Preventing Chronic Disease | Exposure to Secondhand Tobacco Smoke and Interventions Among Pregnant Women in China: A Systematic Review - CDC

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Preventing Chronic Disease | Exposure to Secondhand Tobacco Smoke and Interventions Among Pregnant Women in China: A Systematic Review - CDC

Exposure to Secondhand Tobacco Smoke and Interventions Among Pregnant Women in China: A Systematic Review

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• Abstract
• Introduction
• Methods
• Results
• Discussion
• Acknowledgments
• Author Information
• References
• Tables

Liying Zhang, PhD; Jason Hsia, PhD; Xiaoming Tu, PhD; Yang Xia, PhD; Lihong Zhang, MS; Zhenqiang Bi, MD, PhD; Hongyan Liu, MD, PhD; Xiaoming Li, PhD; Bonita Stanton, MD

Suggested citation for this article: Zhang L, Hsia J, Tu X, Xia Y, Zhang L, Bi Z, et al. Exposure to Secondhand Tobacco Smoke and Interventions Among Pregnant Women in China: A Systematic Review. Prev Chronic Dis 2015;12:140377. DOI:http://dx.doi.org/10.5888/pcd12.140377.

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Abstract

Introduction
Smoking prevalence is high among men in China. One result is that a large number of nonsmoking Chinese women may be exposed daily to secondhand smoke (SHS). Exposure is particularly problematic for pregnant women because of potential adverse reproductive effects. To determine the extent of this exposure and to summarize existing intervention studies designed to reduce SHS exposure in China, a systematic review of the literature published from 1995 through 2012 was conducted.

Methods
We searched the PubMed and Wanfang databases for studies published from 1995 through 2012 using various search terms including SHS, pregnant women, and China. Only articles on prevalence of SHS exposure and interventions to reduce exposure to SHS were selected.

Results
We identified 132 studies during the initial searches. Eight of 13 eligible studies reported the prevalence of SHS exposure among pregnant women; estimates ranged from 38.9% to 75.1%. Few SHS prevention interventions among pregnant women in China have been studied; we found only 5 such studies. The interventions primarily focused on changing husbands’ smoking behaviors; some interventions focused on women’s avoidance behaviors.

Conclusion
Prevalence of exposure to SHS among pregnant women is high in China. Information is limited on effective interventions to protect pregnant women from exposure. The results of this review can provide the basis for the design and evaluation of interventions to help pregnant women avoid SHS exposure.

Acknowledgments

The authors thank Dr Lucinda England for her suggestions and input. We received no financial support for the work described in this article. This work was exempt from institutional review board review. The findings and conclusions are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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Author Information

Corresponding Author: Liying Zhang, PhD, Wayne State University School of Medicine, 4707 Saint Antoine St, Hutzel Building, W534, Bin No. 502, Detroit, MI 48201-2196. Telephone: 313-745-8663. Email: lzhan@med.wayne.edu.

Xiaoming Li, Bonita Stanton, Pediatrics Prevention Research Center, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan; Xiaoming Tu, School of Public Health, Nanjing Medical University, Nanjing, China; Jason Hsia, Yang Xia, Centers for Disease Control and Prevention, Atlanta, Georgia; Lihong Zhang, Shandong Provincial Key Laboratory for Reproductive Genetics and Reproductive Technologies, Jinan, China; Zhenqiang Bi, Shandong Provincial Center for Disease Control and Prevention, Jinan, China; Hongyan Liu, National Health and Family Planning Commission of China, Beijing, China.

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