Characteristics of Mother Smoking : Analysis of Four Month Health Checkup Data in City A

Aシ　ボシ　ホケン　データ　ニ　オケル　ハハオヤ　ノ　キツエン　カンレン　ヨウイン　ヨンカゲツジ　ケンコウ　シンサ　ノ　データ　ブンセキ　ヨリ

オオタ, ヒロエ

Ota, Hiroe

岡本, 玲子

オカモト, レイコ

Okamoto, Reiko

オオサカ　ダイガク　ダイガクイン　イガクケイ　ケンキュウカ　ホケンガク　センコウ

喫煙

4ヵ月児健康診査

mother

smoking

four month health checkup

Original Articles

This study aimed to identify the determinants of smoking among mothers of babies aged approximately four months. We used data from four-month-old baby health checkups in City A, which were collected following an agreement between City A and the authors' affiliated university. The study was approved by the Ethics Committee at our affiliated university (approval No. 18420). Cross-tabulations, chi-square test, Fisher's exact test, and logistic regression were used to determine the relationship between maternal smoking and other covariates, including smoking by any family member and other items (such as alcohol use during pregnancy and baby's nutrition at one month of age) which were recorded during the four-month-old baby health checkup. Regardless of smoking habits during pregnancy or when the four-month health checkup occurred, three determinants demonstrated statistically significant differences between smoking mothers and nonsmoking mothers (p < 0.05); these included smoking by any family member, mothers who feed their babies with milk formula, and abusive childcare environment (or potentially abusive childcare environment). These findings suggest that smoking might be linked to child abuse and other lifestyle habits, making smoking cessation a starting point for a larger health behavior intervention. These results further reiterate the importance of preventing smoking and the need for continuous support, including family members, particularly among pregnant and child-rearing mothers. Support from the perspective of improving lifestyle may potentially be linked to the prevention of smoking and in turn, child abuse.

岡本, 玲子