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array:23 [ "pii" => "S0025775300712188" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71218-8" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71218" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2000" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;114:132-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4763 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 4593 "PDF" => 164 ] ] "itemSiguiente" => array:18 [ "pii" => "S002577530071219X" "issn" => "00257753" "doi" => "10.1016/S0025-7753(00)71219-X" "estado" => "S300" "fechaPublicacion" => "2000-01-01" "aid" => "71219" "copyright" => "Elsevier España, S.L." 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"apellidos" => "Pajuelo" ] 3 => array:2 [ "nombre" => "Carmen" "apellidos" => "Martínez Chamorro" ] 4 => array:2 [ "nombre" => "José M<span class="elsevierStyleSup">a</span>" "apellidos" => "Fernández Rañada." ] ] ] 1 => array:2 [ "autoresLista" => "Agustín Acevedo, Guillermo Pérez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Agustín" "apellidos" => "Acevedo" ] 1 => array:2 [ "nombre" => "Guillermo" "apellidos" => "Pérez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300712176?idApp=UINPBA00004N" "url" => "/00257753/0000011400000004/v1_201307291355/S0025775300712176/v1_201307291355/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Factores determinantes del abandono del tabaquismo durante el embarazo" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "132" "paginaFinal" => "135" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mireia Jané, Manuel Nebot, Margarita Badí, Bernardo Berjano, Maribel Muñoz, M. Carmen Rodríguez, Àlex Querol, y Luis Cabero" "autores" => array:8 [ 0 => array:3 [ "nombre" => "Mireia" "apellidos" => "Jané" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Manuel" "apellidos" => "Nebot" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] 2 => array:3 [ "nombre" => "Margarita" "apellidos" => "Badí" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] 3 => array:3 [ "nombre" => "Bernardo" "apellidos" => "Berjano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] 4 => array:3 [ "nombre" => "Maribel" "apellidos" => "Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] ] ] 5 => array:3 [ "nombre" => "M. Carmen" "apellidos" => "Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] 6 => array:3 [ "nombre" => "Àlex" "apellidos" => "Querol" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] 7 => array:3 [ "nombre" => "y Luis" "apellidos" => "Cabero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Servicio de Promoción de la Salud. Instituto Municipal de Salud Pública de Barcelona</span>" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff00005" ] 1 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Departamento de Obstetricia y Ginecología. Hospital Universitario Vall d'Hebron de Barcelona</span>" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff00010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio Promoción de la Salud. Instituto Municipal de Salud Pública. Plaza Lesseps, 1. 08023 Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Determinant factors of smoking cessation during pregnancy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-07-16" "fechaAceptado" => "1999-10-14" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec220515" "palabras" => array:5 [ 0 => "Tabaquismo" 1 => "Embarazo" 2 => "Factores sociodemográficos" 3 => "Hábito tabáquico" 4 => "Cesación del hábito tabáquico" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estudiar los factores sociodemográficos y las características del hábito tabáquicoque se asocian al abandono espontáneo del tabaquismo durante el embarazo.</p> <span class="elsevierStyleSectionTitle">Población y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal en el que se incluyeron un total de 726 mujeres embarazadasfumadoras, que acudieron al Dispensario General de Obstetricia del Hospital UniversitarioVall d'Hebron de Barcelona, durante los meses de julio a diciembre de 1997 y que accedierona participar en el estudio. La información se recogió mediante un cuestionarioestructurado que incluía ítems relacionados con las características sociodemográficas de lasmujeres, como la edad, el nivel de estudios y el estado civil, además de datos relativos al consumode tabaco previo y actual, al hábito tabáquico de su pareja y a su actitud ante el consumode tabaco por parte de la mujer.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Al realizar la primera visita obstétrica, el 19,7% de las mujeres había dejado de fumarespontáneamente. El hecho de fumar poco (entre 1 y 9 cigarrillos diarios; OR = 4,74) omoderadamente (entre 10 y 19 cigarrillos diarios; OR = 2,20) favorece el abandono en comparacióncon el hecho de fumar más de 20 cigarrillos al día. La probabilidad de que las mujeresembarazadas dejen de fumar aumenta si la pareja no fuma (OR = 1,78). En el momento delprimer contacto con el obstetra, se produce una significativa reducción espontánea del númerode cigarrillos diarios consumidos por las que siguen fumando de prácticamente la mitad de lohabitual.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Una quinta parte de las mujeres embarazadas dejan de fumar espontáneamente,desde que descubren que están embarazadas hasta que acuden al médico. Las mujeres conmás dificultad para dejar de fumar son aquellas que consumen un mayor número de cigarrillosantes del embarazo. El entorno familiar y la pareja constituyen un importante factor influyenteen el hábito tabáquico de la mujer embarazada.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To investigate sociodemographic factors and smoking habit characteristics associatedwith spontaneous smoking cessation during pregnancy.</p> <span class="elsevierStyleSectionTitle">Design</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">.</p> <span class="elsevierStyleSectionTitle">Subjets and methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional study including 726 pregnant smoking women who attendedthe antenatal clinic of the Vall d'Hebron University Hospital in Barcelona between July andDecember 1997 and who agreed to participate were studied. Information was obtained by astructured questionnaire which included items on age, educational level, marital status, previousand current smoking habit, partner smoking habit and partner's attitude towards the smokinghabit of the pregnant woman.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">At the first antenatal visit, 19.7% of women had given up smoking spontaneously.Light smokers (between 1 and 9 daily cigarettes; OR = 4.74) or moderate smokers (between 10and 19 daily cigarettes; OR = 2.20) were more likely to stop smoking compared to heavy smokers(more than 20 daily cigarettes). If the partner did not smoke, smoking cessation was morelikely among pregnant women (OR = 1.78). At the first antenatal visit, among those womenwho carried on smoking during pregnancy, there was a significative reduction in cigarette consumptionof about half the usual daily number of cigarettes smoked.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">One out of five pregnant women give up smoking spontaneously during pregnancyfrom the moment they know they were pregnant until the first antenatal visit. Women who areless likely to stop smoking during pregnancy are those who smoke a larger number of cigarettes.Family environment is an important influential factor in the smoking habit of the pregnantwoman.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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