TY  - JOUR
AU  - Zhang, Liying
AU  - Hsia, Jason
AU  - Tu, Xiaoming
AU  - Xia, Yang
AU  - Zhang, Lihong
AU  - Bi, Zhenqiang
PY  - 2015
TI  - Exposure to Secondhand Tobacco Smoke and Interventions Among Pregnant Women in China: A Systematic Review
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E35
VL  - 12
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - 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.
SN  - 1545-1151
UR  - http://dx.doi.org/10.5888/pcd12.140377
DO  - 10.5888/pcd12.140377
ER  - 
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