Community health assessment: Knowledge, attitude and practice of women regarding water-pipe smoking in Bandar Abbas

et al. 2020

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Background: Evidence regarding health effects of tobacco cessation during pregnancy is mainly restricted to cigarette while water pipe is the preferred method of tobacco smoking among women in the Middle-East. The present ‎study aimed to assess the effects of cessation of water pipe during pregnancy on ‎birth anthropometric measures in the south of Iran.Methods: Data on 1,120 singleton pregnancies (response rate=93.4%) from a population-based prospective cohort study in suburban communities in Bandar Abbas city was used. Based on water pipe ‎smoking status, the study subjects were categorized into: 1) those who never smoke water pipe ‎‎(never smoker); 2)those who stopped water pipe during pregnancy and resumed it postpartum (quitters); 3) those who continued smoking water pipe during their pregnancy (always smokers). The ‎Generalized Linear Models (GLMs) were utilized for the analyses.Results: Compared to never smokers, quitting water pipe in pregnancy decreased mean birthweight of infants by 99.30 ‎grams (β:-99.30, 95%CI:-204.35,-5.75‎) and an additional decrease of 37.83 grams occurred in infants of always smokers (β:-137.13‎;95%CI:-262.21,-‎‎12.05‎). Means of birth length ‎did not significantly differ among the three water pipe groups. Means of head ‎circumference, however, significantly increased by 0.79 centimeter in infants of always smokers (β:079,95%CI:0.13,1.45). ‎Conclusion: Quitting water pipe during pregnancy had positive effects on infant growth, especially birth weight. Awareness campaigns about health benefits of quitting water pipe during routine prenatal checkups and integration of active follow-up visits into prenatal care protocols for smoking mothers are provided.

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effect of quitting water pipe during pregnancy on Anthropometric measurements at birth: a population-based prospective cohort study in South of Iran

et al. 2020

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“…Encouragement to initiate prenatal healthcare services as soon as possible may assist pregnant women in making the decision to quit water pipe in pregnancy. Such awareness programs should pay special attention to pregnant women from disadvantaged socio-economic households, since our previous work showed that lower socio-economic status was strongly related to less knowledge and attitude about the adverse effects of water pipe smoking (3). In case of cigarette smoking, it has been shown that to achieve the same risk of growth restrictions as non-smoking mothers, quitting must be adopted before conception (9,10), although it is still efficient at earlier points during pregnancy (18).…”

Section: Discussionmentioning

confidence: 99%

“…Due to the well-established adverse effects of cigarette smoking on pregnancy outcomes (1), attention now has been shifted to other types of tobacco use, such as water-pipe smoking. The tradition of water pipe (also known as narghile, hookah, and shisha) dates back 400 years in Turkey, India, and Iran (2), and in spite of deleterious health effects, it is widely believed to be a less harmful form of tobacco consumption, and a safer alternative to cigarette smoking (3). In the south of Iran, reports have shown that approximately 8.0-14.0% of preg nant women use water pipe regularly (4,5).…”

Section: Introductionmentioning

confidence: 99%

The effect of quitting water pipe during pregnancy on Anthropometric measurements at birth: a population-based prospective cohort study in South of Iran

et al. 2020

Preprint

Self Cite

Background Evidence on health effects of tobacco cessation in pregnancy is mainly restricted to cigarette, while water pipe smoking is more prevalent among women in the Middle-East. The present ‎study aimed to assess the effects of cessation of water pipe during pregnancy on ‎birth anthropometric measures in South of Iran. Methods Data on 1,120 singleton pregnancies (response rate=93.4%) from a population-based prospective cohort study in suburban communities in Bandar Abbas city was used. Birth measures were used according to infant`s vaccination cards. Study subjects were categorized into three subgroups based on water pipe ‎smoking status during pregnancy, including: 1) mothers who never smoke water pipe ‎‎(never smoker); 2)mothers who stopped water pipe during pregnancy and resumed it postpartum (quitters); 3) mothers who continued smoking water pipe regardless ‎of their pregnancy (always smokers). ‎Generalized Linear Models (GLMs) were utilized for the analyses. Results Compared to never smokers, quitting water pipe in pregnancy would decrease mean birthweight by 99.30 ‎grams (β:-99.30, 95%CI:-204.35,-5.75‎); while an additional decrease by 37.83 grams would occur in always smokers (β:-137.13‎;95%CI:-262.21,-‎‎12.05‎). Mean birth length ‎did not significantly differ among the three water pipe groups. Mean head ‎circumference, however, would significantly increase by 0.79 centimeter in always smokers (β:079,95%CI:0.13,1.45). ‎ Conclusion Quitting water pipe during pregnancy had positive effects on infant growth, especially birth weight. Some suggestions are provided including integration of information on health benefits of quitting smoking into routine prenatal healthcare services and development of awareness programs to encourage smokers to quit early in pregnancy.

“…Due to the well-established adverse effects of cigarette smoking on pregnancy outcomes [1], attention now has been shifted to other types of tobacco use, such as water-pipe smoking. The tradition of water pipe (also known as narghile, hookah, and shisha) dates back 400 years in Turkey, India, and Iran [2] and it is widely believed to be a less harmful form of tobacco consumption and a safer alternative to cigarette smoking [3]. In the south of Iran, reports have shown that approximately 8.0-14.0% of pregnant women use water pipe regularly [4,5].…”

Section: Introductionmentioning

confidence: 99%

The effect of quitting water pipe during pregnancy on anthropometric measurements at birth: a population-based prospective cohort study in the south of Iran

BMC Pregnancy Childbirth

et al. 2020

Self Cite

Background: Evidence regarding health effects of tobacco cessation during pregnancy is mainly restricted to cigarette while water pipe is the preferred method of tobacco smoking among women in the Middle-East. The present study aimed to assess the effects of cessation of water pipe during pregnancy on birth anthropometric measures in the south of Iran. Methods: Data on 1120 singleton pregnancies (response rate = 93.4%) from a population-based prospective cohort study in suburban communities in Bandar Abbas city was used. Based on water pipe smoking status, the study subjects were categorized into: 1) those who never smoke water pipe (never smoker); 2) those who stopped water pipe during pregnancy and resumed it postpartum (quitters); 3) those who continued smoking water pipe during their pregnancy (always smokers). The Generalized Linear Models (GLMs) were utilized for the analyses. Results: Compared to never smokers, quitting water pipe in pregnancy decreased mean birthweight of infants by 99.30 g (β:-99.30, 95%CI:-204.35,-5.75) and an additional decrease of 37.83 g occurred in infants of always smokers (β:-137.13;95%CI:− 262.21,-12.05). Means of birth length did not significantly differ among the three water pipe groups. Means of head circumference, however, significantly increased by 0.79 cm in infants of always smokers (β: 079,95%CI:0.13,1.45). Conclusion: Quitting water pipe during pregnancy had positive effects on infant growth, especially birth weight. Awareness campaigns about health benefits of quitting water pipe during routine prenatal checkups and integration of active follow-up visits into prenatal care protocols for smoking mothers are provided.