Abstract
Amaç: Bu çalışmanın amacı, gebelik döneminde annelerin sigara, elektronik sigara ve
nargile kullanımı ile tütün ürünlerine maruz kalma durumunu ve bu konuda oluşan
farkındalık düzeylerini belirleyerek, risk faktörlerini ve çevresel etkileri değerlendirmektir.
Gereç ve Yöntem: Tek merkezli, kesitsel ve multidisipliner anket çalışmasına, gebeliği
belgelenen, kadın gönüllüler dahil edilmiştir. Yüz yüze veya çevrimiçi uygulanan anonim
anket; demografik bilgiler, tütün kullanımı alışkanlıkları ve farkındalık düzeylerini içermiş,
veriler SPSS programı kullanılarak istatistiksel olarak analiz edilmiştir.
Bulgular: Çalışmaya katılan 160 gönüllünün yaş ortalaması 30,2±4,1 olup; %65’i ilk
gebelik, %35’i daha önce doğum yapmıştır. Sigara kullanımı açısından, %33,8’inde sigara
öyküsü bulunduğu, bu grubun yarısının gebelik öğrenildikten sonra sigarayı bıraktığı,
%15’inin ise kullanmaya devam ettiği belirlendi. Elektronik sigara kullanan gebe
bulunmazken, iki kişinin nargile kullandığı saptandı. Aktif sigara içenlerin sigara zararlarına
dair bilgi düzeyi, sigara öyküsü olmayanlara kıyasla anlamlı derecede yüksekti (p:0,038).
Ayrıca, çevresinde sigara kullananların varlığı, sigara öyküsü olanlarda daha yüksekti
(p:0,001). Gebelik öğrenildikten sonra sigarayı bırakanlarda sağlık çalışanlarından sigara
bırakma önerisi alma oranı, bırakmayanlara göre anlamlı derecede daha düşük bulundu
(p:0,038).
Sonuç: Elde edilen veriler, gebelikte tütün kullanımının yaygınlığını ve bilgi–uygulama
arasındaki farklılıkları göstermekte; anne ve bebek sağlığını korumaya yönelik müdahale
stratejilerinin geliştirilmesinin gerekliliğini ortaya koymaktadır. Bu sonuçlar, toplum sağlığı
açısından önem taşımakta, çalışmalar için temel oluşturur.
Keywords
Ethical Statement
Etik Kurul Onay formu eklenmiştir.
Supporting Institution
Yok
Thanks
Teşekkür ederim
References
- 1. Bauld, L. & Oncken, C. Smoking in pregnancy: An ongoing challenge. Nicotine and Tobacco Research vol. 19 495–496 Preprint at https://doi.org/10.1093/ntr/ntx034 (2017).
- 2. Kim, S. Changes in Multiple and Different Tobacco Product Use Behaviors in Women Before and During Pregnancy: An Analysis of Longitudinal Population Assessment of Tobacco and Health Data. Am J Prev Med 59, 588–592 (2020).
- 3. Small, S., Brennan-Hunter, A., Yi, Y. & Porr, C. The Understanding of Maternal Smoking among Women who were Smoking or had Quit Smoking during Pregnancy. Canadian Journal of Nursing Research 55, 250–261 (2023).
- 4. McDonnell, B. P., Dicker, P. & Regan, C. L. Electronic cigarettes and obstetric outcomes: a prospective observational study. BJOG 127, 750–756 (2020).
- 5. Çınar, N., Topal, S. & Altınkaynak, S. Gebelikte Sigara Kullanımı ve Pasif İçiciliğin Fetüs ve Yenidoğan Sağlığı Üzerine Etkileri. https://dergipark.org.tr/en/pub/johr/issue/10026/123723#article_cite (2015).
- 6. Coleman, B. N. et al. Association between electronic cigarette use and openness to cigarette smoking among US young adults. Nicotine and Tobacco Research 17, 212–218 (2015).
- 7. Wagner, N. J., Camerota, M. & Propper, C. Prevalence and Perceptions of Electronic Cigarette Use during Pregnancy. Matern Child Health J 21, 1655–1661 (2017).
- 8. Cohn, A. M. et al. Birth Outcomes Associated with E-Cigarette and Non-ECigarette Tobacco Product Use during Pregnancy: An Examination of PATH Data Waves 1-5. Nicotine and Tobacco Research 25, 444–452 (2023).
- 9. Farsalinos, K. E., Romagna, G., Tsiapras, D., Kyrzopoulos, S. & Voudris, V. Characteristics, perceived side effects and benefits of electronic cigarette use: A worldwide survey of more than 19,000 consumers. Int J Environ Res Public Health 11, 4356–4373 (2014).
- 10. Kurti, A. N. et al. Examining the relationship between pregnancy and quitting use of tobacco products in a U.S. national sample of women of reproductive age. Prev Med (Baltim) 117, 52–60 (2018).
- 11. Kapaya, M. et al. Use of Electronic Vapor Products Before, During, and After Pregnancy Among Women with a Recent Live Birth — Oklahoma and Texas, 2015. MMWR Morb Mortal Wkly Rep 68, 189–194 (2019).
- 12. El-Shahawy, O. et al. Exclusive and dual cigarette and hookah smoking is associated with adverse perinatal outcomes among pregnant women in cairo, Egypt. Int J Environ Res Public Health 18, (2021).
Abstract
Aim: The aim of this study is to determine the usage of cigarettes, electronic cigarettes, and
hookah, as well as the exposure to tobacco products during pregnancy, and to assess the
corresponding awareness levels in order to elucidate the associated risk factors and
environmental influences.
Materials and Methods: In this single-center, cross-sectional, multidisciplinary survey
study, pregnant female volunteers with confirmed pregnancies were included. An
anonymous questionnaire, administered either face-to-face or online, collected demographic
information, tobacco use habits, and awareness levels. The data were statistically analyzed
using the SPSS program.
Results: The 160 volunteers had a mean age of 30.2 ± 4.1 years; 65% were experiencing
their first pregnancy, while 35% had previously given birth. Regarding cigarette use, 33.8%
had a smoking history; within this group, half quit after learning of their pregnancy, and 15%
continued smoking. No pregnant women were found to use electronic cigarettes, whereas
two used hookah. The knowledge level concerning the harms of smoking was significantly
higher among active smokers compared to those without a smoking history (p=0.038).
Additionally, the presence of smokers in their surroundings was significantly higher among
those with a smoking history (p=0.001). Furthermore, the rate of receiving advice from
healthcare professionals to quit smoking was significantly lower in women who quit after
learning of their pregnancy compared to those who continued smoking (p=0.038).
Conclusion: The findings demonstrate the prevalence of tobacco use during pregnancy and
the discrepancy between knowledge and practice, underscoring the necessity to develop
intervention strategies to protect maternal and infant health. These results hold significant
public health implications and serve as a foundation for future research.
References
- 1. Bauld, L. & Oncken, C. Smoking in pregnancy: An ongoing challenge. Nicotine and Tobacco Research vol. 19 495–496 Preprint at https://doi.org/10.1093/ntr/ntx034 (2017).
- 2. Kim, S. Changes in Multiple and Different Tobacco Product Use Behaviors in Women Before and During Pregnancy: An Analysis of Longitudinal Population Assessment of Tobacco and Health Data. Am J Prev Med 59, 588–592 (2020).
- 3. Small, S., Brennan-Hunter, A., Yi, Y. & Porr, C. The Understanding of Maternal Smoking among Women who were Smoking or had Quit Smoking during Pregnancy. Canadian Journal of Nursing Research 55, 250–261 (2023).
- 4. McDonnell, B. P., Dicker, P. & Regan, C. L. Electronic cigarettes and obstetric outcomes: a prospective observational study. BJOG 127, 750–756 (2020).
- 5. Çınar, N., Topal, S. & Altınkaynak, S. Gebelikte Sigara Kullanımı ve Pasif İçiciliğin Fetüs ve Yenidoğan Sağlığı Üzerine Etkileri. https://dergipark.org.tr/en/pub/johr/issue/10026/123723#article_cite (2015).
- 6. Coleman, B. N. et al. Association between electronic cigarette use and openness to cigarette smoking among US young adults. Nicotine and Tobacco Research 17, 212–218 (2015).
- 7. Wagner, N. J., Camerota, M. & Propper, C. Prevalence and Perceptions of Electronic Cigarette Use during Pregnancy. Matern Child Health J 21, 1655–1661 (2017).
- 8. Cohn, A. M. et al. Birth Outcomes Associated with E-Cigarette and Non-ECigarette Tobacco Product Use during Pregnancy: An Examination of PATH Data Waves 1-5. Nicotine and Tobacco Research 25, 444–452 (2023).
- 9. Farsalinos, K. E., Romagna, G., Tsiapras, D., Kyrzopoulos, S. & Voudris, V. Characteristics, perceived side effects and benefits of electronic cigarette use: A worldwide survey of more than 19,000 consumers. Int J Environ Res Public Health 11, 4356–4373 (2014).
- 10. Kurti, A. N. et al. Examining the relationship between pregnancy and quitting use of tobacco products in a U.S. national sample of women of reproductive age. Prev Med (Baltim) 117, 52–60 (2018).
- 11. Kapaya, M. et al. Use of Electronic Vapor Products Before, During, and After Pregnancy Among Women with a Recent Live Birth — Oklahoma and Texas, 2015. MMWR Morb Mortal Wkly Rep 68, 189–194 (2019).
- 12. El-Shahawy, O. et al. Exclusive and dual cigarette and hookah smoking is associated with adverse perinatal outcomes among pregnant women in cairo, Egypt. Int J Environ Res Public Health 18, (2021).
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Chest Diseases |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | July 14, 2025 |
| Submission Date | March 13, 2025 |
| Acceptance Date | April 22, 2025 |
| Published in Issue | Year 2025 Volume: 1 Issue: 1 |
Bu çalışma CC BY-NC-SA 4.0 kapsamında lisanslanmıştır . Bu lisansın bir kopyasını görüntülemek için http://creativecommons.org/licenses/by-nc-sa/4.0/ adresini ziyaret edin. 
