Objective

Previous tobacco consumption, and depression and anxiety symptoms are major predictors of women’s tobacco consumption during pregnancy and the postpartum period. However, the joint effect of these predictors is still unexplored. This study aimed to analyse the effects of previous tobacco consumption, and depression and anxiety symptoms on women’s tobacco consumption status and quantity from the 1st trimester of pregnancy to 7 months postpartum.

Method

A sample of 803 Spanish women was assessed at the 1st and the 3rd trimester of pregnancy, and at 2 and 7 months postpartum. Previous tobacco consumption, and depression and anxiety symptoms were self-reported. Pregnancy and postpartum tobacco consumption were confirmed with biochemical tests.

Results

Women with more previous tobacco consumption or more anxiety symptoms presented a steeper decrease in the number of cigarettes smoked per week from the 1st trimester of pregnancy to the childbirth, although smoking more cigarettes than women with less previous tobacco consumption or less anxiety symptoms. Women with more depression symptoms showed a higher tendency to relapse smoking during the first 2 months postpartum.

Conclusions

Previous tobacco consumption and anxiety symptoms were associated with higher smoking quantity during pregnancy, while depression symptoms were associated with consumption relapse during postpartum period.

中文翻译：

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从怀孕第一个三个月到产后 7 个月的烟草消费：先前烟草消费的影响以及抑郁和焦虑症状

客观的

以前的烟草消费以及抑郁和焦虑症状是女性在怀孕期间和产后吸烟的主要预测因素。然而，这些预测因子的联合效应仍有待探索。本研究旨在分析既往烟草消费、抑郁和焦虑症状对女性从妊娠第 1 个月到产后 7 个月烟草消费状况和数量的影响。

方法

对 803 名西班牙妇女的样本在怀孕的第 1 个月和第 3 个月以及产后 2 个月和 7 个月进行了评估。以前的烟草消费、抑郁和焦虑症状是自我报告的。生化测试证实了怀孕和产后烟草消费。

结果

从怀孕的第一个三个月到分娩，以前吸烟更多或焦虑症状更多的女性每周吸烟的数量急剧减少，尽管比以前吸烟更少或焦虑症状更少的女性吸烟更多。有更多抑郁症状的女性在产后的前 2 个月内复发吸烟的倾向更高。

结论

既往烟草消费和焦虑症状与怀孕期间吸烟量增加有关，而抑郁症状与产后消费复发有关。