Advertisement

Canadian Journal of Public Health

, Volume 92, Issue 4, pp 272–275 | Cite as

Prématurité et petit poids à la naissance: les effets du tabagisme actif et passif durant la grossesse

  • Dalal BadlissiEmail author
  • André Guillemette
  • Anne Fadin
Article

Résumé

Parmi les facteurs de risque évitables associés au faible poids à la naissance et à la prématurité, le tabagisme demeure le facteur le plus fréquemment cité. Une étude a été réalisée dans un centre hospitalier du Québec afin de connaître la prévalence du tabagisme chez les femmes enceintes ainsi que l’exposition au tabagisme passif à domicile et au travail. L’enquête a été menée de 1997 à 1998.

Le pourcentage de femmes qui fumaient avant la grossesse se situe à 40,2 %; alors que celui des femmes qui ont fumé pendant la grossesse est de 37,3 %. L’analyse des caractéristiques des femmes enceintes fumeuses et non-fumeuses montre l’existence de fortes variations selon l’âge, la scolarité, le statut matrimonial et le revenu. Le risque relatif lié au tabagisme est de 1,54 pour la prématurité et de 2,21 pour le petit poids à la naissance.

Abstract

Among the risk factors inevitably associated with low birthweights and premature births, tobacco remains the factor most often cited. From 1997 to 1998, a study was conducted in a Quebec City hospital centre in order to determine the prevalence of smoking among pregnant women as well as their exposure to passive smoking at home and at work.

The percentage of women who smoke before pregnancy is 40.2%, while that of women who smoke during pregnancy is 37.3%. The analysis of characteristics of pregnant women who smoke and do not smoke shows strong variations according to age, education, matrimonial status and income. The relative risk linked to smoking is 1.54 for premature birth and 2.21 for low birthweight.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliographie

  1. 1.
    Stewart PJ, Potter J, Dulberg C, et al. Change in smoking prevalence among pregnant women 1982–93. Can J Public Health 1995;86(1):37–41.PubMedGoogle Scholar
  2. 2.
    Difranza JR, Lew RA. Effect of maternal cigarette smoking on pregnancy complications and sudden infant death syndrome. J Fam Pract 1995;40(4):385–394.PubMedGoogle Scholar
  3. 3.
    Jacobson JL, Jacobson SW, Sokol RJ, et al. Effects of alcohol use, smoking and illicit drug use on fetal growth in black infants. J Pediatrics 1994;124(5 Pt 1):757–764.CrossRefGoogle Scholar
  4. 4.
    Armstrong BG, McDonald AD, Sloan M. Cigarette, alcohol, and coffee consumption and spontaneous abortion. Am J Public Health 1992;82(1):85–87.CrossRefGoogle Scholar
  5. 5.
    Lieberman E, Gremy I, Lang JM, Cohen AP. Low birthweight at term and the timing of fetal exposure to maternal smoking. Am J Public Health 1994;84(7):1127–1131.CrossRefGoogle Scholar
  6. 6.
    Handler AS, Mason ED, Rosenberg DL, Davis FG. The relationship between exposure during pregnancy to cigarette smoking and cocaine use and placenta praevia. Am J Obstet Gynecol 1994;170(3):884–889.CrossRefGoogle Scholar
  7. 7.
    Castles A, Adams EK, Melvin CL, et al. Effects of smoking during pregnancy. Five meta-analyses. Am J Prev Med 1999;16(3):208–215.CrossRefGoogle Scholar
  8. 8.
    Mathai M, Vijayasri R, Babu S, Jeyaseelan L. Passive maternal smoking and birth weight in a south Indian population. Br J Obstet Gynecol 1992;99(4):342–343.CrossRefGoogle Scholar
  9. 9.
    Misra DP, Nguyen RHN. Environmental tobacco smoke and low birth weight: A hazard in the workplace? Environ Health Perspect 1999;107(6):897–903.CrossRefGoogle Scholar
  10. 10.
    Pageau M, Ferland M, Choinière R, Sauvageau Y. Indicateurs sociosanitaires: le Québec et ses régions. Québec, MSSS, 1997.Google Scholar
  11. 11.
    Prochaska JO, Diclemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychologist 1992;47(9):1102–1114.CrossRefGoogle Scholar
  12. 12.
    Browne AJ, Shultis JD, Thio-Watts M. Solution-focused appoaches to tobacco reduction with dis-advantaged prenatal clients. J Community Health Nurs 1999;16(3):165–177.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2001

Authors and Affiliations

  • Dalal Badlissi
    • 1
    Email author
  • André Guillemette
    • 2
  • Anne Fadin
    • 3
  1. 1.Direction de la santé publique de la Régie régionale de la santé et des services sociaux (RRSSS) de LanaudièreSt-Charles-BorroméeCanada
  2. 2.Direction de la santé publique de la RRSSS de LanaudièreCanada
  3. 3.CHUMCanada

Personalised recommendations