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      Tabaco y salud: conocimientos en gestantes del hogar Materno “Clodomira Acosta", Las Tunas Translated title: Tobacco and health: knowledge in pregnant women in the maternal home "Clodomira Acosta", Las Tunas

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          Abstract

          Resumen Objetivo. Determinar el nivel de conocimiento sobre los efectos del consumo de tabaco en la salud de la mujer. Material y Método. Se realizó un estudio descriptivo longitudinal, prospectivo. Se incluyeron a gestantes ingresadas en Hogar Materno “Clodomira Acosta" de Las Tunas, desde mayo hasta agosto de 2019. Las variables de estudio fueron: edad, edad gestacional, nivel educacional, conocimiento sobre efectos del tabaco convencional y electrónico, estatus tabáquico, gravedad del tabaquismo y nivel de conocimiento. Resultados. Se incluyeron 96 gestantes con edades entre 18 a 44 años (25,8 ± 6,2) y tiempo gestacional de 32,1±6,5 semanas. El nivel educativo predominante fue preuniversitario (n=68; 70,8%). Han tenido contacto activo o pasivo con el tabaco el 55,2% de las pacientes. Las que reportaron ser fumadoras, ex-fumadoras o encontrarse en abstinencia refirieron recibir consejería de cesación tabáquica. Las insuficiencias incluyen: impacto del tabaquismo sobre la salud reproductiva y nocividad del tabaquismo electrónico (n=93; 96,9%). El nivel de conocimiento sobre los efectos sobre la salud de la mujer por consumo de tabaco fue evaluado de bien (79±8pts). Conclusión. Existe buen conocimiento de las gestantes acerca de las enfermedades tabacodependientes; sin embargo, se destaca las insuficiencias sobre impacto sobre la salud reproductiva y el uso del vapeo como técnica errónea de reemplazo del tabaquismo.

          Translated abstract

          Abstract Objective. To determine the level of knowledge about the effects of tobacco use on women's health. Methods. A prospective longitudinal descriptive study was conducted. Were included pregnant women admitted to the "Clodomira Acosta" Maternal Home in Las Tunas, from May to August 2019. The study variables were: age, gestational age, educational level, knowledge about the effects of conventional and electronic tobacco, tobacco status, severity of smoking and level of knowledge. Results. We included 96 pregnant women between 18 and 44 years old (25,8 ± 6.2) and gestational time of 32.1±6.5 weeks. The predominant educational level was pre-university (n=68; 70.8%). Have had active or passive contact him tobacco 55.2% of pacients. Those who reported to be smokers, ex-smokers or in abstinence referred to receive tobacco cessation counseling. Shortcomings include: the impact of smoking on reproductive health and the harmfulness of electronic smoking (n=93; 96.9%). The level of knowledge about the effects of tobacco use on women's health was evaluated as good (79±8pts). Conclusion. Pregnant women have good knowledge about tobacco-dependent diseases; however, there is a lack of knowledge about the impact on reproductive health and the use of vapeo as an erroneous technique to replace smoking.

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          Most cited references30

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          Objetivos de desarrollo Sostenible

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            Cigarette smoking is an independent risk factor for cervical intraepithelial neoplasia in young women: A longitudinal study☆

            Repeated measurements of smoking, cervical human papillomavirus (HPV) status and sexual behaviour were used to measure the risk of high-grade cervical intraepithelial neoplasia (CIN) in relation to changes in smoking and cervical HPV status, and to explore the impact of smoking on the acquisition and duration of incident cervical HPV infection. Included in this longitudinal analysis are 1485 women aged 15–19 years: 1075 were HPV-negative and cytologically normal at recruitment; 410 were HPV-positive, cytologically abnormal or both, at this time. Women re-attended every 6 months, when samples were taken for cytological and virological examination. Current smoking intensity was associated with an increased risk of high-grade CIN, after controlling for cervical HPV status (compared to non-smokers, hazards ratio (HR) for 10 or more cigarettes per day = 2.21, 95% confidence interval (CI) 1.19–4.12, p-trend = 0.008). In women who were HPV-negative and cytologically normal at recruitment, current smoking was not significantly associated with the risk of acquiring a cervical HPV infection, after controlling for life-time number of partners and age of oldest partner (HR = 1.13, 95% CI 0.90–1.41); nor did it prolong the length of time during which HPV could be detected (HR = 1.03, 95% CI 0.78–1.34). Current smoking intensity is an independent risk factor for high-grade CIN in young women, after controlling for cervical HPV infection.
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              Smoking and quit attempts during pregnancy and postpartum: a longitudinal UK cohort

              Objectives Pregnancy motivates women to try stopping smoking, but little is known about timing of their quit attempts and how quitting intentions change during pregnancy and postpartum. Using longitudinal data, this study aimed to document women’s smoking and quitting behaviour throughout pregnancy and after delivery. Design Longitudinal cohort survey with questionnaires at baseline (8–26 weeks’ gestation), late pregnancy (34–36 weeks) and 3 months after delivery. Setting Two maternity hospitals in one National Health Service hospital trust, Nottingham, England. Participants 850 pregnant women, aged 16 years or over, who were current smokers or had smoked in the 3 months before pregnancy, were recruited between August 2011 and August 2012. Outcome measures Self-reported smoking behaviour, quit attempts and quitting intentions. Results Smoking rates, adjusting for non-response at follow-up, were 57.4% (95% CI 54.1 to 60.7) at baseline, 59.1% (95% CI 54.9 to 63.4) in late pregnancy and 67.1% (95% CI 62.7 to 71.5) 3 months postpartum. At baseline, 272 of 488 current smokers had tried to quit since becoming pregnant (55.7%, 95% CI 51.3 to 60.1); 51.3% (95% CI 44.7 to 58.0) tried quitting between baseline and late pregnancy and 27.4% (95% CI 21.7 to 33.2) after childbirth. The percentage who intended to quit within the next month fell as pregnancy progressed, from 40.4% (95% CI 36.1 to 44.8) at baseline to 29.7% (95% CI 23.8 to 35.6) in late pregnancy and 14.2% (95% CI 10.0 to 18.3) postpartum. Postpartum relapse was lower among women who quit in the 3 months before pregnancy (17.8%, 95% CI 6.1 to 29.4) than those who stopped between baseline and late pregnancy (42.9%, 95% CI 24.6 to 61.3). Conclusions Many pregnant smokers make quit attempts throughout pregnancy and postpartum, but intention to quit decreases over time; there is no evidence that smoking rates fall during gestation.
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                Author and article information

                Journal
                jonnpr
                Journal of Negative and No Positive Results
                JONNPR
                Research and Science S.L. (Madrid, Madrid, Spain )
                2529-850X
                2020
                : 5
                : 12
                : 1470-1480
                Affiliations
                [4] orgnameUniversidad de Las Tunas Cuba celidc@ 123456ltu.edu.cu
                [1] Las Tunas orgnameCentro Provincial de Medicina Deportiva Cuba. Email raydelperezc@ 123456nauta.cu
                [5] Las Tunas orgnamePoliclínico “Aquiles Espinosa" Cuba. Email kentny.mora@ 123456nauta.cu
                [2] Las Tunas orgnamePoliclínico “Aquiles Espinosa" Cuba. Email yoacordero@ 123456ltu.sld.cu
                [3] Las Tunas orgnamePoliclínico “Aquiles Espinosa" Cuba. Email yoacordero@ 123456ltu.sld.cu
                Article
                S2529-850X2020001200002 S2529-850X(20)00501200002
                10.19230/jonnpr.3422
                42c7ff3f-50cb-47f9-ac0c-4c6937434feb

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 25 November 2019
                : 29 January 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 11
                Product

                SciELO Spain

                Categories
                Original

                calidad de vida,cuidado prenatal,tabaco,gestación,prevención del hábito de fumar,cese del uso del tabaco,dispositivos para dejar de fumar,salud reproductiva,smoking prevention,tobacco,pregnancy,tobacco use cessation,tobacco use cessation devices,quality of live,reproductive health

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