Titre :
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Maternal cigarette smoking, regular use of multivitamin/mineral supplements, and risk of fetal death : The 1988 National Maternal and Infant Health Survey. (1998)
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Auteurs :
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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
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Type de document :
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Article
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Dans :
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American journal of epidemiology (vol. 148, n° 2, 1998)
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Pagination :
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215-221
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Langues:
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Anglais
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Mots-clés :
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Tabagisme
;
Mère
;
Supplémentation
;
Vitamine
;
Décès
;
Grossesse
;
Epidémiologie
;
Facteur risque
;
Foetus
;
Etats Unis
;
Amérique du Nord
;
Amérique
;
Foetopathie
;
Gestation [pathologie]
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Résumé :
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[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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