| Titre : | Maternal cigarette smoking, regular use of multivitamin/mineral supplements, and risk of fetal death : The 1988 National Maternal and Infant Health Survey. (1998) |
| Auteurs : | TIEJIAN WU . (.) ; G. BUCK ; P. MENDOLA ; Department of Social and Preventive Medicine. School of Medicine and Biomedical Science. State University of New York at Buffalo. Buffalo NY. USA |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 148, n° 2, 1998) |
| Pagination : | 215-221 |
| Langues: | Anglais |
| Mots-clés : | Tabagisme ; Mère ; Supplémentation ; Vitamine ; Décès ; Grossesse ; Epidémiologie ; Facteur risque ; Foetus ; Etats Unis ; Amérique du Nord ; Amérique ; Foetopathie ; Gestation [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST PdrUkR0x. Diffusion soumise à autorisation]. Data from the 1988 National Maternal and Infant Health Survey were used to examine whether regular use of multivitamin/mineral supplements could modify the relation between maternal smoking and fetal death. Maternal smoking was defined as the self-reported average number of cigarettes smoked after recognition of pregnancy. Regular supplement use was defined as use of multivitamin/mineral supplements for at least 3 days per week during the 3 months before and/or after recognition of pregnancy. The sample comprises 12,465 singleton pregnancies, including 9,402 livebirths and 3,063 fetal deaths. Odds ratios were derived from logistic regression analyses after adjustment for a number of demographic and reproductive variables. Major findings are that 1) smoking increased the risk of fetal death ; 2) regular supplement use either before or after recognition of pregnancy did not affect the risk of fetal death in the absence of matemal smoking ; 3) odds ratios for fetal death among smoking women who regularly used supplements were generally smaller than those for women who did not regularly use supplements but who smoked a comparable number of cigarettes ; and 4) a significant negative excess risk due to interaction was observed among women who regularly used supplements before recognition of pregnancy and smoked 20 or more cigarettes a day. (...) |
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