke-exposure-among-pregnant-women-in-Argentina-and-Uruguay,84305,0,2.html
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