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Stressful Events and Continued Smoking and Continued Alcohol Consumption during Mid-Pregnancy

AIM: to examine whether the severity of different categories of stressful events is associated with continued smoking and alcohol consumption during mid-pregnancy. Also, we explored the explanation of these associations by anxiety and depressive symptoms during pregnancy. Finally, we studied whether...

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Autores principales: Beijers, Chantal, Ormel, Johan, Meijer, Judith L., Verbeek, Tjitte, Bockting, Claudi L. H., Burger, Huibert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3896477/
https://www.ncbi.nlm.nih.gov/pubmed/24466052
http://dx.doi.org/10.1371/journal.pone.0086359
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author Beijers, Chantal
Ormel, Johan
Meijer, Judith L.
Verbeek, Tjitte
Bockting, Claudi L. H.
Burger, Huibert
author_facet Beijers, Chantal
Ormel, Johan
Meijer, Judith L.
Verbeek, Tjitte
Bockting, Claudi L. H.
Burger, Huibert
author_sort Beijers, Chantal
collection PubMed
description AIM: to examine whether the severity of different categories of stressful events is associated with continued smoking and alcohol consumption during mid-pregnancy. Also, we explored the explanation of these associations by anxiety and depressive symptoms during pregnancy. Finally, we studied whether the severity of stressful events was associated with the amount of cigarettes and alcohol used by continued users. METHOD: we conducted a cross-sectional analysis using data from a population-based prospective cohort study. Pregnant women were recruited via midwifery practices throughout The Netherlands. We analyzed women who continued smoking (n = 113) or quit (n = 290), and women who continued alcohol consumption (n = 124) or quit (n = 1403) during pregnancy. Smoking, alcohol consumption, and perceived severity of stressful events were measured at 19 weeks of gestation. The State Trait Anxiety Inventory and the Edinburgh Postnatal Depression Scale were filled out at 14 weeks of gestation. Odds ratios were calculated as association measures and indicated the relative increase for the odds of continuation of smoking and alcohol consumption for the maximum severity score compared to the minimum score. FINDINGS: severity of the following stressful event categories was associated with continued alcohol consumption: ‘conflict with loved ones’ (OR = 10.4, p<0.01), ‘crime related’ (OR = 35.7, p<0.05), ‘pregnancy-specific’ (OR = 13.4, p<0.05), and the total including all events (OR = 17.2, p<0.05). Adjustment for potential confounders (age, parity and educational level) did not notably change the estimates. There was no association of anxiety and depressive symptoms with continued smoking or alcohol consumption. No associations emerged for continued smoking and severity of stressful events. The amount of cigarettes and alcohol consumption among continued users was not associated with severity of stressful events. CONCLUSIONS: Our findings may be relevant for health care providers, in particular midwives and general practitioners. The impact of stressful events may be considered when advising pregnant women on smoking and alcohol consumption.
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spelling pubmed-38964772014-01-24 Stressful Events and Continued Smoking and Continued Alcohol Consumption during Mid-Pregnancy Beijers, Chantal Ormel, Johan Meijer, Judith L. Verbeek, Tjitte Bockting, Claudi L. H. Burger, Huibert PLoS One Research Article AIM: to examine whether the severity of different categories of stressful events is associated with continued smoking and alcohol consumption during mid-pregnancy. Also, we explored the explanation of these associations by anxiety and depressive symptoms during pregnancy. Finally, we studied whether the severity of stressful events was associated with the amount of cigarettes and alcohol used by continued users. METHOD: we conducted a cross-sectional analysis using data from a population-based prospective cohort study. Pregnant women were recruited via midwifery practices throughout The Netherlands. We analyzed women who continued smoking (n = 113) or quit (n = 290), and women who continued alcohol consumption (n = 124) or quit (n = 1403) during pregnancy. Smoking, alcohol consumption, and perceived severity of stressful events were measured at 19 weeks of gestation. The State Trait Anxiety Inventory and the Edinburgh Postnatal Depression Scale were filled out at 14 weeks of gestation. Odds ratios were calculated as association measures and indicated the relative increase for the odds of continuation of smoking and alcohol consumption for the maximum severity score compared to the minimum score. FINDINGS: severity of the following stressful event categories was associated with continued alcohol consumption: ‘conflict with loved ones’ (OR = 10.4, p<0.01), ‘crime related’ (OR = 35.7, p<0.05), ‘pregnancy-specific’ (OR = 13.4, p<0.05), and the total including all events (OR = 17.2, p<0.05). Adjustment for potential confounders (age, parity and educational level) did not notably change the estimates. There was no association of anxiety and depressive symptoms with continued smoking or alcohol consumption. No associations emerged for continued smoking and severity of stressful events. The amount of cigarettes and alcohol consumption among continued users was not associated with severity of stressful events. CONCLUSIONS: Our findings may be relevant for health care providers, in particular midwives and general practitioners. The impact of stressful events may be considered when advising pregnant women on smoking and alcohol consumption. Public Library of Science 2014-01-20 /pmc/articles/PMC3896477/ /pubmed/24466052 http://dx.doi.org/10.1371/journal.pone.0086359 Text en © 2014 Beijers et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Beijers, Chantal
Ormel, Johan
Meijer, Judith L.
Verbeek, Tjitte
Bockting, Claudi L. H.
Burger, Huibert
Stressful Events and Continued Smoking and Continued Alcohol Consumption during Mid-Pregnancy
title Stressful Events and Continued Smoking and Continued Alcohol Consumption during Mid-Pregnancy
title_full Stressful Events and Continued Smoking and Continued Alcohol Consumption during Mid-Pregnancy
title_fullStr Stressful Events and Continued Smoking and Continued Alcohol Consumption during Mid-Pregnancy
title_full_unstemmed Stressful Events and Continued Smoking and Continued Alcohol Consumption during Mid-Pregnancy
title_short Stressful Events and Continued Smoking and Continued Alcohol Consumption during Mid-Pregnancy
title_sort stressful events and continued smoking and continued alcohol consumption during mid-pregnancy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3896477/
https://www.ncbi.nlm.nih.gov/pubmed/24466052
http://dx.doi.org/10.1371/journal.pone.0086359
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