Relationships Between Self-Reported Smoking, Household Environmental Tobacco Smoke Exposure and Depressive Symptoms in a Pregnant Minority Population
| Autor: | Jutta S. Thornberry, Michele Kiely, Susan M. Blake, Marie G. Gantz, M. Nabil El-Khorazaty, Sylvia Tan, Lauren Courtney, David C. Perry, Ayman A. E. El-Mohandes |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Urban Population Epidemiology medicine.medical_treatment Population Psychological intervention Interviews as Topic Young Adult Pregnancy Risk Factors medicine Humans Young adult education Psychiatry Depression (differential diagnoses) education.field_of_study Depression business.industry Smoking Behavior change Public Health Environmental and Occupational Health Beck Depression Inventory Obstetrics and Gynecology Former Smoker Logistic Models District of Columbia Pediatrics Perinatology and Child Health Smoking cessation Female Smoking Cessation Tobacco Smoke Pollution Pregnant Women business Demography |
| Zdroj: | Maternal and Child Health Journal. 15:65-74 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-011-0876-8 |
| Popis: | This study sought to examine relationships between depressive symptoms and prenatal smoking and/or household environmental tobacco smoke exposure (HH-ETSE) among urban minority women. We analyzed private, audio computer-assisted self interview data from a clinic-based sample of 929 minority pregnant women in Washington, DC. Depressive symptoms were assessed via the Beck Depression Inventory Fast Screen. HH-ETSE, current smoking, and former smoking were assessed via self-report. Depression levels and demographic characteristics were compared: (1) among nonsmokers, for those reporting HH-ETSE versus no HH-ETSE; and (2) among smokers, for those reporting current smoking (in last 7 days) versus former smokers. Measures associated with HH-ETSE/current smoking in bivariate analysis at P < 0.20 were included in adjusted logistic regression models. HH-ETSE, as a possible indicator of a social smoking network, was assessed as a mediator for the relationship between depression and current smoking. Results: Non-smokers reporting moderate-to-severe depressive symptoms showed significantly higher adjusted odds of prenatal HH-ETSE (AOR 2.5, 95% CI [1.2, 5.2]). Smokers reporting moderate-to-severe or mild depressive symptoms showed significantly higher adjusted odds of current smoking (AOR 1.9, 95% CI [1.1, 3.5] and AOR 1.8, 95% CI [1.1, 3.1], respectively). Among smokers, HH-ETSE was a significant mediator for the association between moderate-to-severe symptoms and current smoking. In conclusion, health care providers should be aware that depressed urban minority women are at risk of continued smoking/HH-ETSE during pregnancy. Interventions designed to encourage behavior change should include screening for depression, and build skills so that women are better able to address the social environment. |
| Databáze: | OpenAIRE |
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