兰州大学机构库
Paternal smoking and preterm birth: a population-based retrospective cohort study among non-smoking women aged 20-49 years in rural China
2022-03-24
Source PublicationREPRODUCTIVE HEALTH   Impact Factor & Quartile Of Published Year  The Latest Impact Factor & Quartile
EISSN1742-4755
Volume19Issue:1
page numbers10
AbstractPlain language summary Preterm birth (PTB) is the leading cause of neonatal morbidity and mortality, as well as other system immaturity problem. But as one of important environmental tobacco smoking sources of maternal secondhand smoking in the family, paternal smoking is worthy for deep exploring of its potential impacts on PTB. Moreover, evidence on the independent role of preconception paternal smoking is still lacking. Thus, we conducted a population-based retrospective cohort study to evaluate the association between paternal smoking and risk of PTB among among 5,298,043 reproductive-aged couples who participated in the National Free Pre-Pregnancy Checkups Project (NFPCP), regarding outcome events that occurred in 2010-2016. We found a significant association between paternal smoking and PTB. Smoking reduction should not only be advised to pregnant women but also to their partners to reduce PTB in their fetal. In addition, supporting patients to continue smoking reduction will be crucial when considering the adverse health outcome of smoking. Intervention of tobacco use before and during pregnancy, are critical for prevention of PTB. Avoiding both maternal and paternal smoking during pregnancy will benefit the developing fetus. Background To comprehensively evaluate the association of paternal smoking and preterm birth (PTB). Methods We performed a population-based retrospective cohort study in rural areas of China among 5,298,043 reproductive-aged couples who participated in the National Free Pre-Pregnancy Checkups Project (NFPCP), regarding outcome events that occurred in 2010-2016. Multivariate Cox proportional regression was used to estimate hazard ratio (HR) and 95% confident intervals (95%CI), and restricted cubic spline (RCS) were used to estimate the dose-response relationship. Results Compared to neither-smoker couples, the fully adjusted HR for PTB was 1.04 (95% CI, 1.03-1.04), 1.08 (0.96-1.22), and 1.11 (1.03-1.19) in the couples where only the female smoked, only the male smoked and both, respectively. HR of PTB for paternal smoking was 1.07 (1.06-1.07), compared with women without paternal smoking. Consistent with paternal smoking, preconception paternal smoking showed 1.07-fold higher risk of PTB (95%CI, 1.06-1.09). The multivariable-adjusted HRs of PTB were 1.05 (1.03-1.06), 1.04 (1.03-1.05), 1.05 (1.04-1.07), 1.07 (1.05-1.10) and 1.13 (1.12-1.14) for participants whose husband smoked 1-4, 5-9, 10-14, 15-19, and >= 20 cigarettes/day respectively, compared with participants without paternal smoking. The HRs of PTB also increased with the increment of paternal smoking and preconception paternal smoking categories (P-linear < 0.05). Conclusions Paternal smoking and preconception paternal smoking was independently positively associated with PTB risk. The importance of tobacco control, should be emphasized during preconception and pregnancy counselling should be towards not only women but also their husband.
KeywordTobacco smoking Paternal smoking Preconception Preterm birth
PublisherBMC
DOI10.1186/s12978-022-01378-x
Indexed BySCIE ; SSCI
Language英语
WOS Research AreaPublic, Environmental & Occupational Health
WOS SubjectPublic, Environmental & Occupational Health
WOS IDWOS:000772817400003
Original Document TypeArticle
PMID 3533128
Citation statistics
Document Type期刊论文
Identifierhttps://ir.lzu.edu.cn/handle/262010/476921
Collection兰州大学
公共卫生学院
Corresponding AuthorYang, Ying; Ma, Xu
Affiliation
1.Natl Res Inst Family Planning, 12 Dahuisi Rd, Beijing 100081, Peoples R China;
2.Union Med Coll, Grad Sch Peking, 9 Dong Dan San Tiao, Beijing 100005, Peoples R China;
3.Lanzhou Univ, Sch Publ Hlth, Inst Epidemiol & Stat, Lanzhou 730000, Gansu, Peoples R China;
4.Natl Human Genet Resources Ctr, 12 Dahuisi Rd, Beijing 100081, Peoples R China;
5.Chinese Acad Med Sci & Peking Union Med Coll, Fuwai Hosp, Natl Ctr Cardiovasc Dis, Dept Epidemiol, 167 Beilishi Rd, Beijing 100037, Peoples R China;
6.Natl Hlth & Family Planning Commiss PRC, Dept Maternal & Child Hlth, 1 Xizhimenwai Rd South, Beijing 100044, Peoples R China
First Author AffilicationSchool of Public health
Recommended Citation
GB/T 7714
Wang, Long,Deng, Yuzhi,Yang, Ying,et al. Paternal smoking and preterm birth: a population-based retrospective cohort study among non-smoking women aged 20-49 years in rural China[J]. REPRODUCTIVE HEALTH,2022,19(1).
APA Wang, Long.,Deng, Yuzhi.,Yang, Ying.,Liu, Fangchao.,Xu, Qin.,...&Ma, Xu.(2022).Paternal smoking and preterm birth: a population-based retrospective cohort study among non-smoking women aged 20-49 years in rural China.REPRODUCTIVE HEALTH,19(1).
MLA Wang, Long,et al."Paternal smoking and preterm birth: a population-based retrospective cohort study among non-smoking women aged 20-49 years in rural China".REPRODUCTIVE HEALTH 19.1(2022).
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