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Secondhand smoking exposure and quality of life among pregnant and postnatal women: a network approach
Yang, Yuan1; Zhang, Meng2; Bo, Hai Xin3; Zhang, Dong Ying2; Ma, Liang Kun2; Wang, Pei Hong4; Liu, Xiao Hua5; Ge, Li Na6; Lin, Wen Xuan7; Xu, Yang8; Zhang, Ya Lan9; Li, Feng Juan10; Xu, Xu Juan11; Wu, Hong He12; Jackson, Todd13; Ungvari, Gabor S.14,15; Cheung, Teris16; Meng, Li Rong17; Xiang, Yu Tao18,19
2022-09-16
Source PublicationBMJ open
ISSN2044-6055
Volume12Issue:9Pages:e060635
Abstract

OBJECTIVE: This study examined the prevalence of exposure to secondhand smoke, its correlates and its association with quality of life (QOL) among pregnant and postnatal Chinese women. DESIGN: This was a multicentre, cross-sectional study. SETTING: Participants were consecutively recruited from eight tertiary hospitals located in eight municipalities or provinces in China. PARTICIPANTS: A total of 1140 women were invited to join this study and 992 (87.02%) completed all measures. PRIMARY AND SECONDARY OUTCOME: Measures women's secondhand smoking behaviour (frequency and location of exposure to secondhand smoking), and their QOL measured by the WHO Quality of Life Questionnaire. RESULTS: A total of 211 women (21.3%, 95% CI 18.7% to 23.8%) had been exposed to secondhand smoking. Exposure to secondhand smoking was most common in public areas (56.4%), and residential homes (20.5%), while workplaces had the lowest rate of exposure (13.7%). Women with physical comorbidities were more likely to report secondhand smoking exposure, while older women, women living in urban areas, those with college or higher education level, and women in their second trimester were less likely to report exposure to secondhand smoking. Network analysis revealed that there were six significant links between secondhand smoke and QOL items. The strongest negative edge was the connection between secondhand smoke and QOL9 ('physical environment health', edge weight=-0.060), while the strongest positive edge was the connection between secondhand smoke and QOL3 ('pain and discomfort', edge weight=0.037). CONCLUSION: The prevalence of exposure to secondhand smoking is becoming lower among pregnant and postnatal women in China compared with findings reported in previous studies. Legal legislation should be maintained and promptly enforced to establish smoke-free environments in both public and private urban/rural areas for protection of pregnant and postnatal women, especially those who are physically vulnerable and less educated.

KeywordObstetrics Psychiatry Public Health
DOI10.1136/bmjopen-2021-060635
URLView the original
Language英語English
Scopus ID2-s2.0-85138218044
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Cited Times [WOS]:0   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
DEPARTMENT OF PSYCHOLOGY
Affiliation1.Guangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Guangzhou, China
2.Department of Obstetrics, Chinese Academy of Medical Sciences, Peking Union Medical College, Peking Union Medical College Hospital, China
3.Department of Nursing, Chinese Academy of Medical Sciences, Peking Union Medical College, Peking Union Medical College Hospital, China
4.Department of Obstetrics, Xiehe Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
5.Department of Obstetrics, Shuangliu District Maternal and Child Health Hospital, Chengdu, China
6.Department of Obstetrics, Shengjing Hospital, China Medical University, Shenyang, China
7.Department of Obstetrics, Guangdong Women and Children Hospital, Guangzhou, China
8.Department of Obstetrics, China-Japan Friendship Hospital, China
9.Department of Obstetrics, Qinghai Provincial People's Hospital, Xining, China
10.Department of Obstetrics, Maternal and Child Health Care Hospital of Uygur Autonomous Region, Urumqi, China
11.Department of Obstetrics, Affiliated Hospital of Nantong University, Nantong, China
12.Department of Obstetrics, Nantong Maternity and Child Health Care Hospital, Nantong, China
13.Department of Psychology, University of Macau, Macau, China
14.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
15.Division of Psychiatry, University of Notre Dame, Fremantle, Australia
16.School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, Hong Kong, China
17.School of Health Sciences, Macau Polytechnic Institute, Macau, China
18.Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macau, Department of Public Health and Medicinal Administration, China
19.Center for Cognition and Brain Sciences, University of Macau, Macau, China
Recommended Citation
GB/T 7714
Yang, Yuan,Zhang, Meng,Bo, Hai Xin,et al. Secondhand smoking exposure and quality of life among pregnant and postnatal women: a network approach[J]. BMJ open,2022,12(9):e060635.
APA Yang, Yuan,Zhang, Meng,Bo, Hai Xin,Zhang, Dong Ying,Ma, Liang Kun,Wang, Pei Hong,Liu, Xiao Hua,Ge, Li Na,Lin, Wen Xuan,Xu, Yang,Zhang, Ya Lan,Li, Feng Juan,Xu, Xu Juan,Wu, Hong He,Jackson, Todd,Ungvari, Gabor S.,Cheung, Teris,Meng, Li Rong,&Xiang, Yu Tao.(2022).Secondhand smoking exposure and quality of life among pregnant and postnatal women: a network approach.BMJ open,12(9),e060635.
MLA Yang, Yuan,et al."Secondhand smoking exposure and quality of life among pregnant and postnatal women: a network approach".BMJ open 12.9(2022):e060635.
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