摘要
目的了解安徽省合肥市、芜湖市、马鞍山市妇女孕前家用化学品的使用情况，探讨其影响因素。方法选择2008年10月-2010年10月在安徽省三市妇幼保健部门进行首次孕产期保健体检、调查资料完整的13090名妇女为研究对象。采用有序结果Logistic回归模型分析妇女孕前半年家用化学品使用情况的影响因素。结果妇女孕前半年美白霜的使用率最高，有19．5％的人每天都使用；其他家用化学品的使用率较低。多因素有序结果Logistic回归表明，与孕前使用家用化学品有关的因素包括：孕妇年龄≤24岁（OR=I．401，95％CI：1．247～1．571）、孕妇年龄25～29岁（OR：1．198，95％Chl．088~1．320）、孕前体质指数（BMI）〈18．5kg／m。（OR=2．004，95％CI：1．684—2．482）、孕前BMI为18．5～24．99kg／m。（OR=1．664，95％CI：1．383～2．002）、孕妇文化程度为初中及以下（OR=0．868，95％CI：0．773—0．975）、所在城市为芜湖（OR=1．252，95％CI：1．142～1．374）、有妇科感染史（OR=I．305，95％CI：1．207～1．411）、孕前半年服用过避孕药（OR=1．562，95％CI：1．390～1．756）、有吸烟史（OR=I．305，95％CI：1．082—1．573）、有饮酒史（OR=2．234，95％CI：1．872～2．670）、服用或注射过药物（OR=I．452，95％CI：1．347～1．564）。结论芜湖市的家用化学品使用率高于合肥、马鞍山；孕妇低龄、孕前低BMI、孕妇较高的文化程度、有妇科感染史、孕前半年服用过避孕药、有吸烟史、有饮酒史、服用或注射过药物是妇女孕前使用家用化学品的正向关联因素。
Objective To know the usage of household chemicals of three cities in Anhui province and explore the factors associated with the use of these products. Methods A total of 13 090 women of childbearing age who firstly received prenatal care with complete survey data were recruited as the study participants from Oct. 2008 to Oct. 2010 in three maternal and child health centers of Hefei, Wuhu, and Maanshan. Ordinal Logistic regression model was applied to identify risk factors for using household chemicals. Results Whitening cream was the most frequently used during pre-pregnancy, while the other household chemicals were rarely used. Maternal education level-junior high school or lower （OR =0.868, 95% CI： 0.773-0.975） was reversely associated with the use of household chemicals. Positive associated factors for using these products included pregnant women age〈24 years （OR=l.401, 95%CI： 1.247-1.571）, pregnant women age at 25-29 years （OR=1.198, 95%CI： 1.088- 1.320）, pre-pregnancy BMI〈18.5 kg/m2 （OR=2.004, 95%CI： 1.684-2.482）, pre-pregnancy BMI at 18.5-24.99 kg/mz （OR= 1.664, 95%CI： 1.383-2.002）, the city of Wuhu （OR=1.252, 95%CI： 1.142-1.374）, maternal history of gynecological infections （OR=1.305, 95%CI： 1.207-1.411）, six months before pregnancy with a history of taking contraceptives （OR =1.562, 95% CI： 1.390-1.756）, history of smoking （OR=1.305, 95%CI： 1.082-1.573）, history of drinking （OR=2.234, 95%CI： 1.872-2.670）, history of taking or injecting drugs （OR=1.452, 95%CI： 1.347-1.564）. Conclusion Pregnant women with lower age, higher education level, pre-pregnancy low BMI, maternal history of gynecological infections, six months before pregnancy with a history of taking contraceptives, history of smoking, history of drinking, history of taking or injecting drugs are positively associated factors for using these products.
出处
《环境与健康杂志》
CAS
CSCD
北大核心
2013年第9期786-789,共4页
Journal of Environment and Health
基金
国家"十一五"科技支撑计划(2006BAI05A03)
