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Published in: Journal of Public Health 6/2019

01-12-2019 | Original Article

Passive smoking at home increased the risk of gestational diabetes mellitus in China

Authors: Hong-Chun Lu, Li Yuan, Huan Yu, Hai-Shan Tang, Yang-Yang Zhao, Li-li Huang, Chang Su, Yuan-Hua Chen, De-Xiang Xu, Mei Zhao

Published in: Journal of Public Health | Issue 6/2019

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Abstract

Objectives

Active smoking during pregnancy may increase the risk of gestational diabetes mellitus (GDM), but little is known about the potential association between passive smoking and risk of GDM. The present study investigated the association between passive smoking at home and/or in the workplace and risk of GDM among non-smoking Chinese women.

Methods

A population-based study including 995 pregnant women taking antenatal care from December 2015 to May 2016 was conducted. Screening was carried out after 24 gestational weeks, during which women were offered a 75-g 2-h oral glucose tolerance test (OGTT). Basic information and self-reported passive smoking were collected by a questionnaire. Passive smoking was classified as passive smoking at home, passive smoking in the workplace, or passive smoking at home and in the workplace. They were further classified by time period, total exposure time, and amount. Logistic regression was used to estimate both crude and adjusted odds ratios (ORs) and 95% confidence intervals (CIs).

Results

The prevalence of passive smoking was 78.3%. Compared with women who were non-exposed to passive smoking, a passive smoker has an increased risk of GDM with an adjusted OR (95% CI) of 1.60 (1.09, 2.33). In addition, there was a strong association between passive smoking exposure at home and GDM (adjusted OR 1.59; 95% CI 1.13, 2.24), and significant dose–response relationships in total exposure time and amount of passive smoking at home were observed. However, there is no obvious evidence for the link between passive smoking in the workplace and GDM risk (adjusted OR 1.25; 95% CI 0.87, 1.80).

Conclusions

Passive smoking at home was associated with an increased risk of GDM among non-smoking Chinese women. These findings emphasize the importance of preventing passive smoking, especially at home.
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Metadata
Title
Passive smoking at home increased the risk of gestational diabetes mellitus in China
Authors
Hong-Chun Lu
Li Yuan
Huan Yu
Hai-Shan Tang
Yang-Yang Zhao
Li-li Huang
Chang Su
Yuan-Hua Chen
De-Xiang Xu
Mei Zhao
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 6/2019
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-018-1002-9

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