Perception of the risk of tobacco use in pregnancy and factors associated with tobacco use in rural areas of Myanmar

Abstract

INTRODUCTION Tobacco use is recognized as the most important preventable risk factor for pregnancy complications and undesirable fetal outcomes. This study examined the reported prevalence of tobacco use among married men and women residing in rural areas, and their knowledge on the risks of tobacco use during pregnancy and the factors associated with tobacco use. METHODS A cross-sectional study was conducted within 32 villages in the delta region of Myanmar, randomly selected through multistage sampling procedure by using a pre-tested structured questionnaire during 2016. In all, 617 people participated in the household survey. RESULTS About 80% of current smokers (109/128) smoked at home, of whom 16% reported the presence of a pregnant woman in their smoking area. Less than 25% of the respondents were aware of the negative impacts of tobacco use on pregnancy outcomes. Men had significantly lower perceived risk towards smoking on some pregnancy outcomes. Multivariate analysis confirmed the significant influence of male gender (adjusted OR, AOR=12.62; 95% CI: 6.30-25.29) and the age of women <35 years (AOR=3.51; 95% CI: 1.97-6.26) on current tobacco use, when controlling for other variables. CONCLUSIONS Men in the study villages and those with a low level of education had poor knowledge on the risks of tobacco on pregnancy outcomes. However, good knowledge and perceived risk of undesirable impacts on pregnancy did not have any influence on tobacco use.

Consideraciones para el diseño e implementación de las intervenciones para la cesación de consumo de tabaco, alcohol y cannabis en el embarazo. Un estudio cualitativo

“…La mayoría de embarazadas y parejas creen que la información por sí sola no es suficiente para la cesación. Aunque, al igual que en un estudio previo 20 , las mujeres denotan una baja percepción de riesgo asociado al consumo de estas sustancias durante el embarazo, lo que podría atribuirse a una falta de información o comunicación inadecuada de la misma. Las mujeres y parejas expresan su preferencia por información no focalizada en aspectos negativos del consumo.…”

Prevalence of knowledge and attitude about secondhand smoke among pregnant women attending antenatal care at Central Women’s hospital in Myanmar

“…-Cut-off points were based on the grading system used by Show K et al 12 Total scores for both knowledge and attitude ranged from 0 to 5 and a higher score above the median value indicated good knowledge and attitude towards SHS.…”

“…11 One study conducted in the Ayarwaddy Region of Myanmar stated that 16% of current smokers reported the presence of a pregnant woman in their smoking area. 12 Another study in Myanmar reported that SHS exposure at home is higher in females (57.8%) than in males (52.0%). As for the exposure at workplaces, there are 71.9% in males and 54.7% in females.…”

Prevalence of Secondhand Smoke and Its Associated Factors Among Pregnant Women Attending Antenatal Care at a Hospital in Yangon Region, Myanmar

“…13 One study conducted in the Ayarwaddy Region of Myanmar stated that 16% of current smokers reported the presence of a pregnant woman in their smoking area. 14 Another study in Myanmar reported that SHS exposure at home is higher in female (57.8%) than in male (52.0%) participants. As for the exposure at workplaces, there are 71.9% in male participants and 54.7% in female participants.…”