Title :

Risk factors associated to tobacco and alcohol use in a large french cohort of pregnant women

Author(s) :

Lamy, Sandrine [Auteur]
Group Ramsay-générale de santé
Houivet, Estelle [Auteur]
Unité de Biostatistiques [CHU Rouen]
Marret, Stephane [Auteur]
Service de Pédiatrie Néonatale et Réanimation – Neuropédiatrie [CHU Rouen]
Hennart, Benjamin [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
IMPact de l'Environnement Chimique sur la Santé humaine (IMPECS) - ULR 4483
Delavenne, Heloise [Auteur]
Universidade Federal de Minas Gerais = Federal University of Minas Gerais [Belo Horizonte, Brazil] [UFMG]
Benichou, Jacques [Auteur]
Unité de Biostatistiques [CHU Rouen]
Allorge, Delphine [Auteur]
IMPact de l'Environnement Chimique sur la Santé humaine (IMPECS) - ULR 4483
Thibaut, Florence [Auteur]
Université Sorbonne Paris Cité [USPC]

Journal title :

Archives of women's mental health

Abbreviated title :

Arch Womens Ment Health

Volume number :

22

Pages :

267–277

Publisher :

Springer Link

Publication date :

2018-08-03

ISSN :

1435-1102

English keyword(s) :

Cotinine
Addiction severity index
Alcohol
Tobacco
Pregnancy
Ethylglucuronide

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Tobacco and/or alcohol use during pregnancy is a major public health concern. The aim of our study was to identify risk factors associated to maternal alcohol and tobacco use assessed by maternal self-reports combined with ...
Show more >Tobacco and/or alcohol use during pregnancy is a major public health concern. The aim of our study was to identify risk factors associated to maternal alcohol and tobacco use assessed by maternal self-reports combined with biological measurements in meconium samples of cotinine and ethylglucuronide which reflect fetal exposure to tobacco and alcohol, respectively, during the 3rd trimester of pregnancy. We conducted a prospective study in three maternity hospitals in a large urban area during consecutive weeks (2010 and 2011). Maternal sociodemographic and clinical characteristics were assessed after delivery, using the French version of the Addiction Severity Index. Cotinine and ethylglucuronide were measured in meconium samples. Seven hundred and twenty-four women were included, and 645 meconium samples collected. Using multivariate analyses, we found that not being married or having a smoking partner predicts maternal tobacco use. In contrast, a decreased risk was associated with higher education level and wanted pregnancy. The risk for alcohol use increased when the mother had been in conflict with any relative or her partner for a long time throughout her life, as well as in case of previous treatment for any mental or emotional disorder. Using multivariate analyses and cotinine presence in meconium samples, the risks were similar except for marital status, which was not associated to cotinine presence. Community education and prevention programs should urgently be improved for all women of childbearing age with a special focus on those with past histories of mental or emotional disorders and addictive disorders. Smoking cessation should be recommended to both parents.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Institut Pasteur de Lille
Université de Lille

Collections :

• IMPact de l'Environnement Chimique sur la Santé humaine (IMPECS) - ULR 4483

Submission date :

2022-02-02T10:23:56Z
2024-02-14T10:17:56Z