A Research On Passive Smoking Status And The Influencing Factors Of Pregnant Women In Urban Agglomeration On The Northern Slope Of Tianshan Mountains Of Xinjiang

Objective: To investigate the current passive smoking status and analysis related factors of pregnant women in urban agglomeration on northern slope of Tianshan Mountains and to provide a scientific basis for the improving of their health.Methods: From September 2014 to June 2015, after selecting 1249 pregnant women met the inclusion and exclusion criteria with the method of stratified sampling, binary logistic regression model was used to analysis of the influence factors of passive smoking. From June to August 2015, we conducted individual in-depth semi-structured interviews for the qualitative portion of this study, using one designated investigator(as well as a translator if required) in a private office. The quantitative data input Epi Data3.1database after qualified by the double, using SPSS 17.0 statistical software for data arrangement,description and analysis. The qualitative data use Colaizzi analysis methods.Results: 1. The rate of passive smoking was 54.6%, the rate of passive smoking in public places was the highest(40.9%), followed by working place(26.7%) and home(20.8%). Differences showed in the time of pregnant women’s second-hand smoke among different places. In condition the time of seond-hand smoking more than or equal to 1 hour a day, the highest ratio of 23.1% was at home comtrast to the lowest ratio of 6.2% in public places.2. About 78.4% pregnant women felt unwell when passive smoking. The overall level of knowledge score(21.68±2.73) among pregnant women, with each item of passive smoking knowledgewas more than 3points. The scores of the total score of second-hand smoke avoidance behavior was(25.1±5.3) which above the average.3. After binary logistic regression analysis, the results showed that passive smoking in pregnant women is mainly influenced by home smoking restrictions, husband to avoid smoking or not, knowledge of the hazard of pregnant women tobacco exposure, smoking behavior of relatives and friends, religious belief(P<0.05).4. Topics extracted from interviews with pregnant women include: pregnancy helped reduce passive smoking; perception that smoking is not dangerous; Chinese tobacco culture led to second-hand smoke;effects from husbands; avoidance without effect; religious belief helped to reduce second-hand smoke.Topics extracted from interviews with husbands include: pregnancy helped reduce smoking; more attention on wives’ health; avoided to smoke in front of wives; underestimated the hazards of passive smoking,dissatisfaction with smokers smoking next to their wives; a sense of guilt against doctrine.5. Topics extracted from interviews with imams include: Doctrine forbids smoking;Muslim were not allowed to smoke;Religion beliefs reduce passive smoking in pregnant women;socialization led to slight restriction in Muslim doctrine of tobacco use.Conclusion: 1. Passive smoking rate of pregnant women is high, the local ethnic and religious belief should be well applied on tobacco control activities, strengthen the supervision to public smoking control to protect the health of the pregnant women.2. The adequacy of Family resources which included advocacy, information and education, social resources, religious resources, affect the passive smoking status of pregnant women in urban agglomeration on northern slope of Tianshan Mountains.